NURSING CARE IN THE CASE OF DIABE TES MELLITUS IN CHILDREN
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<strong>NURS<strong>IN</strong>G</strong> <strong>CARE</strong> <strong>IN</strong> <strong>THE</strong> <strong>CASE</strong> <strong>OF</strong> <strong>DIABE</strong><strong>TES</strong> MELLI...<br />
by garest - http://garest.net/nursing-care-in-the-case-of-diabetes-mellitus-in-children.html<br />
<strong>NURS<strong>IN</strong>G</strong> <strong>CARE</strong> <strong>IN</strong> <strong>THE</strong> <strong>CASE</strong> <strong>OF</strong> <strong>DIABE</strong><br />
<strong>TES</strong> <strong>MELLITUS</strong> <strong>IN</strong> <strong>CHILDREN</strong><br />
<strong>NURS<strong>IN</strong>G</strong> <strong>CARE</strong> <strong>IN</strong> <strong>THE</strong> <strong>CASE</strong> <strong>OF</strong> <strong>DIABE</strong><strong>TES</strong> <strong>MELLITUS</strong> <strong>IN</strong> <strong>CHILDREN</strong><br />
Diabetes mellitus is an endocrine system disorder that often affects children of school age.<br />
Assessment:<br />
Weight loss<br />
Polydipsia<br />
Dehydration<br />
Irritablity<br />
Weakness<br />
Height, weight<br />
Skin moisture<br />
Turgor<br />
Signs – vital signs<br />
Kolekting urine specimens<br />
Increased blood Gukosa<br />
The development of school-age children.<br />
Psychosocial:<br />
Can complete the task – task to produce something<br />
Competitive and cooperative learning with others<br />
Psychosexual:<br />
Oriented on social group play<br />
Begin to develop the intellectual and socsal<br />
Intellectual:<br />
Start thinking logically, focused, able to classify the facts of abstract thinking<br />
Addressing real issues and systematically.<br />
Nursing Diagnosis<br />
1. Risk of injury associated with insulin deficiency<br />
2. Ineffective family coping; compromise related to home care in preventing hypo and<br />
hyperglikemia<br />
3. Fear of children associated with insulin<br />
4. Impaired nutritional needs less associated with, decreased insulin production<br />
5. The risk of infection associated with impaired circulation / sensory<br />
6. Anxiety children / families dealing with a diagnosis of diabetes and its complications<br />
7. Selfesteem disorders associated with chronic disease and insulin dependent<br />
COME OUT AND IDENTIFICATION <strong>OF</strong> PLANN<strong>IN</strong>G<br />
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<strong>NURS<strong>IN</strong>G</strong> <strong>CARE</strong> <strong>IN</strong> <strong>THE</strong> <strong>CASE</strong> <strong>OF</strong> <strong>DIABE</strong><strong>TES</strong> MELLI...<br />
by garest - http://garest.net/nursing-care-in-the-case-of-diabetes-mellitus-in-children.html<br />
Outline goals are:<br />
Prevent injury and infection<br />
Eliminate fear as insulin<br />
Maintenance of adequate nutrition<br />
Positive self-concept<br />
Do not depend<br />
For families keep children do not happen hypoglycemia, insulin nutrition for children<br />
For a child to learn to take care of diabetes in order to avoid complications.<br />
Prevent injury<br />
Monitoring blood glucose levels, 2 times a day, before breakfast and dinner<br />
Expresikan help feeling frightened when blood glucose test done (finger stick)<br />
Phase schools; Industry ? interested in the information that the child cooperative<br />
Monitor signs – signs of hyperglycemia<br />
Improving family coping in the management of hypoglycemia and hyperglikemia<br />
Education / HE about the sign – a sign of hypoglycemia and hyperglikemia and how treatment<br />
necessary to overcome<br />
When handling blood glucose If a child gets therapy glucagon or dextrose from doctors, teach<br />
how intra muscular administration of glucagon<br />
Encourage children to bring lunch and eat if there are signs – signs of hypoglycemia (hers<br />
complex carbohydrates such as cake, crakers, bread, beans, etc.)<br />
Note the pattern of occurrence of hypoglycemia and schedule planning decisions in order to<br />
avoid hypoglycemia<br />
When the children got sick (heat, infection, vomiting, nausea, not eating) call the doctor<br />
Teach a way of giving insulin subcutan<br />
Ensuring proper and inadequate nutrition<br />
Involving children in the nutrition plan<br />
Helping children to become involved in the diet<br />
If the child will be late for a meal siamg complex carbohydrates are encouraged to bring food<br />
Encourage your child to eat at school how to deal with environmental and social<br />
Prevent infection and skin damage<br />
Teach how to observe, determine skin every day (after a shower) typically are susceptible to<br />
damage in the folds – folds (axilla, groin)<br />
Note the use of good shoes<br />
The second observation for chapped feet, cut nails appropriate line, use clean socks and do<br />
not use the foot pengalas<br />
Infection often is urinary system and the respiratory system are teaching recognize signs – a<br />
sign of urinary infection; itchy, burning sensation in the urinary system in the event of medical<br />
Reducing the anxiety of children and families<br />
Suggest that the children and families to express their feelings (guilt, anger, rejection)<br />
Encourage a lot of reading to increase understanding of the disease<br />
Give honest and clear information<br />
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<strong>NURS<strong>IN</strong>G</strong> <strong>CARE</strong> <strong>IN</strong> <strong>THE</strong> <strong>CASE</strong> <strong>OF</strong> <strong>DIABE</strong><strong>TES</strong> MELLI...<br />
by garest - http://garest.net/nursing-care-in-the-case-of-diabetes-mellitus-in-children.html<br />
Improving self-care and self-esteem in a positive<br />
Encourage your child to visit each other among the sick<br />
Explaining that a diabetic child can do the same activities as other children<br />
EVALUATION<br />
Children do not receive injury<br />
Children and families can demonstrate ways of handling hypoglycemia and hyperglikemia<br />
Children and families can show you how insulin<br />
Children and families can show the required nutrients<br />
Children do not get damaged skin or infection<br />
Children and families can demonstrate long-term care home<br />
Children and families can demonstrate a positive attitude in all circumstances<br />
http://garest.net | free Online nursing, online classes for nursing<br />
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