Fatigue - Nursing Care Plan for Diabetes Mellitus

Nursing Care Plan for Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder of insulin deficiency or insulin retention, a state characterized by high blood glucose (hyperglycemia) and glucose in the urine (glucosuria) or a clinical syndrome characterized by chronic hyperglycemia and impaired metabolism of carbohydrates, fats and proteins in connection with lack of insulin secretion in absolute / relative and or the disruption of insulin function.

Signs and symptoms that often complained of patients with diabetes include: frequent urination at night, often feel thirsty, hungry fast, fast weight loss, weakness and fatigue easily, often tingling in the feet and hands, blurred vision, frequent infection, vaginal discharge, cuts or bruises that are difficult to heal (gangrene), ulcers, dry skin or itching.

NCP for DM - Diabetes Mellitus

Nursing Diagnosis for Diabetes Mellitus : Fatigue related to poor physical condition.

Goal: Having given nursing care, is expected fatigue can be overcome.

Expected outcomes: clients can:

• Identifying patterns of fatigue every day.
• Identify the signs and symptoms of increased disease activity, which affects the activity tolerance. Reveal an increase in energy levels.
• Showed improvement in the ability to participate in the desired activity.

Nursing Intervention for Diabetes Mellitus :

1. Discuss the need for activity. Create a schedule planning and identification of activities that cause fatigue.
R /: Education can provide the motivation to increase the level of activity even though the client is very weak.

2. Discuss the causes of fatigue such as joint pain, decreased sleep efficiency, increased efforts are needed to ADL.
R /: By knowing the causes of fatigue, can draw up a schedule of activities.

3. Help identify patterns of energy and create a range of fatigue. Scale: 0-10 (0 = not tired, 10 = very tired)
R /: Identify the peak time energy and fatigue assist in planning the activity to maximize energy conservation and productivity.

4. Provide alternate activities with adequate rest periods / unmolested.
R /: Preventing excessive fatigue.

5. Monitor pulse, breathing frequency, and blood pressure before and after the activity.
R /: Indicates the level of activity that can be tolerated physiologically.

6. Increase the participation of clients in performing daily activities as needed.
R /: Allows confidence / self-esteem positively on the level of activity that can be tolerated.

7. Teach to identify signs and symptoms that indicate an increase in disease activity and reduce activity, such as fever, weight loss, fatigue worsened.
R /: Helps to anticipate the occurrence of excessive fatigue.