Nursing Diagnosis Assessment Data Goals and Outcome Nursing Interventions Rationale Outcome Evaluation and Re-planning
First Diagnosis:          
Risk of improper healthcare management – Subjective: Patient is Mrs. Snyder, 56 years old, under treatment for hyperglycemia and uncontrolled diabetes. Patient will report improvement in eating habits and personal health. – Raise awareness about self-care management – Encourage diabetes self-monitoring at home – Teach insulin administration techniques Education and self-monitoring vital for diabetes control Assessment of glucose logs and lifestyle changes; medication adjustment if needed
Risk of a consistent rise in diabetes – Objective: Admitted to ED with sugar levels of 230-389, dyspnea, abdominal discomfort, malaise, urination problems, and HTN. – High consumption of cookies and snacks. Patient will reduce weight in 3 months. Patient will control snacking habit in 1 month. – Educate on lifestyle modifications – Teach insulin administration Lifestyle changes crucial for diabetes management Regular monitoring of weight and snacking habits; review after 1 and 3 months
Second Diagnosis:          
Higher domestic burden and difficulty in meal preparation – Subjective: Patient experiences constant anxiety, depression, overwhelmed feeling, and weakness due to family responsibilities. – Husband provides validation, leading to neglect of personal health. Patient will improve mental health and emotional well-being. – Prescribe tolerable anxiolytics – Weekly counseling sessions (CBT) – Provide access to mindfulness and spiritual healing therapies Pharmacological and psychotherapeutic approaches essential for anxiety control Weekly assessment of anxiety level and adjustment of interventions as needed
Third Diagnosis:          
Ovarian Cancer – Subjective: Patient fearful of chemotherapy, weak, and less immune. Fear of failing as caregiver for elderly mother. – Fear of acute pain, discomfort with surgery. Obesity and airway difficulty. Patient will have multiple options for better care of her mother through facility placement. – Refer to counselor for caregiver role – Find social worker for facility placement – Implement pain assessment thrice a day – Educate on nonpharmacological pain management Ensure patient and caregiver support, pain relief, and improved quality of life Regular assessment of pain and caregiving needs; adjust interventions accordingly

References

Cancer. (2021, October 6). Managing diabetes when you have cancer. Cancer.net. https://www.cancer.net/navigating-cancer-care/when-cancer-not-your-only-health-concern/managing-diabetes-when-you-have-cancer

Carolina, C. M. (2019, October 16). Unlocking the full potential of self-monitoring of blood glucose. Uspharmacist.com. https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-glucose

Goodtherapy. (2019, September 23). Therapy for self-love, therapist for self-love issues. Goodtherapy.org. https://www.goodtherapy.org/learn-about-therapy/issues/self-love

Heart. (2021, May 6). Living healthy with diabetes. Heart.org. https://www.heart.org/en/health-topics/diabetes/prevention–treatment-of-diabetes/living-healthy-with-diabetes

Hoyt, J. (2022, May 26). Assisted living


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