Nursing Care Plan: Scenario-Based Diabetes Mellitus Patient

This assignment presents a nursing care plan for a patient diagnosed with diabetes mellitus. It begins with an overview of the condition and identifies key symptoms. The core of the assignment involves articulating and prioritizing two nursing diagnoses: difficulty in breathing and impaired skin integrity. For each diagnosis, the student outlines specific goals, related actions, and the rationale behind these actions, along with methods to evaluate the outcomes. The assignment provides detailed plans, including actions like deep breathing exercises and maintaining skin hygiene to improve the patient's condition. A reflection section summarizes the learning experience, emphasizing the importance of integrating objective and subjective data in developing a comprehensive nursing care plan. The student references several academic sources to support the plan's evidence-based approach. The assignment focuses on the practical application of nursing principles in a simulated clinical setting, offering valuable insights into patient care for individuals with diabetes.

Your student number:
CNA255 AT3
Scenario: Identify your patient
Mr. G
Articulate and Prioritise Nursing Diagnoses – at least 2 (not included in word count)
Diabetes mellitus is a category of metabolic disorders that contain high blood sugar levels for a long period. The key symptoms include, frequent urination,
increased thirst as well hunger. The nursing diagnosis for the individual is categorized into the general appearance that is made up of aspects such as cool,
clammy and pale. The other group is a neurological factor that includes, drowsy and slurred speech
Provide a valid reason for the prioritization – why is this the most urgent nursing diagnosis? (not included in word count)
It is the most urgent nursing diagnosis because they are the main signs and symptoms displayed by the individual.
Goals, Actions, and Evaluation: (400 words)
Diagnosis 1 Goal/s Related Actions Rationale Evaluate outcomes
Difficulty in breathing The patient will display
effective breathing (Ackley
et al. 2019, p.1)
 Deep breathing
exercises
 Minimum
environmental pollution
 Evaluation of the
respiratory patterns such as
 Promotion of
expansion of the chest
 Enhancement of bed
that allows for the proper
functioning of the respiratory
system through the use of
 The patient ABG
level will return to and also
remain within the expected
limits
 Breathing patterns to
stay normal after carrying

the depth, rate as well as the
effort
gravity
 Analysis of the
condition of the patient
out ADLs (Ahtisham and
Jacoline, 2015, p.2)
 A feeling of
comfortability by the patient
when breathing, and this is
indicated through behavior
or verbally
 The patient will
maintain an effective
breathing pattern that is
exhibited through relaxed
breathing at a normal rate
 The patient’s
respiratory rate will be
constant based on the
developed limits.
Diagnosis 2 Goal/s Related Actions Rationale Evaluate outcomes
Impaired skin integrity The patient will be forced to
sit outside from his bed by
 Demonstration of  Maintenance of dry
and clean skin that offers a
 Improved skin

the end of the day and also at
night.
good skin hygiene
 Analysis of the skin
color and turgor
 Application and
provision of careful wound
dressings
 Washing off all the
clothing, beddings and
towels in hot water (Menna
Barreto et al., 2016 p.110)
barrier to infection of the
skin
 Development of a
comparative baseline that
offers an opportunity for a
timely intervention
 Enhanced hydration
and nutrition to improve the
condition of the skin.
 Dressing of the
wounds to protect the
surround tissues.
 Washing of all the
clothes in hot water to avoid
reinfestation.
 Provision of an
alternative solution to the
family to help in the optimal
paleness in the abdomen,
 The patient will gain
at least 4 lbs at the end of the
discharge
 There will be no skin
breakdown during the
hospitalization of the patient
because the wounds will be
cleaned and kept away from
any additional infections
(Kottner and Surber, 2016,
p.25).

healing of the particular
patient through the use of
cheap resources.
Reflection on this simulated episode of care: (100 words)
Based on the above-simulated episode of care, I have learnt a lot of issues relating to the nursing care plan for a patient with diabetes mellitus. The nursing
care plan for a person entails, the identification of nursing diagnosis, rationale, expected outcomes, goals and related actions in regards to the particular
infection. Furthermore, the nursing care plan is often based on both the objective as well as subjective data. Some of the objective data are slurred speech and
sweaty as was displayed by the patient in the case study. On the other hand, the subjective data are, blurred vision, confusion, and pale skin, and these formed
some of the key symptoms that were indicated by the patient in the case study.
Reference list:
Ackley, B.J., Ladwig, G.B., Msn, R.N., Makic, M.B.F., Martinez-Kratz, M. and Zanotti, M., 2019. Nursing Diagnosis Handbook E-Book: An Evidence-
Based Guide to Planning Care. Mosby.
https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Ackley%2C+B.J.%2C+Ladwig%2C+G.B.%2C+Msn%2C+R.N.%2C+Makic%2C+M.B.F.
%2C+Martinez-Kratz%2C+M.+and+Zanotti%2C+M.%2C+2019.+Nursing+Diagnosis+Handbook+E-Book%3A+An+Evidence-
Based+Guide+to+Planning+Care.+Mosby.&btnG=
Ahtisham, Y. and Jacoline, S., 2015. Integrating Nursing Theory and Process into Practice; Virginia's Henderson Need Theory. International Journal of
Caring Sciences, 8(2).
https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Ahtisham%2C+Y.+and+Jacoline%2C+S.
%2C+2015.+Integrating+Nursing+Theory+and+Process+into+Practice%3B+Virginia%27s+Henderson+Need+Theory.
+International+Journal+of+Caring+Sciences%2C+8%282%29.&btnG=
Kottner, J. and Surber, C., 2016. Skin care in nursing: a critical discussion of nursing practice and research. International journal of nursing studies, 61,
pp.20-28.

https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Kottner%2C+J.+and+Surber%2C+C.%2C+2016.+Skin+care+in+nursing
%3A+a+critical+discussion+of+nursing+practice+and+research.+International+journal+of+nursing+studies%2C+61%2C+pp.20-28.&btnG=
Menna Barreto, L.N., Swanson, E.A. and de Abreu Almeida, M., 2016. Nursing outcomes for the diagnosis impaired tissue integrity (00044) in adults with
pressure ulcer. International journal of nursing knowledge, 27(2), pp.104-110.
https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Menna+Barreto%2C+L.N.%2C+Swanson%2C+E.A.+and+de+Abreu+Almeida%2C+M.
%2C+2016.+Nursing+outcomes+for+the+diagnosis+impaired+tissue+integrity+%2800044%29+in+adults+with+pressure+ulcer.
+International+journal+of+nursing+knowledge%2C+27%282%29%2C+pp.104-110.&btnG=