Nursing Intervention Nursing Care Plan for Children with Diabetes Mellitus
Nursing Intervention Nursing Care Plan for Children with Diabetes Mellitus
Expected Results:
Prevent injury and infectionEliminate fear when giving insulinMaintenance of adequate nutritionPositive self-conceptDoes not dependTo keep the child's family does not happen hypoglycemia, insulin nutrition for childrenFor children to learn to treat diabetes in order to avoid complications.
Prevent injury
Monitoring blood glucose levels, 2 times a day, before breakfast and dinner.Help express feelings of fear when performed blood glucose test (finger stick).Monitor signs of hyperglycemia
Improve family coping in the management hypoglikemia and hyperglikemia:
Education about the signs and hyperglikemia hypoglikemia and how the handling necessary to overcome.How to handle if blood sugar <60 mg / dl, juice, sugar, non-diet soda, if glucose is not checked give simple carbohydrates if there are signs of hypoglycemia.If the child received therapy glucagon or dextrose from doctors, teach how the intra-muscular administration of glucagon.Encourage children to bring lunch and eat if there are signs of hypoglycemia (his lunch complex carbohydrates such as cakes, crakers, bread, beans).Note the pattern of occurrence of hypoglycemia and create a schedule plan for decision making in order to avoid hypoglycemiaIf the child has a sore (fever, infection, vomiting, nausea, did not eat) call the doctor.Teach how subcutan insulin administration.
Ensuring appropriate and inadequate nutrition
Involve children in planning nutrition.Helping children to get involved in a diet program.If the child will come home late for lunch are encouraged to bring the food complex carbohydrates.Can recommend how to overcome eating in school and social environment.
Prevent infection and skin damage
Teach them how to observe, determine the skin every day (after a shower) typically are susceptible to damage at folds (axilla, groin)Note the use of a good shoe.Observation of both feet for cracked, cut nails according to the line, use clean socks.Infection often is the urinary system and respiratory system of teaching known mark urinary infection; itching, burning sensation in the urinary system in case of medical attention.
Reducing the anxiety of children and families
Suggest to the child and family to express his feelings (guilt, anger, rejection).Encourage a lot of reading to increase understanding about the disease.Give an honest and clear information.
Improve self care and positive self esteem
Encourage child to visit one another among the sick.Explain that children with diabetes can do the same activities as other children.
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