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  • Marjorie ncp8

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    Jovel Cortez
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    Risk for Nursing care - Provide bed - Reduces Patients with Disturbed planning goals cradle. Keep discomfort and diabetes include Her diabetes is Sensory for patients with hands and feet potential for effective controlled by Perception. diabetes include warm, avoiding dermal injury. treatment will diet and insulin, Patients taking effective exposure to cool be normalize also states that insulin or oral treatment to drafts and/or hot blood glucose she has had hypoglycemic normalize blood water or use of a levels and lower back and agents are at risk glucose levels heating pad

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    marjorie-ncp8

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    Risk for Nursing care - Provide bed - Reduces Patients with Disturbed planning goals cradle. Keep discomfort and diabetes include Her diabetes is Sensory for patients with hands and feet potential for effective controlled by Perception. diabetes include warm, avoiding dermal injury. treatment will diet and insulin, Patients taking effective exposure to cool be normalize also states that insulin or oral treatment to drafts and/or hot blood glucose she has had hypoglycemic normalize blood water or use of a levels and lower back and agents are at risk glucose levels heating pad

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    90 views2 pages

    Marjorie ncp8

    Uploaded by

    Jovel Cortez
    Risk for Nursing care - Provide bed - Reduces Patients with Disturbed planning goals cradle. Keep discomfort and diabetes include Her diabetes is Sensory for patients with hands and feet potential for effective controlled by Perception. diabetes include warm, avoiding dermal injury. treatment will diet and insulin, Patients taking effective exposure to cool be normalize also states that insulin or oral treatment to drafts and/or hot blood glucose she has had hypoglycemic normalize blood water or use of a levels and lower back and agents are at risk glucose levels heating pad

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    of 2

    CORTEZ, JOVEL E.

    BSN 1Y2-6

    MARJORIE – NCP 8

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective: Risk for Nursing care •Provide bed •Reduces Patients with
    Disturbed planning goals cradle. Keep discomfort and diabetes include
    Her diabetes is Sensory for patients with hands and feet potential for effective
    controlled by Perception. diabetes include warm, avoiding dermal injury. treatment will
    diet and insulin, Patients taking effective exposure to cool be normalize
    also states that insulin or oral treatment to drafts and/or hot blood glucose
    she has had hypoglycemic normalize blood water or use of a levels and
    lower back and agents are at risk glucose levels heating pad. decrease
    wrist pain for the for the and decrease complications
    past month. development of complications using insulin
    hypoglycemia. using insulin •Monitor vital •To provide a replacement, a
    Too little food or replacement, a signs and mental baseline from balanced diet,
    excessive balanced diet, status. which to and exercise.
    physical activity and exercise. compare The nurses will
    also exacerbates The nurse should abnormal stress the
    this stress the findings. importance of
    complication. importance of complying with
    complying with •Schedule and •To provide the prescribed
    the prescribed cluster nursing uninterrupted treatment
    treatment time and rest periods and program through
    program through interventions. promote restful effective patient
    effective patient sleep, minimize education.
    education. Tailor fatigue and Teaching is
    your teaching to improve tailored to the
    the patient’s cognition. patient’s needs,
    needs, abilities, abilities, and
    and •Keep the •Helps keep the developmental
    developmental patient’s routine patient in touch stage. Stress the
    stage. Stress the as consistent as with reality and effect of blood
    effect of blood possible. maintain glucose control
    glucose control Encourage orientation to on long-term
    on long-term participation in the health.
    health. activities of daily environment.
    living (ADLs) as
    able.

    •Protect the •Disoriented


    patient from patients are
    injury by prone to injury,
    avoiding or especially at
    limiting night, and
    restraints as precautions
    necessary when need to be taken
    LOC is impaired. as indicated.
    Place bed in low Seizure
    position and pad precautions
    bed rails if the need to be taken
    patient is prone as appropriate to
    to seizures. prevent physical
    injury,
    aspiration, and
    falls.

    •Evaluate visual •Retinal edema


    acuity as or detachment,
    indicated. hemorrhage,
    presence of
    cataracts, or
    temporary
    paralysis of
    extraocular
    muscles may
    impair vision,
    requiring
    corrective
    therapy and/or
    supportive care.

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