Humber ITAL PN Nursing Care Plan Step 2 Analysis

Student Name: Kushanvir Gill

Date: 03/18/2015
Week:9
All Medical Diagnosis: (Admission, Surgical, Other)
Spina Bifida
Past History: paraplega, decubitis ulcers chronic UTI, MRSA positive, Urin Arnold-Chiari
Malformation & Syringomyelia, unable to ambulate Pt has hydrocephalus and Harrington rods in
legs for scoliosis in 1988
Report Day 1:

Pertinent Data:

Priority(s) Day 1: Maintaining normal blood sugar level

4-7 mmol/L

Report Day 2:

Pertinent Data:

Priority(s) Day 2:
Nursing (Client) Problem (1): Increased blood sugar
Immediate Stimuli: Imbalanced nutrition
Contributory Stimuli: Type 2 diabetes
Nursing Diagnosis (1):
High blood sugar level R/T imbalanced nutrition more than the body requirement
Expected Outcome(s)

Target
Date(s)
26/15
23/15
20/15
30/15
23/15

1.Pt. will maintain her dietary habits in the overall management of diabetes
2.Pt. will state the effects of diabetes on her body function
3.Pt. will state the adverse effects of insulin
4.Pt. will have slow healing of wounds
5.Pt. will have fluid and electrolyte balance
Nursing Interventions (Minimum 5)
1. Educate patient about the diet recommended by Canadian Diabetes Association,
dietary advisor or nutritional consultant.

2. Educate patient to inform if any unusual problem occur with change in activity such
as nausea, vomiting and blurred vision
3. Educate patient to take medication as scheduled, monitor blood sugar levels and
watch for the sign and symptoms of hypoglycemia or hyperglycemia
4. Encourage patient to eat diet rich in protein
5. Monitor fluid and electrolyte status

Community Resource: (related to clients needs)

Canadian Diabetes Association, CVH Diabetes care center and YMCA diabetes prevention
program