Nursing Diagnoses in Clients With Diabetes Mellitus

Nursing Diagnoses of  Diabetes Mellitus

Nursing diagnosis based on analysis of data according to Doengoes (2000), Tueker (1998), Hotma Rumahorbo (1999), and Linda juall (1999). Nursing diagnoses found as follows:

1. Lack of fluid volume under osmotic deuresis (hypoglycemia), loss of gastric excess: diarrhea, vomiting, limited input, nausea, mental mess.
2. Changes in nutrition less than body requirements based on insufficient insulin; decreased retrieval, and reduction of glucose by the tissues resulting in increased metabolism of protein / fat; decreased oral input; anorexia; nausea, vomiting; stomach is full; abdominal pain; changes in consciousness setatus hyper metabolism; the release of stress hormones , eg: epineprim, cortisol and growth hormone, inpeksius process.
3. High risk of disease: based on high glucose, decreased leukocyte function, circulation changes, pre-existing respiratory infection or UTI.
4. High risk of injury: decreased tactile sensation, decreased visual acuity and episodes of hypoglycemia.
5. Fatigue: a decrease in metabolic energy production, insulin insufficiency, the increase in energy demand hyper metabolic status.
6. Lack of knowledge about the disease, prognosis and treatment needs: lack of exposure / recall, information and interpretation errors are not familiar information
7. Helplessness: the risk of diabetic complications (retinopathy, netropati kidney failure, neuropathy, and vascular disease) and dependence on others.
8. The risk of ineffective management of therapeutic regimen: insufficiency of knowledge about diabetes, blood glucose self-monitoring, medication hypoglycemia, the risk of complications.
9. Fear of (individual, family), the potential complications of diabetes, insulin injections and negative effects on lifestyles.
10. Ineffective coping (client, family) chronic illness, rather than self-care complex and indeterminate future.
11. High risk of disobedience: chronic complications and therapeutic programs.
12. High risk of changes in sexual dysfunction: genitourinary problems of physical and psychological complexes.