CONCEPT MAP ON NURSING CARE ANALYSIS OF A PA

Predisposing factors:

Age: 54 years old

Race: Non-caucasian racial and
ethnic groups
Hereditary: Both parents have Type
2 diabetes

Autoimmune
Response

Pancreatic islet Beta cell

destruction

Reduced secretion of Decreased insulin

Type 1 Diabetes insulin effect

Blockage of the tiny blood Blockage of the tiny blood

vessels in the Retina vessels in the Retina

Cataract Leakage in the

blood vessel

Complications:
- Blindness
Diabetic
Retinopathy

Complications:
- Vitreous hemorrhage
- Retinal detachment
- Glaucoma
- Blindness
 Complications:
- Vitreous hemorrhage
- Retinal detachment
- Glaucoma
- Blindness
ALYSIS OF A PATIENT WITH DIABETES MELLITUS
Precipitating factors:

Weight: 80kgs
Height: 5'4 ft
BMI: 30.3/Obese
(weight (kg)/ [height (m)]2
Dietary Intake: Unhealthy Diet
Stress: Inadequate
Sleep/overworked
Vices: Smoking and Alcoholism
Lifestyle: Sedentary Lifestyle

DIABETES MELLITUS

Decreased insulin Increased glucose level

effect buildup

ge of the tiny blood Sugar deposits like fat in the

sels in the Retina Blood Viscosity Poor Circulation walls of the blood vessels

Leakage in the Damaged blood Peripheral Atherosclerosis

blood vessel vessel walls Vascular Disease

Complete blockage of the

Diabetic Reduced blood Claudication in blood vessels
Retinopathy flow the legs

Ischemia
Complications: Angina Diabetic
eous hemorrhage neuropathy
nal detachment
ucoma
dness
Complications: Diabetic
eous hemorrhage neuropathy
nal detachment
ucoma
dness

Complications: Heart Attack

- Shortness of breath Impaired pain
- Sweating sensation
- Fainting
- Nausea
- Vomiting
- Increased episodes of
chest pain
- Prolonged pain in the Prone to Injury
upper abdomen

Ischemia

Risk for infections

Gangrene

Amputation
 LEGEND:

Pathophysiology

Clinical Manifestations

Complications

Pharmacologic Mgt

Medical Mgt

Nursing Diagnosis

Nursing Interventions

Hyperglycemia

Sugar deposits like fat in the excessive glucose

walls of the blood vessels production

Atherosclerosis Glycosuria

Complete blockage of the Water follows glucose by

blood vessels osmosis Decreased renal p

Ischemia

Polyuria Polydipsia
 Polyuria Polydipsia

t Attack Stroke
 Fat and protein
breakdown Polyphagia

Increased ketone
level

Ketosis

Diabetic
Nephropathy

Increased blood
acidity

Decreased renal perfusion

Diabetic
Ketoacidosis
Impaired renal
function

Complications:
- cerebral edema
- cardiac arrest
- Kidney failure
Impaired renal
function

Complications:
- cerebral edema
- cardiac arrest
Renal failure - Kidney failure