Nursing Intervention Nursing Care Plan for Children with Diabetes Mellitus

Nursing Intervention Nursing Care Plan for Children with Diabetes Mellitus



Expected Results:

  • Prevent injury and infection
  • Eliminate fear when giving insulin
  • Maintenance of adequate nutrition
  • Positive self-concept
  • Does not depend
  • To keep the child's family does not happen hypoglycemia, insulin nutrition for children
  • For children to learn to treat diabetes in order to avoid complications.


Prevent injury
  • Monitoring blood glucose levels, 2 times a day, before breakfast and dinner.
  • Help express feelings of fear when performed blood glucose test (finger stick).
  • Monitor signs of hyperglycemia


Improve family coping in the management hypoglikemia and hyperglikemia:
  • Education about the signs and hyperglikemia hypoglikemia and how the handling necessary to overcome.
  • How to handle if blood sugar <60 mg / dl, juice, sugar, non-diet soda, if glucose is not checked give simple carbohydrates if there are signs of hypoglycemia.
  • If the child received therapy glucagon or dextrose from doctors, teach how the intra-muscular administration of glucagon.
  • Encourage children to bring lunch and eat if there are signs of hypoglycemia (his lunch complex carbohydrates such as cakes, crakers, bread, beans).
  • Note the pattern of occurrence of hypoglycemia and create a schedule plan for decision making in order to avoid hypoglycemia
  • If the child has a sore (fever, infection, vomiting, nausea, did not eat) call the doctor.
  • Teach how subcutan insulin administration.


Ensuring appropriate and inadequate nutrition
  • Involve children in planning nutrition.
  • Helping children to get involved in a diet program.
  • If the child will come home late for lunch are encouraged to bring the food complex carbohydrates.
  • Can recommend how to overcome eating in school and social environment.


Prevent infection and skin damage
  • Teach them how to observe, determine the skin every day (after a shower) typically are susceptible to damage at folds (axilla, groin)
  • Note the use of a good shoe.
  • Observation of both feet for cracked, cut nails according to the line, use clean socks.
  • Infection often is the urinary system and respiratory system of teaching known mark urinary infection; itching, burning sensation in the urinary system in case of medical attention.


Reducing the anxiety of children and families
  • Suggest to the child and family to express his feelings (guilt, anger, rejection).
  • Encourage a lot of reading to increase understanding about the disease.
  • Give an honest and clear information.


Improve self care and positive self esteem
  • Encourage child to visit one another among the sick.
  • Explain that children with diabetes can do the same activities as other children.

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