Nursing Patient Care Plan Essay

Added on - 21 Jul 2020

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NURSING PATIENT CAREPLAN
TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1Diagnosis & Applied Physiology.....................................................................................................1Type 2 Diabetes......................................................................................................................1High Cholesterol.....................................................................................................................2PATIENT'S CARE PLAN...............................................................................................................3a) Patient's information...........................................................................................................3b) Nursing diagnosis...............................................................................................................4c) Setting of goals and expected outcomes.............................................................................4d) Implementation of care plan...............................................................................................5e) Evaluation of care...............................................................................................................6RELATED PHARMACOLOGY.....................................................................................................6CONCLUSION................................................................................................................................8REFERENCES................................................................................................................................9
INTRODUCTIONThe main reason behind choosing the 50 year old lady patient is to assess the varioushealth issues faced by her so that accordingly nursing care gets provided. Also, she has beenfacing the adverse effects of having poor control upon diet. Also, despite having ample ofdiseases, she even denies taking insulin treatment (Cheng & et.al., 2016). So, this assessmentlays emphasis upon the formulating a providing necessary diagnosis and physiology in context topatient. Furthermore, the patient-care plan will also be made covering all the aspect of requiredcare to assess the pain experienced by lady. Along with this, the associated pharmacology wouldalso be discussed with respect to patient.Diagnosis & Applied PhysiologyFrom the patient details, it was found out that patient was being diagnosed from Januviadue to the fact that she was suffering from the adverse effects of type 2 diabetes. Furthermore,she was also having high levels of cholesterol.Type 2 DiabetesProcess of type 2 diabetesIn this type of diabetes, the areas in pancreas are unable to release the necessary insulin.Besides this defect, another process could be involved and that is reduction in peripheral tissuereceptor-sites thereby causing resistance towards insulin's action (Hui & et.al., 2014). Thetransportation of glucose is interfered across cell-membranes which are present in adipose-tissue& peripheral-muscle. This procedure is often leading towards oxidation becoming faulty. Also,energy is produced. The carbohydrate, fat and protein metabolism gets lessened. Also, storing ofglycogen within liver & muscle gets impaired. Adding more, within the adipose-tissue, fatty-acids & triglycerides storage gets diminished. Furthermore, the transport of amino-acid cells isinterrupted. This leads to an increase in glycogenolytic & gluconeogenic procedures in anunrestrained manner. As a result glucose gets overproduced. The increase in levels of glucosecauses failure in reabsorption of glucose by renal tubules. After this, along with water, osmotic-diuresis and glucosuria are produced. Also, the loss of electrolytes occurs via urine.Anatomy of type 2 diabetesAlthough insulin is consistently produced by the pancreas, tissues become unresponsivetowards its normal insulin-levels (Wong & et.al., 2014). The obesity in a person is increased andfailing to regular;y exercise further resists absorption of insulin by tissues.1
Physiology of type 2 diabetesHaving type 2 diabetes causes some sort of unusual-thirst within a person. Also, theprocess of urination by an individual also becomes rather frequent. The individual begins toexperience consistent changes in weight (Wong & et.al., 2017). Energy is also found to belacking. The person begins to have a vision which is rather blurred. Frequent experiencing ofinfections occurs. Adding more,the wounds or cuts are healed up in extremely slowmanner.Management of type 2 diabetesThe approach that will be undertaken need to be focussed upon elimination of symptoms.Also, they should aim at slowing down the complications that develop along with the disease(Yu & et.al., 2015). Henceforth, for effective management of this disease, primary care servicesneed to be provided to the patients who are suffering from adverse complications of type-2diabetes. The setting of the goals need to be done in an appropriate manner. Relevant and doctorprescribed diet should be undertaken. Certain modification also needs to be introduced within thedaily exercise undertaken. The monitoring of glucose in blood should be done by oneself. Anytype of observed complications should be consistently monitored.High CholesterolProcess of high cholesterolDue to unhealthy diets the chances of experiencing high cholesterol are often raised. Inthis process, within the arteries, plague begins to develop. This makes the arteries narrower. Thisoccurs. This might take ample of years. The blood flow within the entire body gets limited. Theformation of plague at artery walls further leads to hardening of arteries thereby preventing themto widen for blood flow (Finkelman, 2015). Formation of blood-clots is also there which totallyblock the artery. Limitation in blood flow causes increase the chances of heart and brain strokes.Anatomy of high cholesterolArteries in the human-body are hardened due to increase in LDL(low-density-lipoproteins) cholesterol transportation. Gallstones are caused within the digestive system.Physiology of high cholesterolHigh cholesterol is having no such symptoms. It rather causes immediate effects in formof heart attacks and even brain strokes which usually causes death of a person. High cholesterol2
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