NURSING CARE PLAN FOR DIABETES MELLITUS TYPE 2

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTIO RATIONALE EVALUATI

N ON
Subjective: • Risk for Type 2 • After 8 Independent: • Patient • After 8
“Hindi infection diabetes hours · Observe for may be hours of
gumagaling related to mellitus of nursing signs admitted nursing
ang sugat ko” high occurs interventi of infection with interventio
(My glucose when the ons, and infection, n
levels,
wounds are pancreas the inflammation which s, the
decreased
not leukocyte
produces patient . could have patient
healing) as function. insufficient will precipitated was
verbalized by amounts of identify the able to
the the interventi ketoacidotic identify
patient. hormone ons state, or interventio
insulin to prevent may n
Objective: and/or the or develop a s to
· Flushed body's reduce nosocomial prevent
appearance. tissues risk • Promote infection. or reduce
become of good risk of
· Wound resistant to infection. Hand • Reduces infection.
drainage. normal washing by the
or even high nurse and risk of cross
levels of patient. contaminati
· V/S taken as insulin. on
follows: This causes • Maintain
T:37.4 high aseptic • High
P:87 blood technique for glucose in
R:19 glucose IV the blood
BP: 120/90 (sugar) insertion creates an
levels, procedure, excellent
which can administratio medium for
lead to n of bacterial
a number of medications, growth.
complicatio and
ns if providing
untreated. maintenance
and
site care.
Rotate • Minimizes
IV sites as the
indicated. risk for
infection.
• Provide
catheter
or perineal
care.
Teach the • Peripheral
female circulation
patient to may
clean
be
from front to
back
impaired,
after placing
elimination. patient
at
• Provide increased
conscientious risk for skin
skin care, irritation or
gently breakdown
massage and
bony infection.
areas. Keep
the • Facilitates
skin dry, lung
linens expansion
dry and and
wrinkle reduces risk
free. of
aspiration.

• Place in • Decrease
semi – susceptibilit
fowler’s y to
position. infection.

• Encourage
adequate • Identifies
dietary organisms
and fluid so
intake of that most
3000 ml per appropriate
day. drug
therapy
can be
Collaborative:
instituted.
• Obtain
specimen
for culture
and
sensitivities
as
indicated.