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MSN FPX 6021 Concept Map Design KP
MSN FPX 6021 Concept Map Design KP
Nursing Diagnosis  Risk for unstable blood glucose R/T  inadequate blood glucose monitoring Subjective Data: Polydipsia, Polyphagia, and  Polyuria Objective Data: Polyuria, right foot sore with  moderate pain (Diabetic ulcer)
Nursing Diagnosis Risk for Infection R/T Elevated glucose  levels, decreased leukocyte function,  changes in circulation to right foot with  appearance of diabetic ulcer Subjective Data- Pt c/o pain and  discomfort to right foot Objective Data- Right foot Diabetic ulcer
Nursing Diagnosis Ineffective Therapeutic Regimen  Management R/T lack of information about diabetes and its management Subjective Data- Pt states he is having a  difficult time managing his diabetes and diet Objective Data- Blood glucose levels are  increased, poor medication managing

MSN FPX 6021 Concept Map Design KP

Nursing Interventions Independent Intervention: Evaluate for signs  of hyperglycemia Rationale: Hyperglycemia results when there  is an insufficient amount of insulin to glucose.  Additional glucose in the blood creates an  osmotic outcome that results in amplified  hunger, thirst and more urination. The patient  may also report general symptoms of blurred  vision and fatigue (Scheen, 2021) Collaborative Intervention: 1) The patient will collaborate with the  Diabetes Clinic Team that consists of the  endocrinologists, dietitians, nurses, social  physiotherapist, and social workers Rationale: By using a specific  interprofessional practice framework and  activating the point of care team, physician,  and social services, it will help develop  strategies to improve the contact of care. This  will result in decreased duplication in clinical  roles and supports overall improvement in  patient care (Scheen, 2021)Nursing Interventions Independent Intervention: Provide careful  skin care to wound lightly massage bony  areas, keep skin clean and dry. Keep linens  dry and wrinkle-free. Rationale: Peripheral circulation may be  ineffective or impaired, placing the patient at  increased risk for skin breakdown and  infection (Tatum, 2017). Collaborative Intervention: 1) Foot and ankle surgeons collaborate with  the diabetic team of health professionals to  benefit our diabetic patient. Rationale: The use of a collaborative  approach is essential for treatment and  prevention of diabetic foot ulcers and  infections. Every associate of the treatment  team offers valued expertise that leads to the  appropriate prevention and care of these  circumstances, making it an optimal patient  experience (Tatum, 2017).Nursing Interventions Independent Intervention: Explore the patient’s  prior willingness to manage the diabetes care  regimen. Rationale: Can provide a significant starting  point in comprehending any difficulties or  problems the patient-perceived in his diabetes  management routine. The pt may state experiences of being overwhelmed by attempts to  manage diet, medications, blood glucose  monitoring, exercising, and other actions to  prevent complications (Stanely, 2018). Collaborative Intervention: 1)Referral to diabetic classes with dieticians and  educators Rationale: The Diabetes Care Management  Program comprises of a personalized care plan to  help you manage your diabetes and heart health.  The patient will work closely with a provider,  educator, and dietician to develop and follow a  strategy to help you make optimum lifestyle  alterations (Stanely, 2018).
Excepted Outcomes  Patient has a blood sugar result of less than  150 mg/dL; fasting blood sugar levels of less  than <125 mg/dL; hemoglobin A1C level  <6.5%. (Butler & Kirk, 2020)Excepted Outcomes -Identify interventions to avoid/decreased risk  of infection. -Validates procedures, lifestyle changes to  avoid progression of foot infection.Excepted Outcomes Patient validates knowledge of diabetes self-care  procedures.

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