A potential diagnosis for S.M. was insomnia related to anxiety as evidenced by difficulty remaining asleep and functioning, fatigue, and irritability. This diagnosis was chosen for S.M. because she states that she wakes up in the middle of the night at odd hours due to her worries about her children. She is concerned about her children’s education and success. Education is extremely valued in the Indian culture and if her children are not educated properly, she will feel ashamed and embarrassed in her social circle. The sleepless nights has an affect on her job. She is forgetting to do things in her job because she is tired and mentally exhausted from not sleeping. Sleep is needed cellular repair and ability …show more content…
situation is, knowledge deficit related to no previous education as evidence by use of high sodium, sugar, and fatty oils in foods. This diagnosis was considered for S.M. because S.M. has been diagnosed with hypertension and her not eating right along with the other factors will help to worsen her hypertension and add additional health problems. S.M. is India and Indian food is prepared with high contents of salt, sugar, oils, cholesterol. This is the culture and this is how they have been taught by their mothers. So, this makes it very hard for S.M. to adjust to eating foods with fewer amounts of these ingredients because the taste is different. Her doctor prescribed a low sodium diet due to the increasing levels of BP in her last physical exam. S.M. states that she is not able to focus on her food choices because of the other stressful occurrences in her life. She hates the way the food taste and this adds on to one of the many reasons why she doesn’t follow the prescribed diet everyday. Nursing interventions include creating a personalized diet plan that includes her culture foods, listing alternatives to unhealthy foods, giving her articles to read about the hypertension, working with the client in setting up goals, support and encouraging her, trying to help her manage the stress, offering stress management techniques, and referring her to a dietician. The outcome for S.M. is that be is able to stabilize her blood pressure