NURS FPX 6610 Assessment 2 Patient Care Plan NURS-FPX 6610 Introduction to Care Coordination ​​​​​​​Patient Identifier: 6700891 Patient Medical Diagnosis: Poorly controlled anxiety, obesity, HTN, DM, and Hypercholesterolemia

Nursing Diagnosis 

First Diagnosis:

Improper healthcare management and the least education about the risk of diabetes can lead to serious consequences. 

• Risk of improper healthcare management
  • Subjective: The subjective data is that the patient’s name is Mrs. Snyder, married, mother of two, 56 years old. She is under treatment for hyperglycemia and uncontrolled diabetes.
• Risk of a consistent rise in diabetes. 

• Objective: She was admitted to a hospital’s emergency department (ED) with a consistent rise in sugar levels. The sugar level was 230-389, and they had dyspnea on exertion, low abdominal discomfort, malaise, and urination problems. She also had HTN while got admission to ED. She also consumed too many cookies and snacks. 

Second Diagnosis:

Higher domestic burden and difficulty making meals for family members who are allergic to some food and lactose intolerant. She gets validation and compliments from her husband, that’s why she neglects her health. 

First Goal:

• The first goal is to ensure that Mrs. Snyder’s blood pressure and diabetes level are under control. She is a cancer patient which means her diabetes can increase due to cancer. Cancer can trigger different hormones in the body that is responsible to enhance sugar level in the body (Cancer, 2021). Mrs. Snyder can face a weak immune system due to consistent diabetes and cancer (Cancer, 2021). So, diabetes management is the major goal. 

• Patient will report improvement in her eating habits and personal health. (Ramzan et al., 2022). 

First Intervention:

Health care professional should raise awareness about self-care management (USC, 2018). Self-care management will help patient with lifestyle modifications such as a healthy diet, physical activity, good sleep patterns, mindfulness, and practice. Patient will reduce her weight in three months. Patient will control snacking habit in one month. 

The second intervention is to encourage diabetes self-monitoring at home through daily eye, blood sugar, and food exam (Carolina, 2019). The patient will learn the right technique to -administer insulin on time. The nurse will educate the patient on how to make an insulin syringe. 

First Goal Rationale:

The rationale behind the proposed intervention is that the patient’s primary responsibility in controlling her diabetes is keeping a thorough record of her blood sugar level. She can struggle to manage her condition without any assistance and education. Change in her health condition depends on her dietary modifications, strict adherence to daily insulin doses, and a specific amount of physical activity (Heart, 2021). The interventions will help her in enhancing collaboration between the patient, care provider nurse, nutritionist, and diabetes educator to achieve good health by examining the daily patient data.

Outcomes:

Mrs. Snyder’s care team will be better able to assess the efficacy of her diet, exercise routine, and insulin dosing with the help of the glucose logs she keeps regularly. As her lifestyle evolves during her disease management, her d