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WALLACE COMMUNITY COLLEGE SELMA SELMA, ALABAMA NURSING MEDICAL DIAGNOSIS/TREATMENT FORM Student:Ashley BarryDate:Instructor:Dr. S. Davis A.Patient Initials:ABRoom Number:Click here to enter text. B.Primary Medical Diagnosis:Type 1 Diabetes C.Definition:Type 1 diabetes mellitus results when the pancreas in unable to produce and secrete an adequate amount of insulin.This form of diabetes, the most common childhood endocrine disorder, presents challenges in the areas of teaching, management, and adherence.Because of recent changes in the healthcare delivery system, meeting the needs associated with management of type 1 diabetes mellitus has become more complicated.Unless the newly diagnosed child is in diabetic ketoacidosis, hospitalization is not always necessary.The nurse must develop a plan of care that involves child and family education and support in either an inpatient or outpatient setting. Maternal-Child Nursing, 5th Edition (page 1260) D.Clinical Manifestations:Type 1 diabetes is manifested by the classic initial signs of hyperglycemia known as the three P’s: polyuria (or enuresis in a toilet-trained child), polydipsia, and polyphagia.
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