Boehm

A 39 year old woman suffering from Diabetes Mellitus type 2 for 11 years is now experiencing renal failure, a common complication

of DM; she is now undergoing haemodialysis twice a week.

Phase: Unstable Phase

Nursing Care Plan

Assessment | Diagnosis | Scientific Explanation | Planning | Intervention | Rationale | Expected Outcomes |

S: “Sabi nga ngDoctor ko ngangayon daw siya nakakita ng nagdadialysis na mataba.”O: * Obese * Fond of drinking carbonate drinks * Fond of eating junk foods and sweets. * Dietary intake are foods high in fat. * Defensive when discussions of diet change. | Noncompliance (Diabetic Diet) r/t inevitable entrenched eating habits | It is not easy to change your behavior. People learn quickly how to act to get what they want, and once they find what works, they resist doing anything different. The idea that diabetics must give up foods they grew up with or foods that are their favorites can cause a diabetic patient to ignore the necessity to begin diet management. Read more: http://www.livestrong.com/article/349639-barriers-to-diet-management-in-diabetes/#ixzz20t5ZzsO5 | After series of nursing intervention the patient will be able to show behaviour of readiness in changing her diet | 1. Assess patient’s willingness to learn. 2. Ask the patient to verbalize any difficulties in changing eating habits. 3. Reincorporate the importance of changing diet to manage the symptoms 4. Provide emotional support throughout the teaching process. 5. Listen without making any negative judgments 6. Motivate patients to meet challenges with positive reinforcement. 7. Assist patient in making meal plan changes. | 1. To know if client is interested to learn 2. Helps the nurse in assessing and formulating solutions. 3. Allows for patient understanding. 4. Relieves patient’s uneasiness about the topic 5. Provides therapeutic communication with client 6. Gives patient confidence and motivation to change. 7. Gives...