Providing care for an ill individual in a healthcare setting is a nurse’s main responsibility, but teaching patients about their illness, and helping them understand long-term treatments is another crucial duty for a nurse. For example, Matt is a 19- year-old male college athlete student who was recently diagnosed with type 1 diabetes and a urinary tract infection. Matt needs a treatment plan to continue his life as a healthy young man. This paper will identify foreseeable patient concerns and barriers regarding the medication prescribed, different ways to prioritize the patient’s needs, and a care plan based off the nursing process.
Nursing Diagnosis/ Process
Matt is an athlete that runs a lot, but just like other college students he does …show more content…
The reason why is they need to know what to do in case he goes into a hypoglycemic state. He was prescribed NPH insulin to help with his diabetes and needs to take it subcutaneously before breakfast. NPH is an intermediate- acting medication that has an onset of about 1 to 2 hours and a duration of 10 to 18 hours (Lilley & Collins, 2014). Matt has to inject 10 units subcutaneously in his abdomen or behind his arm in order for the medication to distribute correctly. He also has to remember to inject it in different places to avoid bruising. It is very important to roll the vial of insulin to mix the contents, and to remember not to use it if the contents stay on the bottom (Humilin Nintermediate- Acting Insulin, 2013). Since Matt is taking insulin and exercises, it is important for him to eat a diet with a lot of carbohydrates before exercising and keeping a snack on him at all times to increase his blood sugar (Exercise and Type 1 Diabetes, 2013). NPH insulin was prescribed to Matt, but the nurse should still contact the provider and inform the provider that Matt runs a lot due to being on the cross- country team. The reason why is because Matt is supposed to take the NPH insulin before breakfast and it is supposed to last him 10 to 18 hours. According to the book, the peak time is 4 to 8 hours; with this being said Matt could be running and exercising during the peak (Lilley & …show more content…
His first priority now that he has diabetes is taking the insulin at the appropriate time. He has to do this so he not hyperglycemic nor hypoglycemic. It is important to take his insulin because he tested positive for ketones, the insulin will help eliminate them (Lilley & Collins, 2014). Food is another crucial priority he has to take into considerations. He needs to prevent himself from eating processed foods, high carb foods (unless he is exercising after), or fruits with a lot of natural sugar (Exercise and Type 1 Diabetes, 2013). Matt needs to make a schedule whenever he exercises to keep track of how much calories, and energy he is burning. He needs to check his glucose levels before and after exercising to see the difference there is and base he insulin and workout on that. His last main priority is changing his lifestyle. He cannot work over night shifts, eat fatty foods, or drink alcohol 3 to 4 times a week. Matt needs to sleep well or create a schedule that correlates with when the best time to take his insulin is, since he works during the night. After Matt receives the correct prescriptions for his insulin and antibiotic, he needs to follow up with his endocrinologist, Jacqueline Leland for an evaluation to see if his care plan followed the nurses expected
Nursing Diagnosis/ Process
Matt is an athlete that runs a lot, but just like other college students he does …show more content…
The reason why is they need to know what to do in case he goes into a hypoglycemic state. He was prescribed NPH insulin to help with his diabetes and needs to take it subcutaneously before breakfast. NPH is an intermediate- acting medication that has an onset of about 1 to 2 hours and a duration of 10 to 18 hours (Lilley & Collins, 2014). Matt has to inject 10 units subcutaneously in his abdomen or behind his arm in order for the medication to distribute correctly. He also has to remember to inject it in different places to avoid bruising. It is very important to roll the vial of insulin to mix the contents, and to remember not to use it if the contents stay on the bottom (Humilin Nintermediate- Acting Insulin, 2013). Since Matt is taking insulin and exercises, it is important for him to eat a diet with a lot of carbohydrates before exercising and keeping a snack on him at all times to increase his blood sugar (Exercise and Type 1 Diabetes, 2013). NPH insulin was prescribed to Matt, but the nurse should still contact the provider and inform the provider that Matt runs a lot due to being on the cross- country team. The reason why is because Matt is supposed to take the NPH insulin before breakfast and it is supposed to last him 10 to 18 hours. According to the book, the peak time is 4 to 8 hours; with this being said Matt could be running and exercising during the peak (Lilley & …show more content…
His first priority now that he has diabetes is taking the insulin at the appropriate time. He has to do this so he not hyperglycemic nor hypoglycemic. It is important to take his insulin because he tested positive for ketones, the insulin will help eliminate them (Lilley & Collins, 2014). Food is another crucial priority he has to take into considerations. He needs to prevent himself from eating processed foods, high carb foods (unless he is exercising after), or fruits with a lot of natural sugar (Exercise and Type 1 Diabetes, 2013). Matt needs to make a schedule whenever he exercises to keep track of how much calories, and energy he is burning. He needs to check his glucose levels before and after exercising to see the difference there is and base he insulin and workout on that. His last main priority is changing his lifestyle. He cannot work over night shifts, eat fatty foods, or drink alcohol 3 to 4 times a week. Matt needs to sleep well or create a schedule that correlates with when the best time to take his insulin is, since he works during the night. After Matt receives the correct prescriptions for his insulin and antibiotic, he needs to follow up with his endocrinologist, Jacqueline Leland for an evaluation to see if his care plan followed the nurses expected