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Nursing strategies to assist diabetes patient for each Identified problem Risk for Impaired Swallowing Maintain upright position for 45-60 min after eating. Stimulate lips to close or manually open mouth by light pressure on lips/under chin, if needed; Place food of appropriate consistency in unaffected side of mouth; Have suction equipment available at bedside, especially during early feeding efforts. Promote effective swallowing, e. G. :Schedule activities/medications to provide a minimum of 30 min rest before eating; Provide pleasant environment free of castrations (e. . , TV); Feed slowly. Allowing 30-45 min for meals; self-care Deficit Assess abilities and level of deficit (0-4 scale) for performing Addles. Provide self- help devices, e. G. , button/zipper hook, knife-fork combinations, long-handled brushes, extensions for picking things up from floor; toilet riser, leg bag for catheter; shower chair. Assist and encourage good grooming and makeup habits. Be aware of Impulsive behalves/octagons suggestive of impaired Judgment. Create plan for visual deficits that are present, e. G. Place food and utensils on the ray related to patient’s unaffected side; Situate the bed so that patient’s unaffected side is facing the room with the affected side to the wall; Position furniture against wall/out of travel path. Provide positive feedback for efforts and accomplishments. Avoid doing things for patient that patient can do for self, but provide assistance as necessary. Impaired Verbal Communication Assess type/degree of dysfunction: e. G. , patient does not seem to understand words nor has trouble speaking or making self understood.
Differentiate aphasia from disarrays Listen for errors In conversation and provide feedback Ask patient to follow simple commands (e. G. , “Shut your eyes,” “Point to the don repeat simple words/ sentences; Point to objects and ask patient to name them; Have patient produce simple sounds, e. G. , “SSH,” “Cat”. Provide alternative methods of communication, e. G. , writing or felt board, pictures. Provide visual clues gestures, pictures, “needs” list, demonstration Constipation Maintain fluid intake of at least 2500 muddy within cardiac tolerance when oral intake is resumed. Ђ Determine the pattern of defecation for clients and train clients to do so. Ђ Set the time is right for clients such as defecation after meals. Provide laxatives or enemas as Indicated Prove coverage AT nutritional Tidier according to ten Inhalation. Assessment AT usual and current bowel pattern, duration of the problem, and individual contributing factors. Depression/Aggressive behavior Make sure client is taking the drug correctly and precisely Help to understand that the client can overcome despair. ЂClients are protected from violent behavior to self and others Listen to the notice of the patient with empathy and patient attitude more use non-verbal language. For example: a touch, a nod. Help identify sources of hope (egg, peer relationships, beliefs, things to be resolved) Monitor carefully the risk of suicide / violence themselves. 1. DEFINITIONS C.V. STROKE A cerebral vascular accident is another name for a stroke. It is damage to the brain caused by a disruption of the blood supply to a part of the brain. This disruption of blood supply can be caused by a blood clot, or by a ruptured artery.
The symptoms of a cerebral vascular accident depend on which part of the brain is affected. Common symptoms may include paralysis of a part of the body, loss of all or part of the vision, or loss of the ability to speak or to understand speech. DIABETES Diabetes is a chronic condition in which the levels of glucose (sugar) in the blood are too high. Blood glucose levels are normally regulated by the hormone insulin, which is made by the pancreas. In people with diabetes, the pancreas doesn’t produce enough insulin or there is a problem with how the body’s cells respond to it. The main types of diabetes are called type 1 and type 2.
Other varieties include gestational diabetes, diabetes insipid and pre-diabetes. POCKETING OF FOOD The formation of pathological pockets named periodontal pocketing. People with dysphasia have difficulty swallowing and may even experience pain while swallowing (ethnography). Some people may be completely unable to swallow or may have trouble safely swallowing liquids, foods, or saliva. When that happens, eating becomes a challenge. Often, dysphasia makes it difficult to take in enough calories and fluids to nourish the body and can lead to additional serious medical problems.
CONTRACTED A contracted develops when the normally stretchy (elastic) tissues re replaced by nonstarters (inelastic) fiber-like tissue. This makes it hard to stretch the area and prevents normal movement. Conjectures mostly occur in the skin, the tissues underneath, and the muscles, tendons, ligaments, and Joint areas. They affect range of motion and function in a certain body part. There is usually also pain. URGENCY A sudden compelling need to urinate or defecate. An immediate unstoppable urge to urinate, Owe to a Susanne Involuntary contraction AT ten muscular wall of the bladder.
PRESSURE SORES Pressure sores (more recently called pressure injuries) can develop n anyone with reduced mobility, such as being confined to a bed or chair. This type of skin damage is difficult to treat and can lead to serious complications. Other names for this type of damage include bed sores, pressure ulcers and describes (lying down’) ulcers. DEPRESSION While we all feel sad, moody or low from time to time, some people experience these feelings intensely, for long periods of time (weeks, months or even years) and sometimes without any apparent reason.
Depression is more than Just a low mood – it’s a serious illness that has an impact on both physical and mental health. While the exact cause of depression isn’t known, a number of things can be associated with its development. Generally, depression does not result from a single event, but from a combination of recent events and other longer-term or personal factors. CONSTIPATION Constipation is the passing of hard, dry bowel motions (stools). Symptoms include needing to open the bowels less often than usual, straining to pass the motion, bloated abdomen or abdominal cramps.
The most common causes of constipation include a change in routine, inadequate fiber in the daily diet, insufficient fluids and lack of exercise. 3. Define and outline the preventions and treatment of Hyperglycemia Prevention of hyperglycemia Preventing hyperglycemia means recognizing the signs and symptoms and paying attention to diet and exercise Taking insulin (or glucose-lowering medication) as prescribed Avoiding consuming too many calories (I. . , sugary beverages) Consuming the right types and grams of carbohydrates Controlling stress Staying active (exercising) Going to your regularly scheduled doctor’s appointments Treatment of hyperglycemia Mild or transient hyperglycemia may not need medical treatment, depending upon the cause. People with mildly elevated glucose or premeditates can often lower their glucose levels by incorporating diet and lifestyle changes.
To assure that you chose the right dietary and lifestyle changes , you should speak with your health care professional or use reliable resources such as the American Diabetes Association. Lining is the treatment of choice for people with type 1 diabetes and for life-threatening increases in glucose levels. People with type 2 diabetes may be manage Witt a compilation AT Deterrent . Some people Walt type 2 Oldest also take insulin. Hyperglycemia due to medical conditions other than diabetes is nearly treated by addressing the underlying condition responsible for the elevated glucose.
In some cases, insulin may be needed to stabilize glucose levels during this treatment. 4. Identify areas of skin that are at increased risk of complications due to poor hygiene practice Hands, toes fingers, feet mouth, private body parts, Ankles, palms and teeth can be affected by poor hygiene, eyes and hair. 5. Identify areas of the body parts that are at increased risk of development of pressure sores. Ankles,lower back,hands, both feet, right leg, right arm are that increased risk of development of pressure sores.