Assessment/Data Collection
I have decided to write about fractures of the right tibia and fibula Type 1. In Type 1 Diabetes the Langerhans cells that produce insulin are destroyed by an autoimmune process. This means that the pancreas produces little to no insulin. Insulin is required to move glucose into the cells for energy. Without insulin, glucose builds up in the blood and causes adverse effects such as impaired circulation. (Author last name, year). Common labs to diagnose Type 1 Diabetes are HGB AIC. This lab tests the average amount of glucose in the blood over the past 2-3 months and can give insight into the function of the pancreas. A client with Type 1 Diabetes may have a genetic disposition or a history of a viral illness. On the assessment of a client with Type 1 Diabetes, the client may report subjective findings of polyuria, polydipsia, and polyphagia. Objective findings may be decreased sensation, slow healing wounds, and changes in vision.
Nursing Diagnosis/ Goal/ Intervention
Imbalanced Nutrition: less than body requirements related to the inability to not use glucose as evidenced by HGB A1C greater than 7%
The client will maintain pre-prandial glucose levels between 60 and 100 mg/dl for 3 consecutive days within 2 weeks.
The nurse will teach the client how to obtain pre-prandial glucose levels with a glucometer and strips. Rationale: The client will need to be able to monitor their glucose levels to make sure it is being utilized for energy and not building up in the vessels (Author last name, year).
The nurse will teach client how to count carbohydrates for insulin administration. Rationale: The client will have to administer the proper amount of insulin to move the glucose into the cells for energy (Author last name, year).
References
Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number(Issue number), Page numbers.