SP, a 56-year-old client with Type 2

SP, a 56-year-old client with Type 2 Diabetes, was admitted to the medical-surgical unit for management of a stage 3 ulcer on her right heel. Although she is compliant with her diabetic medication routine and adheres to her prescribed diet, she still struggles with keeping her blood sugar within a normal range. SP tells the nurse that she works on a production line in a factory. She states “I work such long hours that by the time I get home, I’m tired. I’m just worn out. I also find that I am going slower on the production line because my eyesight is getting worse.” On admission, her vital signs are: Temp 36, HR 86, RR 20, BP 143/90, O2 Sat 96%, blood glucose 13.5mmol/L. Identify Etiology, Risk Factors & Pathophysiology Identify Clinical Manifestations, minimum of five (5) must include physiological and psychosocial (actual or potential) Select clinical manifestations from the case-study. Nursing Diagnosis: Identify three (3) priority-nursing diagnoses related to the case study (actual or potential) from the NANDA nursing diagnoses list. Nursing diagnoses must include physiological and psychosocial aspects. At least one nursing diagnosis must be psychosocial. Priority Nursing Interventions: Identify five (5) evidence-based interventions that relate to each nursing diagnosis. Interventions must include treatment or illness prevention strategies such as health teaching, drug therapy, nutritional therapy and other nursing interventions. Collaborative practice must be included to demonstrate a clear understanding of the roles/responsibilities of members within the interdisciplinary team. Evidence of collaboration with clients and families must be included in the nursing care plan and if required, modification of desired outcomes is also included. Community resources and services that would benefit the client should be included. Discuss the evidence-based rationales justifying your selections and describe if modification of the plan of care is required.

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