Imbalanced Nutrition: less than body requirements related to Diabetes Mellitus

Nursing Care Plan

Diabetes Mellitus Definition :

Diabetes mellitus is a chronic metabolic disorder of insulin deficiency or insulin retention, a state characterized by high blood glucose (hyperglycemia) and glucose in the urine (glucosuria) or a clinical syndrome characterized by chronic hyperglycemia and impaired metabolism of carbohydrates, fats and proteins in connection with lack of insulin secretion in absolute / relative and or the disruption of insulin function.

Diabetes mellitus can be a hereditary disorder by means of insufficiency or reduction of insulin in the blood circulation, reduced glycogenesis, and high blood sugar concentration. Diabetes in pregnancy raises many difficulties, this disease will cause changes in patients with metabolic and hormonal. Some of certain hormones increase the number. For example, the hormone cortisol, estrogen, and human placental lactogen (HPL). Increasing the number of all these hormones during pregnancy turned out to have an influence on the function of insulin in regulating blood sugar levels. This condition causes an insulin resistant condition called "insulin resistance".


Nursing Diagnosis for Diabetes Mellitus:

Imbalanced Nutrition: less than body requirements

Definition:
Nutritional intake is not sufficient to meet the metabolic needs

Defining characteristics:

• Abdominal cramps.
• Abdominal pain.
• Diarrhea.
• Hyperactive bowel sounds.
• Weight 20% or more, under ideal weight.

Related factors:

• Biological factors.
• The inability to digest mkanan.
• Inability to absorb nutrients.

Goal:
After nursing action is expected Nutrition 2x24 hours patients met the indicator:

• Serum albumin.
• Pre serum albumin.
• Hematocrit.
• Hemoglobin.
• Total iron binding capacity.
• The number of lymphocytes.

NOC:

• The patient will maintain weight.
• The patient describes the components of adequate nutritious diet.
• The patient tolerated the recommended diet.
• The patient maintain body mass and body weight within normal limits.
• The patient laboratory values within normal limits.
• The patient reported adequate energy levels.

NIC

• Assess for food allergies.
• Collaboration with a nutritionist to determine the amount of calories and nutrients needed.
• Assure diet containing high fiber eaten to prevent constipation.
• Teach patients how to make daily food records.
• Monitor weight loss and blood sugar.
• Monitor the environment during the meal.
• Monitor skin turgor.
• Monitor drought, dull hair, total protein, hemoglobin and hematocrit levels.
• Monitor nausea and vomiting.
• Monitor pale, redness, and dryness of the conjunctiva tissue.
• Monitor intake nuntrisi.
• Inform clients and families about the nutritional benefits.
• Collaboration with the doctor about the need for food supplements such as NGT / TPN so that adequate fluid intake can be maintained.
• Encourage lots of drinking.
• Keep the line IV therapy.
• Note the presence of edema, hyperaemic, hypertonic tongue papillae and oval cavity.