Nanda Nursing Diagnosis

Nursing Diagnosis for Diabetes Mellitus: Impaired Skin Integrity Goal: After nursing Interventions, improved wound healing: Expected outcomes: Luka shrink in size and increase in granulation tissue. Nursing Interventions: Wound care Note the characteristics of the wound: determine the size and depth of the wound, and the classification of the influence ulcers Note the characteristics of the fluid that comes out secret Clean with a liquid anti-bacterial Rinse with 0.9% NaCl fluid Perform nekrotomi, if necessary Perform the appropriate tampon With sterile gauze dressing as needed Make dressing Maintain a sterile dressing technique when performing wound care Observe any changes in the packing Compare and note any changes in the wound Give position to avoid pressure Rational: Assessment of injuries, will be more realible done by the same caregiver in the same position and the same techniques.

Interventions 1. Fluid volume deficit related to excessive urinary output as manifested by increased thirst and weight loss. Ø Assess the fluid level of the patient Ø Monitor vital signs frequently Ø Restrict oral fluid intake. Ø Administer hypotonic saline intravenously. Ø Administer medications if ordered.   2. Disturbed sleeping pattern, insomnia related to nocturia as manifested by verbalization of patient about interrupted sleep. Ø Assess the sleeping pattern of the patient Ø Give psychological support. Ø Advice the patient to restrict oral fluids Ø Provide calm and quiet environment.   3. Activity intolerance related to fatigue and frequent urination as manifested by fatigue and weakness of the patient. Ø Assess the activity status of the patient Ø Give psychological support to the patient.   4. Anxiety related to course of disease and frequent urination as manifested by verbalization of anxious questions. Ø Assess the anxiety level of the patient. Ø Explain the pat...

Nursing Diagnosis for Diabetes Insipidus Diabetes insipidus (DI) is a condition which causes frequent urination. The reduction in production or release of ADH results in fluid and electrolyte imbalance caused by increased urinary output. Depending on the cause, Diabetes insipidus may be transient or life long condition. In its clinically significant forms, diabetes insipidus is a rare disease. Clinical Manifestations Diabetes insipidus is characterized by increased thirst and increased urination. The primary character of DI is polyuria, excretion of large quantities of urine ( 5-20L per day)with a very low specific gravity(less than 1.005) and urine osmolality of < 100mmol/kg. In partial DI urine output may be lower(2-4L per day). Polydipsia (excessive intke of fluids) is also a characteristic feature of DI. Patient compensate for fluid loss by drinking great amount of water. The patient with central DI favours cold or iced drinks. Nocturia occurs due to frequent tendency to ...