Diabetes Nursing CEU Courses. You just clipped your first slide! there are also sensors that can track the glucose level in the blood using and sensor that needs to be calibrated with a finger stick BID. Insulin vs. Glucagon, GH, epinephrine, cortisol . Oct 11, 2018 - Many people have to live with the condition known as diabetes. Diabetic patients need complex nursing care. Assessment of patients with diabetes mellitus (Doenges, 1999) include: Symptoms: weakness, fatigue, difficulty moving / walking, muscle cramps, decreased muscle tone. Document was created using various nursing books. Each visit can be viewed as an opportunity to assess and improve the patient's understanding of their illness, and their ability to control the disease. If you need a quick review around the concepts of diabetes mellitus, please see the refresher below: Description. Many patients are diagnosed with dia You should critically think and prioritize what needs to be documented. diabetes nursing lecture notes events (⭐️ lecture) | diabetes nursing lecture notes genehow to diabetes nursing lecture notes for About MedlinePlus; What''s blood sugar helps you and your child keep blood sugar in target range. Discover how Johnson & Johnson empowers nurse-led innovation. You may find the Pre-diabetes (Impaired Glucose Tolerance) article more useful, or one of our other health articles. Diabetes Mellitus is when blood glucose (sugar in the blood) is unable to move into the cells and help in the making of ATP…AKA energy. Patients with diabetes frequently attend their healthcare practitioners, either specifically for diabetes-related issues, for complications of their chronic illness, or for unrelated problems. Diabetes mellitus is a disorder characterized by insufficient production of insulin in the pancreas or when there is a resistance or deficiency of available insulin resulting in hyperglycemia. Diabetes Normal Pathophysiology Need to consider how insulin works insulin continuously released: during “fasting periods”, the pancreas continuously releases a small amount of insulin along with glucagon. It basically has three types: Type I (IDDM), Type II (NIDDM), and GDM or Gestational Diabetes which is associated with p The nurses role include educating, assessing, planning, administering medications, and evaluating treatment. Hyperglycemia is defined by certain high levels of blood glucose:1 Fasting levels greater than 7.0 mmol/L (126 mg/dL) Two-hours postprandial (after a meal) levels greater than 11.0 mmol/L (200 mg/dL). Patient verbalized understanding. Proinsulin is produced by the pancreas, and medications are just in the insulin form. He is a fellow in the American Academy of Nursing. The hallmark of diabetes, regardless of whether we're talking about type 1 or type 2 diabetes, is high blood glucose levels, and as we'll learn in the next few slides, this can occur because of problems with insulin production, insulin resistance or both, and insulin is a hormone that's needed by our bodies, our body's tissues, to use the energy that we consume through food. stops metabolism of lactic acid resulting in metabolic acidosis, happens more often in pts with renal insufficiency, works in the small intestine to delay glu absorption, S/E are all GI issues ie. So for example, … The founders recognised that self-care was key to the management of diabetes, except, possibly, when the patient is ill with, for example, inter-current illness or has undergone surgery. No content on this site may be reused in any fashion without written permission of TheDiabetesCouncil.com. But if you are documenting an emergency or a behavior situation involving bodily harm it is quite another. Based on the assessment data, the major nursing diagnoses for diabetes mellitus type 1 are: Imbalanced nutrition: less than body requirements related to insufficient caloric intake to meet growth and development needs and the inability of the body to use nutrients. For people already diagnosed and treated for diabetes, however, poor control over blood sugar levels leads to the condition. It often results from excess body weight and physical inactivity. Mar 8, 2020 - Explore Alicia Easterling's board "Nursing: Diabetes", followed by 139 people on Pinterest. The second type of diabetes is called type 2, or non-insulin-dependent diabetes mellitus, and this type accounts, like we learned earlier, for the majority of all cases of diabetes, about 90% to 95% of all of our cases of diabetes. Nursing Cheat Sheet Nursing Tips Nursing Programs Rn Programs Nursing Board Nursing Assessment Nursing Mnemonics Pathophysiology Nursing Pharmacology Mnemonics More information ... People also love these ideas Supporting Nursing Innovation. Lecture on Diabetes Mellitus for NCLEX Review Diabetes Nursing Management Nurse’s role: educating, monitoring, and administering (medications) Teach patient to follow the Triangle of Diabetes Management **Diet, medications, and exercise all work together while monitoring blood glucose Example: Patient wants to make sure their diet is balanced with their medication (insulin/oral meds) and they use exercise to manage glucose levels (doing all this while monitoring blood glucose). scandinavian countries have the highest rates. Check A1C levels in all patients with diabetes or hyperglycemia (blood glucose > 140 mg/dL) admitted to the hospital if no result has been documented in the prior 3 months. Monitor body weight daily. Why did you decide to pursue diabetes nursing? The Journal of Diabetes Nursing is a peer-reviewed publication for all nurses involved in the care of people with diabetes. Changes to the blood vessels because of diabetes can cause a skin condition called diabetic dermopathy. Clemson University. There are two types of diabetes. Sometimes you deliberately omit writing a note. Take a family member or friend, if possible. Diabetes mellitus is a group of metabolic diseases that occurs with increased levels of glucose in the blood. Please fill in your email to continue. Collaboration with dieticians about patient diet. Diabetes Mellitus . Before injectible insulins were developed, diabetic patients die in a year of two after the onset of Diabetes mellitus, and even a few weeks after suffering from its symptoms. Diabetes Lecture 1. 1. A.My career as a diabetes educator began when I graduated from the masters degree program at the University of Alabama in Birmingham, School of Nursing. Mental health To care for someone with diabetes and mental illness you should be able to: have an understanding and awareness of how mental health issues, such as depression and anxiety, can Glucagon – turns glycogen and fat into fuel . Differentiate between type 1 and type 2 diabetes.2. Q. Making wise food choices and being active can help you control your weight. Upon graduating, I took a position at the University Hospital on an inpatient unit as a diabetes clinical nurse specialist and had the good fortune of working with great colleagues who were responsible for introducing me to the American Association of Diabetes Educators (AADE). 101 Chapter IX Coping With Diabetes… 102 Nursing Implications... 104 References . Feb 16, 2019 - Diabetes mellitus is classed into two different types. Someone who accompanies you can help you remember information you need. liver is breaking down glycogen into glucose because the sugar cannot get into the cells and signals are sent saying that the cells need more sugar. Every significant part of your story should be time stamped. It has inspired me to do some further learning”. The nurses role include educating, assessing, planning, administering medications, and evaluating treatment. Determine what is serious and with important notes always show it to your DON before closing and signing it. This course is going to expand on that for you and show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. Define diabetes mellitus as a genetically determined disorder of metabolism. The journal serves as a forum for discussion and assists in the dissemination of information, highlighting and reinforcing the importance of the ever-increasing role of the nurse in the day-to-day treatment of people with diabetes. No notes for slide. I'm already subscribed. Nursing documentation cannot be erased. Clinicals Nursing of Adults (NURS 3561) Preview text Download Save. rapid acting insulin that is infused all day to replace the basal. 4. Which of the following information about lifestyle changes would be most beneficial to help control this patients state of health? The video below from Diabetes UK explains the dawn phenomenon and offers practical tips. Diabetes Teaching 2302. Author; Recent Posts ; Lynda Lampert, RN. SN instructed that if you have di Thank you for subscribing! Jan 20, 2016. Review Notes for Diabetes Mellitus. Diabetes carries many risk factors, such as elevated blood sugars, difficulty with fluid balance, difficulty with nutritional plans, skin and healing problems, and problems with sensation. your own Pins on Pinterest Diabetes education in the UK has, traditionally, been undertaken by diabetes specialist nurses alongside their other clinical, management and research roles. Oct 8, 2018 - This Pin was discovered by Teresa Lundberg. You have to protect yourself, protect your employer and protect your patients. They may see their GP, practice nurse, hospital diabetologist, diabetes specialist nurse, dietician and many others, from time to time. Pathophysiology/Pharm Ii (NUR … Share. Unfortunately, insulin can’t be taken in pill form because enzymes in your stomach break it down so that it becomes ineffective. As the nurse taking care of the diabetic . Treatment and prevention of hyperglycemia Prevention of hyperglycemia for people with a diabetes diagnosis is a matter of good self-monitoring and management of blood glucose levels, including ad 6 Course Objectives (Overall behavioral objectives of the entire course) At the end of this course, each nurse will be able to: 1. He asserted that diabetic patients need to gain full knowledge of the disease so he could better take care of himself. Mar 8, 2020 - Explore Alicia Easterling's board "Nursing: Diabetes", followed by 139 people on Pinterest. When incidents happen, you must display the sequence of events accurately. The underlying cause of diabetes varies by type. Some notes can be written quickly, others you might have to spend over an hour. If you make a mistake or forget something you can always write a late entry.But you can never delete a note from the records.The more complex a situation,the more you should think before you write. When, how and who? How Many Grams Of Sugar Should Someone With Type 2 Diabetes Have A Day? Complaints of: wake up w/ HA x2 weeks ('pressure ring' around head), light headed, crazy dreams, stress, congestion x1day, nausea, productive cough, runny/stuffy nose, sore throat, 1+ ankle edema tylenol helps w/ HA vitals: 120/72, pulse 76, temp 98.5F, 5'7 286lbs A1C; 5.2 BMP no abnormalities no social hx, no ETOH, non … General Recommendations (American Diabetes Association, 2018) . Type 1 diabetes (previously known as insulin-dependent or childhood-onset diabetes) is characterized by a lack of insulin production. For diabetes practice articles, news and opinion in one place, go to the Nursing Times diabetes homepage. antibodies that can be tested for to diagnose DM1. In these cells insulin has the following effects: Transports and metabolizes glucose for energy Stimulates storage of glucose in the liver and muscle Enhances storage of dietary fat adipose tissue Accelerates transport of amnio acids into cells. 6) A nurse is counseling a patient who has hypertension and type 2 diabetes. Medical Surgical Lecture Notes for Diabetes Mellitus: Definition, Diagnosis, Pathophysiology, Management, Treatment Diabetes Mellitus (DM) is a chronic systemic disease affecting people of all ages. When did you decide to pursue a career in nursing and why? Complex Care Session 8: Endocarditis, Pericarditis, and valvular diseases. Causes of this include:1,3,4 Eating more or exercising less than usual Insufficient amount of insulin treatment (more commonly in cases of type 1 diabetes) Insulin resistance in type 2 diabetes Illness such as the flu Psychological and emotional stress The "dawn phenomenon" or "dawn effect" - an early morning hormone surge. the person needs to be alert and oriented to use it, double check what the person is telling you about the pump, still use finger stick in the hospital as a double check because we are liable, still a SQ catheter injection to deliver the medication, increase in ketone acid from the body breaking down fat rapidly, s/s: n/v, polyuria, polydipsia, kussmaul respirations, tachycardia, Glucagon to increase hepatic glucose release, Epinephrine to reduce glucose uptake and increase hepatic glu production, s/s HTN, diaphoresis, unique to the person and there may be no symptoms, hypoglycemia unawareness – lowers the level that the hypoglycemia is felt by the person, nonproliferative – occurs in about 10 years, Proliferative – neovascularization, from retinal hypoxia, stage 1 functional change gfr increases (GFR >90), need a renal diet low potassium, refined foods ( doesn’t mesh well with DM diet), first painfull then painless once the nerve is full glycosylated, diagnosis from radioactive food(eggs) visualised by medical scintigraphy, Poor blood flow (most meds do not work because it just works to increase blood flow not nerve response), from increased platelet aggregation, decreased fibrinolytic activity, HTN, Hyperlipidemia, s/s: are not common MI s/s and can be “silent”, resistance to insulin, and can have decreased insulin. 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