Nursing Plan For AB, A 69-Year-Old White Male Patient ✓ Solved

Nursing Plan for A.B. a 69-year-old White male patient

Case Study: A.B., a 69-year-old White male, visited his local clinic for a checkup. He has a diagnosis of Type 2 diabetes for 5 years, but has been experiencing symptoms associated with hyperglycemia over the past 2 years. His dietary habits include high carbohydrate intake, and he stopped taking his Glyburide medication six months ago, reporting dizziness as a side effect. His physical examination revealed multiple concerning findings, including elevated blood pressure, diminished vibration sense, and laboratory results indicating an A1C of 8.1%. This case study aims to develop a comprehensive nursing plan that includes nursing diagnoses, a care plan, patient education, and nursing interventions.

Nursing Diagnoses

The following nursing diagnoses are identified for A.B. based on his assessment data:

  • Ineffective health management related to lack of adherence to diabetes medication and lifestyle changes.
  • related to poor dietary choices and non-compliance with medication.
  • Ineffective peripheral tissue perfusion related to diminished sensation in the forefoot and potential neuropathy associated with diabetes.

Care Plan for A.B.

The care plan for A.B. will have specific goals, interventions, and evaluation criteria:

Goal 1: Improve medication adherence

  • Implement medication teaching sessions that include the importance of Glyburide for blood sugar control.
  • Involve the patient’s wife in discussions about medication benefits to encourage adherence.

Goal 2: Stabilize blood glucose levels

  • Provide dietary counseling to reduce carbohydrate intake and emphasize balanced meals.
  • Encourage self-monitoring of blood glucose levels with education on how to properly manage symptoms related to hyperglycemia.

Goal 3: Enhance peripheral sensation and circulation

  • Educate the patient on foot care and the importance of regular foot examinations.
  • Encourage daily exercises tailored to his ability to enhance circulation.

Priority Nursing Education

The primary nursing education A.B. requires is understanding the importance of medication adherence and management of diabetes. Patients with Type 2 diabetes often avoid or neglect treatment due to adverse effects or lack of knowledge about the disease's complications. Educating A.B. on the consequences of poorly managed diabetes, including the potential for diabetic neuropathy, cardiovascular issues, and the need for lifestyle modifications, may enhance his engagement in self-care and treatment compliance.

Nursing Interventions

To implement the care plan effectively, the following nursing interventions should be initiated:

  • Conduct a thorough medication reconciliation to ensure the patient understands the purpose and dosage of his prescribed drugs.
  • Facilitate a referral to a dietitian for specialized nutritional guidance, focusing on meal planning and carbohydrate counting to adjust his diet appropriately.
  • Implement foot care education, instructing the patient on daily checks for injuries, proper footwear, and the necessity of professional foot examinations.
  • Encourage A.B. to engage in regular physical activity, starting with low-intensity exercises that cater to his limitations, assessing his response and modifying as necessary.
  • Monitor vital signs and lab results closely to evaluate the effectiveness of interventions and adjust goals as needed.

Conclusion

This nursing plan for A.B. addresses multiple health concerns associated with his Type 2 diabetes. By focusing on medication adherence, dietary changes, and education regarding foot care, the plan aims to improve his overall health status and prevent complications. Continued assessment and adjustment of the care plan will be necessary to ensure optimal outcomes for this patient.

References

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