| Bellow you will find a copy of one of the nursing | | | | Patient will consult with a dietician to find out what |
| care plans for type 2 diabetes authored by | | | | an optimal caloric intake for her size, activity level |
| myself (a registered nurse manager). An detailed | | | | and goal of weight loss is, so that she knows |
| commentary by myself can be found below the | | | | where to start in planning her dietary needs. (initial |
| nursing care plan. Please read through the care | | | | education and working knowledge). |
| plan to better understand standards of type 2 | | | | Patient will keep a journal of total intake every |
| diabetes care. | | | | time food is consumed and mark where |
| Please refer to the link at the end of this article | | | | improvement can be made. (accountability, |
| for more in-depth Diabetes information for both | | | | ongoing education experience) |
| patients and medical professionals! | | | | Patient will display (you choose how) a working |
| Nursing Care Plan NANDA Nursing Diagnosis | | | | knowledge of how to read a food label after |
| (problem statement) | | | | nurse demonstrates (you choose method |
| Imbalanced nutrition r/t excessive intake of | | | | according to patient's best way of learning) |
| nutrients as evidenced by Type II Diabetes: | | | | Promote family member or caregiver participating |
| Nursing Care Plan Goal Statements: | | | | in the above mentioned 30 minute exercise |
| | | | program. (increases compliance through a support |
| 1. Patient will acknowledge his or her behaviors / | | | | system, motivation). |
| feelings that exacerbate imbalanced nutrition | | | | The nurse shall have patient record an exercise |
| (excessive) within 8 hours. (this is a great | | | | log. (accountability) |
| example of a short term goal statement). | | | | The patient should have a list of goals and reward |
| 2. Patient will design a realistic dietary plan which | | | | for those goals related to reducing overall caloric |
| will assist him / her with decreasing caloric intake, | | | | intake. (will increase compliance). |
| within 24 hours. (the key word in this statement | | | | Comments: The most important fact to |
| is REALISTIC, to increase compliance). | | | | remember in dealing with type 2 diabetes is well |
| 3. Patient will incorporate at least 30 minutes of | | | | thought out diet can completely negate the |
| well tolerated exercise into daily schedule by the | | | | diabetic disease process. The Diabetic diet can be |
| end of 48 hours. (another short term goal | | | | strict, but some "cheating" in moderate, planned |
| statement, a lifestyle change in the longterm). | | | | ways are actually a GOOD idea. Human behavior |
| Nursing Interventions for Imbalanced Nutrition | | | | dictates, and research has shown, a strict diet is |
| (Excessive): | | | | rarely followed. With type 2 diabetes the diet is a |
| The Nurse shall explain and have patient verbalize | | | | lifetime diet and overall adherence to the diet is |
| the relationship of diabetes and diet, and the | | | | the overall goal. Lack of a regulated diet can easily |
| patient shall give a return explanation is his / her | | | | lead to type 1 diabetes and more severe medical |
| own words. (this nursing intervention will help clear | | | | problems such as neuropathy, vision loss, and |
| up and misconseptions and reinforce the medical | | | | premature death related to diabetic complications. |
| value of a healthy diabetic diet). | | | | |