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ADRIAN G. MALLAR

BSN 2

FOCUS: OBESITY/OVERWEIGHT DURING PREGNANCY

NURSING CARE PLAN DIABETES MELLITUS

ASSESSMENT SCIENTIFIC

BACKGROUND

DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective:

Madali kasi ao

magutom minsan kaya

lumaki ako ng ganito,

verbalized by the patient

Objective:

Polyuria polydypsia polyphagia increase weight

gain

sedentary activity

A disorder of

carbohydrate

metabolism in

which sugars in the

body are not

oxidized to produce

energy due to lack

of the pancreatic

hormone (insulin)

or to resistance toinsulin, The

accumulation of

sugar leads to its

appearance in the

blood

(hyperglycemia),

then in the urine,

symptoms include

thirst, weight loss

and the excessive

production of urine.

Imbalanced

nutrition more

than body

requirements

related to

excessive intake

in relationship to

metabolic need.

STO: after 30 minutes of

health teaching, patient

will be able to

understand her condition

as well as the effects of

pregnancy and the

disease process:

Able to know ways on

how to prevent

complications onpregnancy

.

LTO: after 3-4 days of

continuous nursing

intervention, the

patients condition will

be stabilized to a

controllable level and

prevent complications

especially on her baby.

Diagnostic:

Monitor vital signsespecially BP,

blood glucose

level and input

and output and

record.

Review laboratoryresults

Obtain records forthe height, weight

body build, gender

and age.

Therapeutic:

Provide positivereinforcement andencouragement

for efforts

regarding proper

diet on her

condition

Provideinformation

regarding specific

nutritional needs

Serves a baselinedata to note for

alterations in the

patient condition

Note for anyincrease or

alterations onblood glucose or

protein and urine.

Providecomparative

baseline and helps

determine

nutritional needs.

Enhancescommitment toprogram

Obese individualmaybe deficient in

needed nutrients

STO:

Goal met. The

patient was able

to understand

regarding her

condition as

well as the

effects to her

baby and her

previouspregnancy.

LTO:

Goal met,

patients

condition was

stabilized and

controlled.

There were no

complicationsnoted.

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Educative:

Discussimportance of

following proper

diet for gestation

DM patients as

well as

therapeutic

regimens

prescribed the

obstetrician.

Advised smallfrequent feelings

Instruct to have aregular pre-natal

check up

Discuss smartsnacks ( low fat

foods or fruits,

veggies and low

carbohydrate

foods).

To preventprogress of

complications on

her condtion

To preventaccumulation of

sugar in the blood

To monitorpatients condition

as well as the baby

To lessen glucoseor sugar in the

blood