C.S. is a morbidly obese 32-year-old female admitted to the hospital on 8/26/05 with an admitting diagnosis of poly-drug overdose. According to the patient, the last thing she remembers is going to bed and then waking up in the hospital 2 days later without any recollection of what had happened. She has a history of suicide twice in the past, but denies suicidal ideations this time. C.S. also has a history of Diabetes type II that is normally controlled with oral medications. She states that she checks her blood glucose at home and it has been in the 200mg/dl range for the past month. Current blood glucose is 256mg/dl. C.S. is to be discharged tomorrow with a new prescription for insulin. Assessment data that indicates learning need:
C.S. was diagnosed with Diabetes Mellitus (Type II) 3 years ago that has been controlled with the oral medication Glucotrol. She has no prior experience with the self-administration of insulin. Therefore, her nursing diagnosis would be: knowledge deficit related to unfamiliarity with Insulin and how to self-administer it, as evidenced by patient verbalizing and requesting that someone show her how to take insulin (Doenges, 2005 p.358). Goal for client teaching: by the end of this teaching, the patient will be able to describe the diabetic medications that she is on and how to properly take the medications. Assessment of learner: C.S. is alert and oriented to person, place, time, and event. She is very pleasant and open with information concerning her health and personal life. She states that she did not finish high school but just recently received her GED. During my time with her, I witnessed C.S. reading to her daughter, which indicates that she is literate. C.S. is very knowledgeable in regard to her diabetes and tracks her blood glucose levels on a daily basis. Due to her obesity, C.S. requires a walker to ambulate and reports that she tires easily. Her knowledge concerning Insulin...
References: Aldridge,V. (2005). Facilitating self management for
diabetes patients. Practice Nurse 29(11), 33-38.
Daly, G. (2004). How a health prevention model reduces
disabling complications of diabetes. Professional Nurse
Doenges,M et.al. (2005). Nursing diagnosis manual. F.A.
Patient Education Institute. www.patient-education.com
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