Concept map narrative Assignment.docx - Running head...

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Running head: CONCEPT MAP NARRATIVE 1 Concept map narrative Name Institution Affiliation Course Date
Nursing Diagnosis: Blood glucose instability risk Subjective: “I need help with a diet that works, when I try to diet, I always become very shaky and my blood sugar drops, then I have to eat to fix it.” Objective: Diaphoresis and weaknesses reported 3 to 4 times a week for patients; current HgbA1C - 7.2 Intervention: Monitoring blood glucose (BG) levels 1 to 2 hours after meals before eating and snacking. Rationale: Evidence supports BG and HgbA1C self- monitoring (ADA, 2014). Intervention: PT will monitor BG if it has hypoglycemia; pt. will provide between 15 and 20 g of pure glucose if it has less than 70mg/dl. Rationale: Hypoglycemia treatment needs the use of food-borne glucose or carbohydrates (ADA, 2014). Intervention: The patieent is referred for instruction on carbohydrate counting and weight reduction counseling by the dietician. Rationale: The monitoring of the consumption of carbohydrates is the key to glycemic management. In specific individuals – especially early in the illness process – a moderate weight loss might offer therapeutic advantages (ADA 2014).). Expected Outcomes: In order to maintain values between 70 to 130 mg/dl, Pt will check BG standards. In each hypoglycemic case, Pt will check the BG level. Consume 15-20 g of sucrose when the level is less than 70 pt. To understand reliable carbohydrate measuring and weight management approaches, PT participates in food counseling (ADA, 2014). CONCEPT MAP NARRATIVE 2 Patient Information Name: Smith June Age: 49 Gender: Female Temp: 97.8 Pulse: 84 Resp. Rate: 22 BP: 146/72 CC: ask for help with weight increase, physical energy reduction Medical History: Hypothyroidism, NIDDM Nursing Diagnosis: Excessive nutrient consumption risk of overweight r/t Subjective: “I keep gaining weight.” Objective: In the previous 90 days, weight increase of 12 pounds. Nursing Diagnosis: Uncontrolled apparent loss of personal control Subjective: “I have tried everything to lose weight; nothing is working” Objective: The patient seems concerned, upset, and voiced fear of a permanent failure.

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