Free Essay on Care Plan for a Diabetic Patient

A 40-year-old patient with type 2 diabetes visited the clinic. The reason he visited the clinic is that he developed a chronic metabolic disorder due to diabetes. The conversation is taking place at a nearby clinic. As known, diabetes is a long-lasting health condition that affects digestion, mainly where the food has to be converted to energy. Usually, when someone eats food, it is broken into glucose or sugar and released into the bloodstream. When the blood sugar rises, it means that the pancreas must release insulin. Therefore, insulin allows glucose to diffuse in the body cells for energy to be released.

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Any person who has diabetes cannot make insulin or use insulin as it should in the body. Therefore, when the cells don't respond because there is no insulin, the blood sugar increases in the bloodstream (Mahrous & Gendy, 2014). Other health problems like vision loss, kidney disease, and heart disease will develop after some time. Since diabetes has no cure, one must become active, eat healthy foods, and lose weight.

Interaction between Nurse and Patient

Any person who has diabetes finds it hard to share their problem with anyone because they fear being treated differently (Mahrous & Gendy, 2014). Most patients also become uncomfortable when the friends see him go through insulin and blood glucose tests. The only way this can take place is when someone helpful as a nurse is involved. Since he understands that prevention is better than cure, he decides to go through his checkup. Below is the conversation:

Nurse: Thank you for visiting us, and as our usual routine, I will ask you about your challenges.

Nurse: Do you experience any physical challenge?

Patient: The physical challenges I struggle with are my vision, pain in lower limbs, chest cavity, high blood pressure, and sexual dysfunction.

Nurse: Do you face any challenges in your social life?

Patient: Most of the time, I live with tension because my condition does not allow me to do things independently. Therefore, I have to rely on people when it comes to eating. It's also difficult for me to have access to healthy foods. The doctor's best eats are costly, which pressures my family a lot since we are not financially stable. There is also no safe space for me to exercise.

Nurse: I hear you and feel your pain. But that is why you are here. I will help you in the best way possible to ensure that your condition is managed. Do you go through any psychological challenges?

Patient: Yes, most of the time, I am worried, anxious, and feeling stressed and depressed. There are times when I cannot control my anger, which makes people stay away from me. I also can't tell what is best for me as I go through my medication plan; most of the time, I get confused about important decisions. This pressures me a lot and stresses me the more.

Nurse: I am so sorry about all this. We’ll get through it together. I know this may be overwhelming and stressful too. I am also sure that you go through emotional cycles in your life.

Patient: That is an excellent point. When I wake up, I feel stressed knowing that I am not like other people. Most of the time, I feel hopeless, shame, guilt, fear, angry, and frustrated because I blame myself for having such a condition. Also, I face a lot of annoyance. It takes up too much of my time and brain space. I always have to think about what I will eat, checking if I have emergency snacks, my blood tests, and so forth – it's tiresome. Sometimes I want to pause for a minute, but I can't. Unless you've got a family member or a friend who has diabetes, no one understands what it is like.Nurse: I am so sorry about this. We do not choose to be sick. One thing I assure you that you are in safe hands. Sir, please let me share with you the results as we continue talking.

Patient: Am I going to die?

Nurse: No! No! You are too young to die. Your body needs a lot of attention to avoid further complications. If not noticed, it can create problems in the gums, nerves, feet, kidneys, and the heart. But this should not worry you for now because none of the signs are visible. I will also offer you preventive strategies for diabetes because of your glucose levels re unstable. Sir, I wish to commend you for trusting me with this information; not many patients are comfortable in sharing their struggles.

Patient: Thank you.

Nursing care Plan

Deficient information regarding the procedure, treatment, and care needs

As known, diabetic patients need to go through complex nursing care (Mahrous & Gendy, 2014). Any person that is diagnosed with diabetes always finds a way to heal. The only problem is that with diabetes, many nutritional, treatments, and other factors of managing diabetes are needed. Mostly such aspects are psychological because diabetes is a condition that disturbs people. Living with diabetes is also considered to be stressful, emotional, and challenging. Many patients go through depression if the situation is not well managed (Mahrous & Gendy, 2014). Living with diabetes can be challenging if finances are not enough, especially if people come from middle and low-income countries. Below is a follow up that should be strictly followed.

The condition may be related to:

• Physical challenges
• Emotional challenges
• Psychological challenges
• Possible Evidence

The patient physically struggles with vision, pain in lower limbs, chest cavity, high blood pressure, and sexual dysfunction.

There is an expression tension due to his condition.

The patient develops stress knowing that he will have to depend on people again.

Desired Outcome

The patient should have his vision back, low back pain, and high blood pressure should be reduced.

The patient participates in the learning procedures to help him cope with others, even with his condition.

Demonstrates an understanding of the condition and what he should do when psychologically disturbed (Mahrous & Gendy, 2014).

Correlates the symptoms and signs of the disease by corresponding to the management of diabetic

The performance of the procedure is done correctly by elaborating more on the reasons for actions.

First Priority: Assess The Cause of Physical Challenges in the Patient’s Life

Nursing Interventions

In the script, the patient claimed that he experiences body pains. Check if other body conditions were caused by diabetes or he has other ailments in the body. The patient stresses on body aches based on diabetes (Mahrous & Gendy, 2014). The patient also complains of physical challenges like pain in lower limbs, sexual dysfunction, high blood pressure, and chest cavity.

Rationale

The search for a patient's support person will elaborate more on the causes of physical pains developed in the patient. The patient may not be mentally, emotionally, and physically capable, so other medications must be added to reduce pain. Friends and family members must be involved to find out about the different health conditions. The best people to address include caregivers, spouses, and parents (if available) who will give more information and engage in the patient's treatment (Mahrous & Gendy, 2014).

Exercise could be the best option but the biggest challenge for diabetic people (Mahrous & Gendy, 2014). The patient should wake up one hour early as usual to reap the benefits of exercises. He can go for a walk or swim, depending on the energy he has. If possible, the patient can go to the gym, but the patient can browse YouTube videos to exercise in their houses.

The patient mentioned that he forgets to take his medication because of stress. It is usual for diabetic people to forget their medicine not because of pressure but because of the side effects (Mahrous & Gendy, 2014). The best solution for this is buying the pillboxes to fill up the patient's compartments to show the days and time medicine should be taken. The best place to place the pillboxes is near the kitchen table and toothbrush. The patient can also write the doses required on the calendar, or even set a reminder on the phone.

Second Priority: Establishing Cause and Solution Of Emotional Challenge

Nursing Interventions

In the script, the client said that he goes through emotional challenges.

Rationale

Various ways will be used to balance the patient's emotional cycle. The first step is for the patient to exercise regularly to lower anxiety, stress, and depression. Options like walking in the park, going to the gym, or doing yoga may come in handy (Bonner et al., 2016). The health care facility provides a safe and free environment for the patient to exercise at any given time. This way, he will not receive any form of judgment and be socially healthy as he interacts with other patients.

The patient also needs to get enough sleep because the more tired he gets, the more blood sugar does not balance. Lastly, since the condition is overwhelming to the patient, he should also learn how to reward himself for any goals he meets.

Health care program professionals have invented unique ways of providing resources such as medications and access to healthy foods to financially challenged patients (Bonner et al., 2016). Through an insurance system, the health care department has collaborated with the government to distribute nutritious foods to those suffering from chronic disorders. All the patient needs to do is pay an affordable sum of money every six months to keep him covered and less burdened with negative emotions.

Third Priority: Establishing Causes And Solution Of Psychological Challenge

Nursing Interventions

The patient said that he is always worried, anxious, stressed, and depressed in the script.

Rationale

When the patients reach this point, the best way is to teach them how to pay attention to their feelings to stop them from feeling overwhelmed. The best way is by expressing his feelings to the health care providers to assist the patient (Bonner et al., 2016). The patient is also allowed to share his experiences with the other patients through support group meetings. These meetings will help him reflect on other patient’s struggles and encourage him to keep a stable mind because he is not alone. This way, he will find purpose in diabetes.

When a person is diagnosed with diabetes, it means they must keep checking their blood sugar regularly, make good choices on foods, and take medicine as instructed by the doctor (Bonner et al., 2016). Sometimes, the patient might be worried about the cost of treatment, and this may also make their blood pressure rise, thus causing other complications like nerve damage or heart disease. In such times, he is reminded to use the breath to take control, exercise three deep breaths, and exhale the negative energy within himself. This way, he will be relaxed both in the body and in mind.

Facilitating self-care through empowerment is essential for the patient to feel confident in their decision-making while undergoing treatment. Grounded in the traditional medical model, health care professionals often view education as a sensitive part to accomplish underlying goals that the patient might have (Bonner et al., 2016). This could lead to the frustration of the care provider, which later reflects the patient. This is where empowerment comes in handy, where the patient increases the number of choices available to them in treatment.