MSN FPX 6021 Concept Map Design
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MSN FPX 6021 Concept Map Design
| MSN FPX 6021 Concept Map Design KP Nursing Diagnosis Risk for unstable blood glucose R/T inadequate blood glucose monitoring Subjective Data: Polydipsia, Polyphagia, and Polyuria Objective Data: Polyuria, right foot sore with moderate pain (Diabetic ulcer) |
| Nursing Diagnosis Risk for Infection R/T Elevated glucose levels, decreased leukocyte function, changes in circulation to right foot with appearance of diabetic ulcer Subjective Data- Pt c/o pain and discomfort to right foot Objective Data- Right foot Diabetic ulcer |
| Nursing Diagnosis Ineffective Therapeutic Regimen Management R/T lack of information about diabetes and its management Subjective Data- Pt states he is having a difficult time managing his diabetes and diet Objective Data- Blood glucose levels are increased, poor medication managing |
MSN FPX 6021 Concept Map Design KP
| Nursing Interventions Independent Intervention: Evaluate for signs of hyperglycemia Rationale: Hyperglycemia results when there is an insufficient amount of insulin to glucose. Additional glucose in the blood creates an osmotic outcome that results in amplified hunger, thirst and more urination. The patient may also report general symptoms of blurred vision and fatigue (Scheen, 2021) Collaborative Intervention: 1) The patient will collaborate with the Diabetes Clinic Team that consists of the endocrinologists, dietitians, nurses, social physiotherapist, and social workers Rationale: By using a specific interprofessional practice framework and activating the point of care team, physician, and social services, it will help develop strategies to improve the contact of care. This will result in decreased duplication in clinical roles and supports overall improvement in patient care (Scheen, 2021) | Nursing Interventions Independent Intervention: Provide careful skin care to wound lightly massage bony areas, keep skin clean and dry. Keep linens dry and wrinkle-free. Rationale: Peripheral circulation may be ineffective or impaired, placing the patient at increased risk for skin breakdown and infection (Tatum, 2017). Collaborative Intervention: 1) Foot and ankle surgeons collaborate with the diabetic team of health professionals to benefit our diabetic patient. Rationale: The use of a collaborative approach is essential for treatment and prevention of diabetic foot ulcers and infections. Every associate of the treatment team offers valued expertise that leads to the appropriate prevention and care of these circumstances, making it an optimal patient experience (Tatum, 2017). | Nursing Interventions Independent Intervention: Explore the patient’s prior willingness to manage the diabetes care regimen. Rationale: Can provide a significant starting point in comprehending any difficulties or problems the patient-perceived in his diabetes management routine. The pt may state experiences of being overwhelmed by attempts to manage diet, medications, blood glucose monitoring, exercising, and other actions to prevent complications (Stanely, 2018). Collaborative Intervention: 1)Referral to diabetic classes with dieticians and educators Rationale: The Diabetes Care Management Program comprises of a personalized care plan to help you manage your diabetes and heart health. The patient will work closely with a provider, educator, and dietician to develop and follow a strategy to help you make optimum lifestyle alterations (Stanely, 2018). |
| Excepted Outcomes Patient has a blood sugar result of less than 150 mg/dL; fasting blood sugar levels of less than <125 mg/dL; hemoglobin A1C level <6.5%. (Butler & Kirk, 2020) | Excepted Outcomes -Identify interventions to avoid/decreased risk of infection. -Validates procedures, lifestyle changes to avoid progression of foot infection. | Excepted Outcomes –Patient validates knowledge of diabetes self-care procedures. |
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