Health Promotion and Disease Prevention Teaching Plan
Diabetes Mellitus (DM) is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin to meet it's needs (Kishore, 2008). Due to the lack of education, many people with DM are not aware of the fact that it requires lifestyle changes, which happens to be challenging for most. Mrs. C is reported to be 72 - year - old Latin American woman with history of DM for 10 years. It is also known that she is non-compliant with diet and trims her corns with a razor blade. Based on the assessment findings, we can formulate the following nursing diagnoses: knowledge deficit related to disease and risk for impaired skin integrity with potential for infection. The main purpose of this teaching plan is to provide the patient with sufficient knowledge to be able to make self-directed behavioral changes to improve her overall health status and prevent complications secondary to the disease. The following are the main points addressed in teaching plan: 1. Based on the fact that Mrs. C "ups her insulin" when she cheats on her diet, she needs further teaching about disease management and importance of healthy diet. It is known that proper DM control implies keeping blood glucose levels in the same range because fluctuation causes disruption of well-being of multiple organ systems, causing unfortunate outcomes such as peripheral vascular disease, neuropathy, hypertension and renal failure, thus increasing risk of heart attack and stroke. Appropriate diabetic care can reduce the occurrence of diabetic complications. The Diabetes Control and Complications Trial (DCCT) demonstrated that tight glycemic control can reduce the occurrence of complications and even slow the progression of existing complications. Also, timely and appropriate stepwise adjustments cannot be made in response to glucose values (Atkins, 2010). This in turn can lead to suboptimal...
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