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:

1. 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.

2. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. 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.

8. 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:

1. Blood Glucose Monitoring:

   • Staff will perform accuchecks as ordered by the physician.

2. Symptom Monitoring:

   • Staff will assess for signs and symptoms of hyper/hypoglycemia, such as changes in mental status, diaphoresis, and thirst.

3. Medication Administration:

   • Staff will administer medications as ordered.

4. Dietary Management:

   • Staff will provide diet as ordered.

5. Foot Care:

   • Staff will perform diabetic foot care, including daily inspection and moisturizing.

6. Skin and Weight Monitoring:

   • Staff will conduct weekly skin assessments and monitor weights as needed.

7. Specialist Consults:

   • Staff will arrange podiatry consults as needed.

8. Patient Education:

   • Staff will educate the resident regarding the disease process.