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Formulate a teaching plan for instructing parents of a child with diabetes mellitus. Make sure all...

Formulate a teaching plan for instructing parents of a child with diabetes mellitus. Make sure all the steps of the nursing process are included (Assessment, diagnosis, planning, implementation, and evaluation)

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Ans) Teaching plan for instructing parents of a child with diabetes mellitus:

Nursing Assessment:

- General condition, viral signs, blood sugar levels.

- knowledge regarding management of blood sugar

Nursing Diagnosis:

Risk for Unstable Blood Glucose: At risk for variation of blood glucose levels from the normal range that may compromise health related to inadequate blood glucose monitoring.

Expected outcome:

- Blood sugar should be in normal range

Nursing Intervention & Rationale:

- Assess for signs of hyperglycemia- To obtain baseline data to plan care.

- Assess feet for temperature, pulses, color, and sensation- To monitor peripheral perfusion and neuropathy

- Teach patient how to perform home glucose monitoring- Blood glucose is monitored before meals and at bedtime. Glucose values are used to adjust insulin doses.

- Instruct patient to avoid heating pads and always to wear shoes when walking- Patients have decreased sensation in the extremities due to peripheral neuropathy.

- Teach patient to rotate insulin injection sites- Multiple injections in the same site may cause fat deposits.

- Teach patient to follow a diet that is low in simple sugars, low in fat, and high in fiber and whole grains- A diet low in fat and high in fiber helps to control cholesterol and triglycerides. Three daily meals and an evening snack is recommended. Refined and simple sugars should be reduced, and complex carbohydrates, such as cereals, rice, should be increased

- Teach patient that anxiety, tremors, and slurred speech are signs of hypoglycemia- These are indicators of hypoglycemia, which causes seizures, coma, and death.

Evaluatuon:

- Blood sugar in normal range & adequately managed.

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