Assessment

S-kumain ako
ng dalawang
slice ng
gardenia
bread kanina
kasi na gutom
ako as
verbalized by
the patient
O-Cbg- 210
mg/dl
-instructed to
NPO prior to
cbg recording

Nursing
diagnosis
Noncomplianc
e r/t deficient
knowledge
relevant to
regimen
behavior

Inference

Planning

Intervention

Short term
After 4 hours of nursing
intervention the client will
be able to demonstrate
willingness

Independent

-to learn about and

participate in treatment
plan and care
Long term
After 8 hours of nursing
intervention the client will
be able to
-State an understanding
of the implications of not
following the prescribed
treatment plan.

1.) Assess beliefs

about current illness.
2.) Determine
reasons for
noncompliance
3.) Establish rapport
with client and
relatives
4.) Explain the
importance of NPO
prior to cbg
recording
5.) Instruct client not
to take anything
prior to the cbg
monitoring
6.) Teach significant
others not to give
any food to patient
prior to monitoring

Rationale

Evaluation

1.)this is to determine the

knowledge of the client to
her disease

Short term
After 4 hours of nursing
intervention the client
is able to demonstrate
willingness

2.) to identify the factors

that influences for noncompliance

-to learn about and

participate in treatment
plan and care

3.) having an trust to

nurse on duty may
increase the level of
compliance

Long term
After 8 hours of nursing
intervention the client
is able to
-State an understanding
of the implications of
not following the
prescribed treatment
plan.

4.) this is for the client to

clearly understand
5.) to determine the level
of Glucose to the body
6.) instruct client
diversion if client may feel
hunger

dependent
7.) Notify physician
about the
noncompliance
behavior of client to
prior to procedure
8.) administer apidra
if qualified to the
prescribe coverage

7.) to inform the physician

about the attitude of the
client in to care plan

Assessment
S- bakit
tumaas
nanaman ang
sugar ko as
verbalized by
the patient
O
-CBG
monitoring of
210 mg/dl
-3 units of
apidra insulin

Nursing
diagnosis
Deficient
knowledge
related to
unfamiliarity
to disease
process

Inference

Planning

Intervention

Short term
After 4 hours of nursing
intervention the client
will demonstrate
understanding of the
diseases process

Independent

Long term
After 8 hours of nursing
intervention the client
will be able to initiate
necessary changes in
lifestyle

2.) Assess clients

readiness for learning

1.)Assess clients level

of knowledge and
anticipatory needs

3.) Provide information

related only to the
current situation and
to its disease process
4.) Provide positive
reinforcement

rationale

1.) to determine the

extent of
understanding and the
attention adherence of
the client
2.) to determine if
client is willing to
listen in discussion
about the disease
process
3.) this is to avoid the
overload of
information being
infuse to the client

5.) Discuss to client

the adherence to
instruction given by
the health care
providers

4.) encourage our

client to fully give
attention about the
disease process

6.) Avoid using

5.)for client to fully

Evaluation
Short term
After 4 hours of nursing
intervention the client is
demonstrate
understanding of the
diseases process
Long term
After 8 hours of nursing
intervention the client is
able to initiate necessary
changes in lifestyle

medical terms while

explaining the disease
or even in giving
instruction to client
7.) Respond to clients
inquiries regarding to
disease.

understand
consequences if not
adhering to care plan
6.)this is to avoid
confusion and also for
the client to fully
understand the
discussion

dependent
8.) administer Apidra if
CBG in above 181
mg/dl

7.) to clarify if there

are some things that
are still confusing to
the client

8.) as ordered by the

physician if the result
of cbg monitoring
exceeds to the
coverage administer
unit of apidra

Assessment
S: nako
mahirap talaga
iwasan kumain
ng masasarap
as verbalized by
the patient
mahilig talaga
kami kumain kasi
may canteen
kami as
verbalized by the
patients
significant others
O:

Nursing
diagnosis
ineffective
self-health
management
related to
mistaken
perception

Inference

Planning

Intervention

Rationale

Evaluation

Short term
After 4 hours of
nursing intervention
the patient will be able
to adopt lifestyle
changes

Independent

1.) this is to assess

the factors
influencing the
clients lifestyle

Short term
After 4 hours of nursing
intervention the patient is
able to adopt lifestyle
changes

Long term
After 8 hours of
nursing intervention
the client will be able
to assume readiness in
taking care of own
health

1.)Identify risk
factors in clients
personal and family
history
2.) Assess clients
ability and desired to
learn
3.) Assess clients
perception about the
current disease
4.) Note clients

2.) to determine the

willness of the client
to learn
3.) to determine if
client is
knowledgeable
about her disease
4.) this may
influence the

Long term
After 8 hours of nursing
intervention the client is
able to assume readiness in
taking care of own health

family culture
CBG: 210 mg/dl
5.) encourage pt and
pts significant others
to have a healthier
diet, state diet,
6.) provide client
materials that will
give them ideas in
healthy diet
7.) discuss client
about having a wellbalanced diet

Assessment
O.
CBG: 210 mg/dl
DM Diet
(+) flavored breads
(ube Cheese
Gardenia)
(+) Flavored

Nursing diagnosis
Risk for unstable
blood glucose
related to dietary
intake

Inference

Planning

Intervention

perception of client
about health care
5.) eating healthy
foods might be a
start of having
stable blood sugar
6.) this may help the
client to appreciate
and fully understand
some tips or
regimens about
health care
maintenance

Rationale

Evaluation

beverages ( minute
made orange juice)