FAMILY NURSING CARE PLAN
HEALTH TEACHING PLAN
HEALTH FAMILY GOALS OF OBJECTIVES OF PLANNED INTERVENTION
PROBLEM NUSING CARE CARE
PROBLEM
NURSING INTERVENTION METHOD OF NURSE- RESOURCES
FAMILY CONTACT REQUIRED
Health Treat: 1. Inability to Short Term Goal: After Nursing Interventions, 1. Obtain history for Establishing rapport Visual aid for
recognize the the client and the family will intensity and duration of through home visit. discussion
Diabetes presence of diabetes Client will maintain be able to : symptoms such as (making a good eye to eye (pamphlet)
due to lack of hydration at a vomiting and excessive contact)
Subjective Cues: knowledge. functional level as a.) Understand what urination.
“May mga araw evidenced by adequate diabetes is really all 2. Monitor for signs of Health teaching regarding
na nagiging 2. Inability to decide urine output, stable about. hypoglycemia such as Diabetes
blurry ang about taking vital signs, and Definition of diabetes sweating,
paningin ko at appropriate action due electrolyte levels Types of Diabetes lightheadedness,
madalas din to failure to within normal range Causes of Diabetes weakness, nausea,
akong uminom comprehend the tachycardia
ng tubig kaya nature, magnitude, b.) Understand as to why 3. Check peripheral pulses,
madalas din and scope of the Long Term Goal: consultation with the capillary refill, and for
akong umihi” as problem. doctor or healthcare skin turgor.
verbalized by the Client will be able to personnel is important; 4. Strictly monitor the
client. 3. Inability to provide demonstrate behaviors prescription of a intake and the output.
adequate healthcare to to monitor and correct maintenance medicine. 5. Weight client daily or as
Objective Cues: member of a family deficit as indicated. indicated
120/80 due to lack of c.) Application of the 6. Administer fluid
mmHg knowledge and skill in acquired knowledge replacement measures as
conveying out the regarding diet plan prescribed by the
necessary treatment/ physician
procedure/ care. d.) Understand what kind 7. Monitor laboratory
of foods should be results.
avoided 8. Assess the pattern of
physical activity
e.) Understand the
importance of exercise.
SUBJECT MATTER: Illness Condition: Diabetes as Health Deficit
TIME ALLOTMENT: 30 minutes
GENEAL OBJECTIVE: Prevention of disease by keeping blood sugar under control.
SPECIFIC CONTENTS T.A TEACHING STRATEGY RESOURCES EVALUATION
OBJECTIVES
After Nursing
Interventions, the client
and the family will be
able to :
Definition of Diabetes
a.) Understand Diabetes is a disease that occurs when your blood glucose, also called
what diabetes is blood sugar, is too high. Blood glucose is your main source of energy
really all about. and comes from the food you eat. Insulin, a hormone made by the 10 min Discussion Visual aids Question and Answer
Definition of pancreas, helps glucose from food get into your cells to be used for
energy.
diabetes
Types of
Diabetes General Symptoms
1. increased hunger
Causes of
2. increased thirst
Diabetes
3. weight loss
4. frequent urination
b.) Understand as
5. blurry vision
to why
6. extreme fatigue
consultation with
7. sores that don’t heal
the doctor or
healthcare
personnel is Types of Diabetes
important; Type 1 diabetes is an autoimmune disease. The immune system
prescription of a attacks and destroys cells in the pancreas, where insulin is made.
maintenance It’s unclear what causes this attack. About 10 percent of people
medicine. with diabetes have this type.
Type 2 diabetes occurs when your body becomes resistant to
c.) Application of insulin, and sugar builds up in your blood.
the acquired Pre-Diabetes occurs when your blood sugar is higher than
knowledge normal, but it’s not high enough for a diagnosis of type 2
regarding diet diabetes.
plan Gestational diabetes is high blood sugar during pregnancy.
Insulin-blocking hormones produced by the placenta cause this
d.) Understand type of diabetes.
what kind of
foods should be Causes of Diabetes
avoided Type 1 diabetes
Doctors don’t know exactly what causes type 1 diabetes. For 5 min Discussion Visual aids Question and Answer
e.) Understand the some reason, the immune system mistakenly attacks and
importance of destroys insulin-producing beta cells in the pancreas.
exercise.
Genes may play a role in some people. It’s also possible that a
virus sets off the immune system attack.
Type 2 diabetes
Type 2 diabetes stems from a combination of genetics and
lifestyle factors. Being overweight or obese increases your risk
too. Carrying extra weight, especially in your belly, makes your
cells more resistant to the effects of insulin on your blood sugar.
This condition runs in families. Family members share genes
that make them more likely to get type 2 diabetes and to be
overweight.
Gestational diabetes
Gestational diabetes is the result of hormonal changes during
pregnancy. The placenta produces hormones that make a
pregnant woman’s cells less sensitive to the effects of insulin.
This can cause high blood sugar during pregnancy.
Women who are overweight when they get pregnant or who gain
too much weight during their pregnancy are more likely to get
gestational diabetes.
Hypertension is often called the “silent” disease, because
it may have no noticeable symptoms.
If undetected and untreated, hypertension can cause heart
disease (including congestive heart failure and heart
attack), stroke, and kidney disease.
It is important to have a regular physical examinations to
make sure your blood pressure is within the normal
range. This is especially important if your blood pressure
has ever been high, if you have family history of
hypertension, or if you are gaining weight.
There are life-saving medicines people can take every
day to help control their high blood pressure. It is
important to take your blood pressure medicines every
day. Take your medicines even when your blood pressure
comes down, even when you do not feel bad
Eat MORE
1. Healthy fats from nuts, olive oil, fish oils, flax seeds, or
avocados
2. Fruits and vegetables—ideally fresh, the more colorful
the better; whole fruit rather than juices
3. High-fiber cereals and breads made from whole grains
4. Fish and shellfish, organic chicken or turkey 8 mins One on one instruction Pictures of Sample Client must come up
5. High-quality protein such as eggs, beans, low-fat dairy, DASH eating plan with her own eating
and unsweetened yogurt plan
Eat LESS
1. Trans fats from partially hydrogenated or deep-fried
foods
2. Packaged and fast foods, especially those high in sugar,
baked goods, sweets, chips, desserts
3. White bread, sugary cereals, refined pastas or rice
4. Processed meat and red meat
5. Low-fat products that have replaced fat with added sugar,
such as fat-free yogurt
Importance of Exercise
Exercise benefits people with diabetes and those at risk for 5 mins Discussion Question and Answer
diabetes by helping manage weight, by improving blood sugar
levels, and by improving heart health. For a person with
diabetes, exercise is just as important as diet and medication. In
fact, the American Diabetes Association recommends at least 30
minutes of physical activity that increases the heart rate five days
per week.
Aerobic activity can be effective way to control high blood
pressure such exercises are the following:
This exercise is done by using your arms and/or legs in a
continuous, rhythmic movement in order to increase your
heart rate. Examples include running, dancing, biking,
swimming and walking. Be sure to pick an aerobic
exercise that you enjoy and set realistic goals.
Summarize common concerns
Explore feelings
2 mins Discussion Question and Answer
GENERIC NAME: MECHANISM OF ACTION: SIDE EFFECT/ ADVERSE NURSING RESPONSIBILITIES
METFORMIN EFFECT
Decreases hepatic glucose production. Decreases Instruct patient to take metformin at the same time
intestinal glucose absorption. Increases sensitivity GI: abdominal bloating, diarrhea, each day, as directed. Take missed doses as soon as
BRAND NAME: to insulin. nausea, vomiting, unpleasant metallic possible unless almost time for next dose. Do not
Fortamet, Glucophage, Glumetza, Glucophage taste. F and E: LACTICACIDOSIS. double doses. Instruct parent/caregiver to read the
XR, Riomet Medication Guide prior to use and with each Rx
Misc: decreasedvitaminB12 levels. refill; new information may be available.
CHEMICAL NAME: INDICATION: Explain to patient that metformin helps control
C4H11N5 hyperglycemia but does not cure diabetes. Therapy
Management of type 2 diabetes mellitus; may be is usually long term.
used with diet, insulin, or sulfonylurea oral
hypoglycemic. Encourage patient to follow prescribed diet,
CLASSIFICATION: medication, and exercise regimen to prevent
HORMONES & SYNTHETIC SUBSTITUTES; hyperglycemic or hypoglycemic episodes.
ANTIDIABETIC AGENT; BIGUANIDES
Advise patient to notify health care professional of
DOSAGE/FREQUENCY/ROUTE: CONTRAINDICATION: all Rx or OTC medications, vitamins, or herbal
products being taken and to consult with healthcare
TYPE 2 DIABETES MELLITUS
professional before taking other medications or
ADULT: PO Start with 500 mg q.d. to t.i.d. or Decreases hepatic glucose production. Decreases alcohol.
850 mg q.d. to b.i.d. with meals, may increase by intestinal glucose absorption. Increases sensitivity
500-850 mg/day every 1-3 weeks (max: 2550 to insulin.
mg/day); or start with 500 mg sustained-release
with p.m.meal, may increase by 500 mg/day at
p.m. meal qwk (max: 2000 mg/day)
ILLUSTRATION OF THE DRUG
GENERIC NAME: MECHANISM OF ACTION: SIDE EFFECT/ ADVERSE NURSING RESPONSIBILITIES
ROSUVASTATIN EFFECT
Rosuvastatin is a statin with antilipidemic and Monitor for and report promptly S&S of myopathy
potential antineoplastic activities. Body as a Whole: Asthenia, back (e.g., skeletal muscle pain).
BRAND NAME: Rosuvastatin selectively and competitively binds pain, flu syndrome, chest pain,
to and inhibits hepatic hydroxymethyl-glutaryl infection, pain, peripheral edema. Withhold drug and notify physician if CPK levels
Crestor coenzyme A (HMG-CoA) reductase, the enzyme are markedly elevated ( 10xULN) or if myopathy
CNS: Headache, dizziness,
which catalyzes the conversion of HMG-CoA to insomnia, hypertonia, paresthesia, is diagnosed or suspected.
mevalonate, a precursor of cholesterol. depression, anxiety, vertigo,
CHEMICAL NAME: INDICATION: neuralgia. Lab tests: CPK levels for S&S of myopathy;
bis[(E)-7-[4(4-fluorophenyl)-6-isopropyl-2- CV:Hypertension, angina, periodic LFTs; more frequent INR values with
[methyl(methylsulfonyl)amino] pyrimidin-5-yl] Adjunct to diet for the reduction of LDL vasodilatation, palpitations. concomitant warfarin therapy.
(3R,5S)-3,5-dihydroxyhept-6-enoic acid] cholesterol and triglycerides in patient with GI: Diarrhea, dyspepsia, nausea,
calcium salt primary hypercholesterolemia and mixed abdominal pain, constipation, Monitor CV status, especially with a known history
gastroenteritis, vomiting, flatulence, of hypertension or heart disease.
CLASSIFICATION: dyslipidemia.
CARDIOVASCULAR AGENT; gastritis.
Endocrine: Diabetes. Monitor diabetics for loss of glycemic control.
ANTILIPEMIC; HMG-CoA REDUCTASE
INHIBITOR (STATIN) Hematologic: Anemia, ecchymosis.
Musculoskeletal: Myalgia, arthritis, Do not take antacids within 2 h of taking this drug.
DOSAGE/FREQUENCY/ROUTE: CONTRAINDICATION: arthralgia, rhabdomyolysis
Hyperlipidemia (especially with dose >40 mg). Do not breast feed while taking this drug.
ADULT: PO 10 mg once daily (5- 40 mg/day), Hypersensitivity to any component of the product, Respiratory: Pharyngitis, rhinitis,
max dose 40 mg/day. If taking cyclosporine, start sinusitis, bronchitis, increased cough, Females should use reliable means of contraception
active liver disease, pregnancy (category x), while taking this drug to prevent pregnancy.
with 5 mg/day. women of child-bearing potential not using dyspnea, pneumonia, asthma.
GERIATRIC: Initial dose of 5mg/day appropriate contraceptives measures, lactations. Skin: Rash, pruritus.
Renal Impairment Urogenital: UTI.
Clcr < 30 mL /min: 5 mg once daily (max: 10
mg/day)
ILLUSTRATION OF THE DRUG
GENERIC NAME: MECHANISM OF ACTION: SIDE EFFECT/ ADVERSE NURSING RESPONSIBILITIES
SITAGLIPTIN EFFECT
Inhibits the enzyme dipeptidyl peptidase-4 (DPP- Instruct patient to take sitagliptin as directed. Take
4), which slows the inactivation of incretin CNS: headache. missed doses as soon as remembered, unless it is
BRAND NAME: hormones, resulting in increased levels of active in GI: PANCREATITIS, nausea, almost time for next dose; do not double doses.
cretin hormones. These hormones are released by diarrhea. Advise patient to read Medication Guide before
Januvia the intestine throughout the day and are involved in starting and with each Rx refill in case of changes.
GU: acute renal failure.
regulation of glucose homeostasis. Increased/ Resp: upper respiratory tract
prolonged incretin levels result in an increase in infection, nasopharyngitis. Explain to patient that sitagliptin helps control
insulin release and decrease in glucagon levels. MS: arthralgia,backpain, myalgia. hyperglycemia but does not cure diabetes. Therapy
CHEMICAL NAME: INDICATION: Misc: allergic reactions including is usually long term.
7-[(3R)-3- amino-1-oxo-4-(2,4,5- ANAPHYLAXIS, ANGIOEDEMA,
trifluorophenyl)butyl]-5,6,7,8-tetrahydro-[3- Adjunct to diet and exercise to improve glycemic EXFOLIATIVE SKIN CONDITIONS Encourage patient to follow prescribed diet,
(trifluoromethyl)-1,2,4- triazolo[4,3- control in patients with type2 diabetes mellitus; (STEVENS-JOHNSONSYNDROME), rash, urticaria. medication, and exercise regimen to prevent
a]pyrazine phosphate (1:1) monohydrate maybe used as monotherapy or combination hyperglycemic or hypoglycemic episodes.
CLASSIFICATION: therapy with metformin, a thiazolidinedione, a Advise patient to notify health care professional of
THERAPEUTIC: ANTIDIABETICS sulfonylurea, or insulin all Rx or OTC medications, vitamins, or herbal
PHARMACOLOGIC: ENZYME INHIBITORS products being taken and to consult with healthcare
professional before taking other medications or
DOSAGE/FREQUENCY/ROUTE: CONTRAINDICATION: alcohol.
ADULT: PO 100 mg once daily
Contraindicated in: Type1 diabetes mellitus;
Diabetic ketoacidosis; Hypersensitivity.
ILLUSTRATION OF THE DRUG
