Home Nursing for Diabetic Clients
Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period. Symptoms of high blood sugar include frequent urination, increased thirst, and increased hunger. If left untreated, diabetes can cause many complications. Acute complications include diabetic ketoacidosis and nonketotic hyperosmolar coma. Serious long-term complications include cardiovascular disease, stroke, chronic kidney failure, foot ulcers, and damage to the eyes.
387 million people have diabetes; by 2035 this will rise to 592 million. The number of people with type 2 diabetes is increasing in every country 77% of people with diabetes live in low- and middle-income countries. The greatest number of people with diabetes is between 40 and 59 years of age. 179 million people with diabetes are undiagnosed. Diabetes caused 4.9 million deaths in 2014. Every seven seconds a person dies from diabetes. In India, diabetes is growing alarmingly, more than 65 million people with the disease, compared to 50.8 million in 2010.
DO REGULAR BSL CHECK UP: The main goal of diabetes care is to control blood glucose levels in order to prevent the serious complications of diabetes. Glucose levels should be lowered into the normal range, while avoiding low blood sugar.
ADMINISTRATION OF MEDICATION: Advice and assist the patient to take regular medication on time. Insulin should be given on time if necessary.
FOOD HABITS: Limiting sugary beverages, Avoid starch content food. Regular diet plan should be maintained. The nurse should aware of good diet for the particular client and what food is unhealthy.
ACTIVITY: The nurses should take care of patient and assist him to do regular exercise and physical activity. Encourage the client for an evening walk.
MAINTAIN A GOOD BMI: The nurse has to take care of regular body check up of client. Encourage the client to maintain a good body mass index.
MAINTAIN GOOD HABITS: Make the client away from unhealthy habits like tobacco, alcohol and encourage the client to avoid smoking.
FOOT CARE FOR DIABETIC PATIENT: Advice patient to clean foot regularly, apply skin lotion regularly, protect your feet from extreme heat and cold, check your feet daily. Advise patient to wear footwear always. Advice patient to trim foot nails, clean and dry the wounds present.