Printable Nursing Care Plan
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Patient Information
Patient Name | Patient ID | Date of Admission | Date of Plan Creation | Plan Review Date |
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Alanis Durgan | 12345 | January 10, 2051 | January 12, 2051 | January 19, 2051 |
Assessment Data
Primary Medical Diagnosis: Diabetes Mellitus Type 2
Nursing Diagnosis: Imbalanced Nutrition: More Than Body Requirements, related to poor dietary habits as evidenced by BMI of 32 and fasting blood glucose of 250 mg/dL.
Goals and Outcomes
Goal | Target Date | Desired Outcome |
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Achieve blood glucose levels < 150 | February 15, 2051 | Patient maintains fasting glucose in the target range. |
Reduce weight by 5% | March 15, 2051 | BMI reduced to < 30. |
Interventions
Intervention | Frequency | Responsible Party | Notes |
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Educate patient on a low-carb diet | Weekly | Registered Nurse | Provide dietary pamphlets. |
Monitor fasting blood glucose levels | Daily | Nursing Staff | Record levels in patient log. |
Encourage 30 minutes of walking per day | Daily | Physical Therapist & Patient | Set achievable milestones. |
Schedule follow-up with a dietitian | February 1, 2051 | Nursing Administration | Confirm appointment details. |
Evaluation
Intervention | Outcome Achieved? | Follow-Up Actions Required | Date Evaluated |
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Educate patient on a low-carb diet | Yes | Continue monitoring progress | January 19, 2051 |
Monitor fasting blood glucose levels | In Progress | Review daily logs with patient | January 19, 2051 |
Encourage 30 minutes of walking daily | Partial Compliance | Adjust milestones if necessary | January 19, 2051 |
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