Your patient Isapoinhkyaki is an 11 year old girl of Blackfoot descent; she has
ID: 124909 • Letter: Y
Question
Your patient Isapoinhkyaki is an 11 year old girl of Blackfoot descent; she has been recently diagnosed with Diabetes. She has recently moved to Brampton from Southern Alberta and has made very few friends. She lives in a basement apartment with her father. He works as a labourer and has intermittent work. Her mother lives in another city but her grandmother lives in the upstairs apartment. They rely on food banks to supplement their diet.
Research the problem/condition described
Formulate a comprehensive nursing care plan for the client based on the described condition/issue -3 diagnosis must be considered of these one will be chosen to follow through
Formulate a Nursing Care Plan and Teaching plan
Nursing Care Plan-chart format and Teaching plan format require. Include in text citations.
Reference page (APA format).
Explanation / Answer
Objective :
Dry skin and mucous membrane.
Poor skin turgor
Sudden weight loss
Objective:
Child ask repeated questions about the disease and looks worried and confused.
Objective:
Child looks worried and confused. Cries in fear. Ask msny questions.
1)Health education on Diet,Meal planning and Nutrition :
Restrict high carbohydrate containing meals.
Switch to a structured meal plan such as American diabetes association exchange meal plan.
Educate parents to be flexible and give children extra foods to meet growth needs.
Avoid fast foods in the diet.
2)Insulin therapy :
Educate both the parents and child regarding insulin therapy.
The mode of administration , dosage and Responsibilities during taking insulin.
3) Give health education regarding complications of diabetes like hypoglycemia and Ketoacidosis.
Educate the parent as well as the child about the complications and what can be the primary or immediate management.
Assessment Diagnosis Objectives Planning Rationale EvaluationObjective :
Dry skin and mucous membrane.
Poor skin turgor
Sudden weight loss
Fluid volume deficit related to osmotic diuresis from hyperglycemia To obtain adequate hydration, stable vital signs and good skin turgor and capillary refill after 8 hours of nursing interventions.- Monitor orthostatic blood pressure changes.
- Monitor respiratory pattern like Kussmaul's respiration and acetone breath.
- Monitor temperature of skin, colour and moisture.
- Assess peripheral pulses, capillary refill, skin turgor and mucous membrane.
- Hypovolemia may be manifested by hypotension and tachycardia.
- Lungs remove carbonic acid through respiration providing a Compensatory respiratory alkalosis for Ketoacidosis.
- Fever, chills are common with infectious process and dry skin indicates Dehydration.
- Indication of Dehydration.
Objective:
Child ask repeated questions about the disease and looks worried and confused.
Knowledge deficit regarding disease condition related to small age and less knowledge. To teach about disease condition and and to improve self care.- Asess child for level of knowledge specific to health problem or concern.
- Provide opportunity for child to observe demonstration of and practice skills essential to care.
- Give health education regarding diabetes.
- Encourage to ask doubts.
- Encourage to attend classes and medical education regarding the diabetes.
- It gives an idea on how much child is aware of her condition.
- Helps child to take care of herself.
- Improves knowledge on the disease condition.
- Clears the misconception and doubts.
- Aquire good knowledge on the condition.
Objective:
Child looks worried and confused. Cries in fear. Ask msny questions.
Anxiety related to newly detected diabetess. Reduce anxiety level.- Assess the level of anxiety and normal behavioral pattern.
- Explain about the condition and prognosis to child.
- Encourage child in divertional therapy like play, music etc.
- Provide physical contact for child.
- Encourage parent to support the child.
- It seve as base line data and to understand the childs level of fear.
- Relieves tension incechild get adequate knowledge regarding her disease conditions.
- Diverts mind from stressful environment.
- Touch relives tension.
- Parents can relieve anxiety with their presence.
1)Health education on Diet,Meal planning and Nutrition :
Restrict high carbohydrate containing meals.
Switch to a structured meal plan such as American diabetes association exchange meal plan.
Educate parents to be flexible and give children extra foods to meet growth needs.
Avoid fast foods in the diet.
2)Insulin therapy :
Educate both the parents and child regarding insulin therapy.
The mode of administration , dosage and Responsibilities during taking insulin.
3) Give health education regarding complications of diabetes like hypoglycemia and Ketoacidosis.
Educate the parent as well as the child about the complications and what can be the primary or immediate management.
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