Teaching plan diabetes mellitus
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Galen College of Nursing *
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NSG 3100L
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Nursing
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Apr 29, 2024
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Teaching Plan Diabetes Mellitus
Luis M. Ramirez
Gallen Collage of Nursing Pembroke Pines Campus
Fundamental Concepts and Skills for Nursing Practice II
Silvio Planas Gonzales BCN, APRN March 17, 2024
2
Teaching Plan Diabetes Mellitus
Diabetes mellitus is a health condition that leads to significant health complications. The condition occurs when there is an excessively high amount of glucose in the blood. It is one of the chronic conditions affecting millions of people globally. CDC explains that in America alone, approximately 34.2 million adults have diabetes - about 13% of the population. Proper education is one effective way to manage and treat the condition, which require collaborative efforts between the healthcare provider and the patient. This essay is a teaching plan for a newly diagnosed patient with diabetes mellitus with a specific focus on the learning goals, teaching plan, learner assessment, teaching approaches, and evaluation and documentation. Learning Goals
The first learning goal plan is for the patient to understand the basics of diabetes mellitus.
The focus will be on the following components: diabetes mellitus overview, addressing patient needs, concerns, and knowledge gaps, and tailoring the education based on patient health literacy
levels. The predicted timeframe for this topic is 30 minutes. By the end of the learning session, the patient must be able to highlight a basic understanding of diabetes mellitus, including the causes, risk factors, various types, and health implications. The second learning goal is how to perform blood glucose monitoring and medication management. This will involve educating and practically demonstrating to the patient how blood glucose is monitored and the various types of medications the patient can use. The plan will incorporate patients’ preferences and daily routines to ensure the goal is patient-centered. Additionally, this goal will align with the patient's lifestyle and abilities. The expected timeframe
for this practical session is 30 minutes. By the end of the session, the patient must demonstrate
3
mastery of the correct use of blood glucose monitors, understand why taking medications is crucial, including the various types, and demonstrate an ability to incorporate glucose monitoring
and medication management in everyday life/ routines. The third learning goal is to implement healthy lifestyle choices, including diet and exercise modifications. This goal's components are integrating diet and exercise into diabetes management. To ensure the goal is patient–centered, the lifestyle modification plan will be customized to align with the patient's dietary preferences, lifestyle choices, and physical abilities.
I will also ensure that I recognize the patient's current exercise habits and diet, which will provide gradual and long changes. The expected timeframe for this session is 60 minutes. By the end of this session, the patients can create a personalized plan that encompasses a diabetes-
friendly diet and attainable exercise routine.
Teaching plan content
Disease Overview
Diabetes mellitus is a condition caused by a decline in insulin sensitivity. There are various types, such as type 2 diabetes, type 2 diabetes, prediabetes, and gestational diabetes. However, the most prevalent is type 1 diabetes and type 2 diabetes. According to Sapra and Bhandari (2023), Type 1 diabetes (T1DM) occurs when the pancreas produces insufficient insulin. It is an autoimmune health issue whereby the body attacks the beta cells in the pancreas that produce insulin and causes the pancreas to have a small amount of or no insulin. The condition is often prevalent among children. Type 2 diabetes (T2DM) occurs when the pancreas does not make sufficient insulin, produces little insulin, and is not fully utilized (Sapra & Badhari, 2023). The body requires insulin that aids in glucose entering the cells and is used to
4
produce energy; thus, when there is no insulin, this leads to a build-up of glucose in the cells, which causes significant health complications. Therefore, the insulin hormone is vital in regulating blood glucose since it ensures it is thoroughly utilized by the cells for energy; however, for individuals with diabetes mellitus, this process is impaired and is the root cause of health complications in affected individuals. Diabetes mellitus is a public health issue globally and in the United States. Type 2 diabetes burden has been rising for several decades in the United States. Global deaths due to the condition have increased from 0.4 million to 0.8 million in 2020.
Risk Factors
The main risk factors for diabetes mellitus are obesity and being overweight, precisely type 2 diabetes. According to Rexiati et al. (2021), too much weight along the abdominal area makes muscle cells more resistant to the effects of insulin. Also, not getting enough physical activity causes excessive fatty acids to be released by the adipose tissues, which decreases muscles' sensitivity to insulin and raises the glucose levels in the blood, thus developing T2DM. Family history is also a risk factor since research shows an association between diabetes mellitus
and specific genes. Additionally, ethnicity plays a role since some ethnic/racial groups have higher diabetes mellitus prevalence than others; for example, African Americans have higher diabetes mellitus rates compared to their Caucasian counterparts. Old age is also a risk factor since people above 65 years old are more susceptible to diabetes mellitus (Rexiati et al., 2021).
Signs and Symptoms
The most common symptoms of diabetes mellitus include frequent urination (polyuria), which is due to glucose increase in the blood, excessive thirst (polydipsia) due to frequent
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Assignment Details
Fundamentals of Nursing Clinical Make up (PM)
SubitiisSIOIT & Rubric
Description
Nursing diagnosis related to..... as evidenced
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Next column
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- Topic Hypertension 4. Nursing management - using the nursing process, develop two plans of care ‐ 1 related to one priority physiological nursing diagnosis and 1 related to one priority psychosocial nursing diagnosis. Please include the following information in each plan of care: • Priority nursing diagnosis • short and 1 long‐term goal • to 5 nursing interventions with rationale statements, • to 5 evaluative statements based on interventions, and • A minimum of 3 potential patient education needs for consideration. asap pleasearrow_forwardA 70 year old female patient with type 2 diabetes and hypotensionarrow_forwardCreate a Care Plan for your patient using this diagnosis: " Activity intolerance related to fatigue and body mallaise secondary to ascites, as evidenced by overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion." In the care plan include the: Need(s) Objectives Nursing interventions Evaluation/outcomesarrow_forward
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- Critical Thinking and the Nursing Process 1. Based on Maslow's hierarchy of needs , which of the following nursing diagnoses has the highest priority ? A. Knowledge deficit B. Constipation C. Disabled family coping D. Anxiety E. Ineffective airway clearancearrow_forwarddiscuss and justify 2 nursing safety considerations for patients receiving preoperative medication while awaiting transfer to surgeryarrow_forwardDevelop a care Nursing Care Plan for a patient with constipation elimination problems. With the 5 phases of the nursing process ( Assessment, Diagnosis, Planning, Interventions, evaluation)arrow_forward
- Give at least 5 important nursing considerations that nurses need to focus in the care of client 24-48 hours after normal deliveryarrow_forwardClient #4 A 44-year-old female patient with type two diabetes. Her most recent A1C was 11.2%. She has severe neuropathy in her feet and recently had had an eye exam which showed progressive retinopathy. Your plan should include teaching about potential complications related to diabetes. Suggest how the interprofessional collaboration with one or more members of the healthcare team would make the care provided more patient-centered.arrow_forwardYou are the nurse assigned to care for a patient with end of life plan. Patient John lives at home with his child Sam. John has a history of Alzheimer’s Disease, NIDDM, AF, GORD, CCF, mild depression, and previous hernia and AAA repair and one week ago was diagnosed with advanced CA of the liver and metastases in the pancreas, lungs, and brain. Two weeks ago, John was bought into ED by his daughter with a history of new confusion, fevers, and rash, refusing diet and fluids for the previous two days and was jaundiced in colour. Jo deteriorated with sepsis. He experienced a cardiac arrest in ED. Following resuscitation, John was transferred to intensive care. He underwent further investigations and was diagnosed with advanced CA of the liver with metastases in the pancreas, lungs, and brain. John’s family then requested no further active treatment and asked that he be discharged home with support from the community nurses. You approach the family and they ask you the following…arrow_forward
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