DM NCP
DM NCP
DM NCP
Name of the Patient: Santiago, Mildred Ramos Age: 48 years old Sex: Female Name of Student: Casilao, Mike Arone H.
Civil Status: Married Religion: Catholic Rm/Bed No. Rm. 304 Area: Sagrada Familia Hospital (Med-Ward) Level/ Block: BSNIV-B
Address: Manggahan San Jose San Luis Pampanga Date Submitted: June 29, 2023
Date of Admission: June 27, 2023 Diagnosis: Diabetes Mellitus Type Rating: _____________________________________________
CUES Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Expected Outcomes
Subjective/ Objective
Subjective: Risk for Unstable Blood After 1 hour of Independent Intervention Independent Intervention After 1 hour of
Glucose Level related to lack Independent Nursing Independent Nursing
“Nahihilo at masakit of knowledge in blood glucose Intervention the client will Establish rapport to the To obtain trust on the client Intervention the goal was
ang ulo ako bago management as evidenced by: be able to: client and to her guardian and guardian to allow them met as evidenced by:
ko pumunta dito sa be more comfortable
hospital” as Subjective: discussing or raising any The client was able to
verbalized by the Acknowledge factors issues. acknowledge factors
patient. “Nahihilo at masakit that may lead to that may lead to
“Nanghihina din ang ulo ako bago ko unstable glucose. Assess client’s learning To determine how the unstable blood
katawan ko” as pumunta dito sa needs and abilities; note client will accept and glucose
verbalized by the hospital” as verbalized Verbalize plan for barriers in accepting integrate the health
patient. by the patient. modifying factors to information. education. The client was able to
Objective: “Nanghihina din prevent or minimize devise a plan in
Body Malaise katawan ko” as shifts in glucose level. Ascertain client’s/SO’s This will enlighten her to be modifying factors to
Dizziness verbalized by the knowledge and able to maintain her blood prevent or minimize
Headache patient. understanding of condition glucose level to normal spike in blood glucose
CBG: 165 mg/dl Objective: and treatment needs. level
Body Malaise
Dizziness Determine client’s Age, maturity, current
Headache awareness and ability to health status, and
CBG: 165 mg/dl be responsible for dealing developmental stage all
with situation. affect a client’s ability to
provide for their own
safety.
Definition:
- At risk for variation of blood Assess family/SO(s)
glucose/sugar support of client. Client may need
levels from the normal range assistance with lifestyle
that may compromise changes (e.g., food
health preparation or
consumption, timing of
intake and/or exercise, or
administration of
Nursing Diagnosis Handbook. medications).
Ackley, Ladwig, & Makic. 11 Discuss home glucose
ed monitoring to SO To identify and manage
according to individual glucose variations.
parameters
Refer to appropriate
community resources, For lifestyle modification,
diabetic educator, and/or medical management,
support groups, as referral for insulin pump or
needed, glucose monitor, financial
assistance for supplies,
and so forth.