NURSING CARE PLAN

Diagnostic
Statement
Imbalanced nutrition
less
than
body
requirements
related to inability to
utilize nutrients to
meet
metabolic
needs
as
manifested
by
increased
thirst,
frequent
urination
and hyperglycemia.

S/O: polyphagia
: increased thirst
noted
: frequent
urination
: blood glucose364 mg/dL
: diagnosed with
Diabetes Mellitus
type 2

Need
P
H
Y
S
I
O
L
O
G
I
C

N
E
E
D

Desired
Outcome
After 8 hours of
nursing
intervention,
the patient will:
General:
Be able to be
free of signs
of
malnutrition
Specific:
Demonstrate
behaviors,
lifestyle
changes
such as food
choices
Display
normalization
of
blood
glucose test

Interventions

Evaluation
Statement

Interventions

Rationale

Continue
monitoring
vital signs and
patient status.

To
check
for
impending
illness and
prevent
additional
injury.

Independent:

Monitor and record

vital signs

Changes
in
VS
indicate
impending
illness/disease

Monitor and record I

&O

To determine
nutritional and
elimination
problems

Provide bedside care

To
promote
wellness

Assess
causative
factors contributing to
imbalanced nutrition

To determine
the source o
the
problem
and eliminate
it to prevent
occurrence of
malnutrition.

Discuss eating habits

and
encourage
diabetic
diet as
prescribed by the
Doctor

To determine
what
information to
be provided to
client/SO

Educate the client

regarding
the
importance of eating
healthy food.

Education
provides
ample
information
that the client

Background
knowledge:
Diabetes mellitus is
a syndrome with
disordered
metabolism
and
inappropriate
hyperglycemia due

Rationale

Goal partially
met.
The
client
was
able
to
demonstrate
behaviors
and lifestyle
changes
such as food
choices. The
results
of
blood
glucose test
are
fluctuating
from normal
to
higher
value.

NURSING CARE PLAN

to
either
a
deficiency of insulin
secretion or to a
combination
of
insulin
resistance
and
inadequate
insulin secretion to
compensate. Imbal
anced nutrition less
than
body
requirements
means that the
intake of nutrients
insufficient to meet
metabolic needs.

may
not be aware
of,
hence leading
to
the
kind of eating
habits
and diet he is
following.

Involving the
client
to
his plan of
care
gives
the client the
feeling
of
independence.
It
also
personalizes
the
plan of care
since
the
client
does
make
the
choices
in
some
aspects of the
plan.

This
may
decrease
appetite and
lead to early
satiety.

Plan with the client

his desired meals.

Reference:
Medical Surgical
Nursing 10th edition
by Brunner and
Suddhart

Discourage
beverages that are
caffeinated

or

NURSING CARE PLAN

carbonated.
may

These
decrease

appetite and lead to

early

Eating sugar
in moderation
will help client
keep
their
blood glucose
levels
on
track.

Complex
carbohydrates
take longer to
digest, which
helps you stay
full longer and
keeps
your
blood
sugar
level
more
even. Eating
carbohydrates
along
with
protein or a
little fat helps
reduce
the
impact on your
blood
sugar
levels.

Regular eating
habits
are
especially
important for
diabetics. The
body is better

Instruct client to limit

sugar intake.

Instruct

client

to

balance carbohydrate
and protein intake

Encouraged
establish
eating habits.

to
regular

NURSING CARE PLAN

able
to
regulate blood
sugar
levels
and
weight
when
the
patient
maintains
a
regular meal
schedule.

Encouraged to have
frequent oral care.

To
cleanse
mouth
and
prevent
oral
diseases.

Metabolism
and utilization
of
nutrients
are enhanced
by activity

If a person is
tired, the body
will
crave
sugar
and
other
quick
energy fixes.
This can easily
lead
to
overeating,
rising
and
falling
blood
sugar levels,
and
mood

Encourage exercise.

Encourage to have
adequate
rest
periods.

Dependent:
Administer

NURSING CARE PLAN

medications
prescribed by AP such
as insulin injections.

swings.

To
minimize
occurrence of
hyperglycemia
.