Nursing Care Plan for Liam: Managing Type 2 Diabetes and Hypertension

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Assignment Part-2
Nursing Care Plan

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Introduction
This assignment is based on the case study of Liam, who have been facing many social
determinants of health that are affecting his physical well-being and quality of life. , Liam has
been living a sedentary lifestyle, eating unhealthy food, smoking a packet of cigarette every
day and drinks alcohol all most every day. Due to his occupational requirements, his work
stress is high, and he has been unable to reduce weight. Due to his unhealthy lifestyle, high
intake of fast food and lack of physical activity, he has been diagnosed with type 2 diabetes
and hypertension. Self-management is considered as the most significant approach for
managing type 2 diabetes, because self-management approach enhances the patient’s
awareness towards the problem, which directly affect their health behaviour and attitude
(Baghbanian, & Tol, 2012). Therefore, Chronic Care Model (CCM) has been identified as the
most appropriate self-management model of care. This paper will discuss the nursing care
plan for Liam including the 3-priority nursing diagnosis and will provide the short-term and
long-term care goals for the patient.

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Nursing Care Plan
Nursing
Assessment
Nursing
Diagnosis
Goals Interventions Rationale (please rewrite the
rationale as per my interventions)
(with in-text references)
Evaluation
First significant
problem that Liam
has gained his
weight due to
regular eating of
fast food meals.
Therefore, his first
need is to reduce
weight. However,
his weakness is that
he could not access
healthy food. His
strength is that he
understands the
significance of
reducing weight for
his health, which
can be a significant
factor for
promoting healthy
habits and healthy
diet.
Imbalanced
nutrition: more
than body
requirements
due to regular
intake of Fast
food meals rich
in fats and
carbohydrates
(Daw, Margolis,
& Wright, 2017).
Short term-
Patient will
identify and try
to control
underlying
factor of
increased
weight such as
over-eating,
stress or self-
neglection, by
1-2 days.
Long term-
Patient will
reduce weight
in between 10
to 15 kgs by
making some
lifestyle and
dietary
modifications
by 5-6 months.
For brining changes in
patient diet, first
intervention is to
1. Assess the calorie
intake, time and
content of each
meal
2. Encourage the
client to eat
healthy carbs and
also encourage
the client to avoid
of fatty and high
calorie diet such
as fast food.
3. Emphasize the
client to drink
plenty of fluids
and also reduce
intake of sodium
in diet.
1. Assessing the patient’s current
meal time and content will
inform about the deficits and
deviations from the therapeutic
needs (Sami et al, 2017).
2. Study conducted by Alfadda,
Sallam, & Park, (2019) has also
identified that intake of fatty and
high calorie food can
significantly result in consistent
weight gain and will not allow
patient to manage weight.
3. Reducing the salt intake and
increasing water intake has been
identified in reducing the sugar
level in the body and reducing
saturated fat (Bankir et al,
2017).
4. Study conducted by Villareal et
al (2017) has identified that
aerobics and strength training
helps in reducing body fat.
5. Education also helps in
improving adherence to
treatment plan, and reducing the
Within first week,
complete record of the
patient diet will be
prepared.
For achieving the long-
term goal, patient was
encouraged to take
balanced diet, meet
dietician and eat healthy
food. Therefore, in six
months patient’s weight
will be measured and
reduction in weight will
display the efficacy of
intervention.