Hyper/Hypoglycemia
Care Plan for Hyper/Hypoglycemia
Category / Primary Body System:
Endocrine System
Problem:
Resident is at risk for hyper/hypoglycemia related to diabetes.
Goal:
Resident will have no adverse effects or complications from hyper/hypoglycemia for the next 90 days.
Plan/Approach:
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Blood Glucose Monitoring:
- Step-by-Step Approach: Perform accuchecks as ordered by the physician.
- Monitoring Strategies: Use reliable glucose meters and maintain a log of readings for trends.
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Symptom Monitoring:
- Step-by-Step Approach: Assess for signs and symptoms of hyper/hypoglycemia, such as changes in mental status, diaphoresis, and thirst.
- Educational Efforts: Educate the resident and family on recognizing symptoms of hyper/hypoglycemia.
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Medication Administration:
- Step-by-Step Approach: Administer medications as ordered, including insulin and oral hypoglycemics.
- Technological Aids: Use medication administration records (MAR) to ensure accurate dosing and timing.
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Dietary Management:
- Step-by-Step Approach: Provide diet as ordered, focusing on balanced meals with appropriate carbohydrate content.
- Engagement in Diversional Activities: Encourage participation in meal planning and preparation to enhance dietary compliance.
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Foot Care:
- Step-by-Step Approach: Perform diabetic foot care, including daily inspection and moisturizing.
- Educational Efforts: Educate the resident on the importance of foot care and proper footwear.
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Skin and Weight Monitoring:
- Step-by-Step Approach: Conduct weekly skin assessments and monitor weights as needed.
- Technological Aids: Use electronic scales and skin assessment tools for accuracy.
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Specialist Consults:
- Step-by-Step Approach: Arrange podiatry consults as needed for foot care and management.
- Engagement in Diversional Activities: Involve the resident in scheduling and attending appointments.
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Patient Education:
- Step-by-Step Approach: Provide education on the disease process, including managing blood glucose levels, diet, and medication adherence.
- Educational Efforts: Use visual aids, brochures, and one-on-one teaching sessions.
Rationale:
- Blood Glucose Monitoring: Regular monitoring helps in early detection and management of blood glucose levels.
- Symptom Monitoring: Early identification of symptoms can prevent severe hyper/hypoglycemic episodes.
- Medication Administration: Ensures therapeutic levels of medication are maintained.
- Dietary Management: A balanced diet helps maintain stable blood glucose levels.
- Foot Care: Prevents complications such as infections and ulcers.
- Skin and Weight Monitoring: Helps in detecting early signs of complications.
- Specialist Consults: Provides expert care and management of diabetes-related complications.
- Patient Education: Empowers the resident to manage their condition effectively.
Actions:
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Blood Glucose Monitoring:
- Staff will perform accuchecks as ordered by the physician.
-
Symptom Monitoring:
- Staff will assess for signs and symptoms of hyper/hypoglycemia, such as changes in mental status, diaphoresis, and thirst.
-
Medication Administration:
- Staff will administer medications as ordered.
-
Dietary Management:
- Staff will provide diet as ordered.
-
Foot Care:
- Staff will perform diabetic foot care, including daily inspection and moisturizing.
-
Skin and Weight Monitoring:
- Staff will conduct weekly skin assessments and monitor weights as needed.
-
Specialist Consults:
- Staff will arrange podiatry consults as needed.
-
Patient Education:
- Staff will educate the resident regarding the disease process.
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