This document provides an overview of diabetes mellitus and its management. It begins with objectives for nursing students to learn about endocrine disorders and diabetes mellitus. It then discusses the anatomy and functions of the pancreas, types of diabetes, pathophysiology of type 2 diabetes, clinical manifestations, diagnostic criteria, assessments, management including nutrition therapy, exercise, monitoring, pharmacologic therapy and patient education. It also covers diabetes complications and classes of antidiabetic medications.
This document provides an overview of chronic obstructive pulmonary disease (COPD) including objectives, anatomy, pathophysiology, diagnostic tests, medical management, nursing diagnoses, and patient teaching. It discusses COPD, defining it as a chronic lung disease including chronic bronchitis and emphysema. A case study is presented of a 55-year-old female with shortness of breath and a history of COPD exacerbated by minor exertion. Nursing management focuses on oxygen therapy, airway clearance techniques, activity pacing, vaccination, smoking cessation counseling and pulmonary rehabilitation.
The document provides an overview of cerebral vascular accidents (strokes). It discusses the objectives, anatomy, physiology, case study, types, risk factors, clinical manifestations, diagnosis, management, and nursing care of patients who have experienced a stroke. The management section outlines both medical and nursing interventions for stroke, including medications, rehabilitation, prevention, and advocacy.
The document provides an overview of the nursing process and its components. It begins with an introduction to the nursing process, which consists of 5 phases: assessment, nursing diagnosis, planning, implementation, and evaluation. It then discusses each phase in more detail, focusing on assessment and planning. For assessment, it describes collecting both subjective and objective data and different types of assessments. For planning, it discusses developing nursing care plans, both formal and informal, and the process of setting priorities and goals.
Endocarditis is an infection of the inner lining of the heart chambers and valves. It can be acute, affecting those with healthy valves, or subacute, affecting those with pre-existing valve disease. Common causes are bacteria like staphylococcus aureus and streptococcus viridans. Risk factors include congenital heart defects, a history of endocarditis, or damaged heart valves. Symptoms can include fever, fatigue, sweats, and chest pain. Diagnosis involves blood cultures, echocardiograms, electrocardiograms and chest x-rays. Treatment requires high doses of intravenous antibiotics, and sometimes surgery to repair or replace damaged valves. Nursing care focuses on monitoring for fever and complications, encouraging rest, and
The document discusses perioperative nursing which includes the care of surgical patients before, during, and after surgery in three phases - preoperative, intraoperative, and postoperative. It provides details on the roles and responsibilities of nurses in each phase, including assessing and preparing patients, monitoring patients during surgery, and observing patients in recovery to identify any complications. The postoperative phase focuses on caring for wounds, providing health teaching to patients, and monitoring vital signs and intake/output as patients recover from the effects of anesthesia.
Role of nurse in medical surgical setting RakhiYadav53
The document discusses the role and responsibilities of nurses in various medical-surgical settings. Nurses in outpatient departments provide direct care to patients, educate patients and families, and screen patients for admission. In inpatient departments, nurses are responsible for providing quality medical care, managing patient files, and coordinating care. Intensive care unit nurses closely monitor patients' conditions, assist physicians with procedures, and care for pre- and post-operative patients. Nurses in home health care and community settings provide care outside of hospitals through services like health education, wound care, and disease prevention programs.
Importance and relevance of microbiology to nursingPulipati Sowjanya
Microbiology is the study of microscopic organisms and their interactions with other living systems. It is highly relevant to nursing as infectious diseases are a major health issue, especially with aging populations, and new diseases continue to emerge. Nurses must understand microbiology to properly control infections in hospitals, distinguish between harmful and harmless microbes, apply sterilization and cleanliness practices, and safely handle infectious patients and samples. Microbiology knowledge is essential for nurses to participate in healthcare activities like drug production, diagnosis, and treatment of disease.
Nursing interventions for impaired body alignment and mobilitySiva Nanda Reddy
this topic describes the nursing care to be provided for a patient who is having impaired physical mobility or who is immobile. various nursing are provided to prevent complications in different syatems oof the body.
This document provides an overview of chronic obstructive pulmonary disease (COPD) including objectives, anatomy, pathophysiology, diagnostic tests, medical management, nursing diagnoses, and patient teaching. It discusses COPD, defining it as a chronic lung disease including chronic bronchitis and emphysema. A case study is presented of a 55-year-old female with shortness of breath and a history of COPD exacerbated by minor exertion. Nursing management focuses on oxygen therapy, airway clearance techniques, activity pacing, vaccination, smoking cessation counseling and pulmonary rehabilitation.
The document provides an overview of cerebral vascular accidents (strokes). It discusses the objectives, anatomy, physiology, case study, types, risk factors, clinical manifestations, diagnosis, management, and nursing care of patients who have experienced a stroke. The management section outlines both medical and nursing interventions for stroke, including medications, rehabilitation, prevention, and advocacy.
The document provides an overview of the nursing process and its components. It begins with an introduction to the nursing process, which consists of 5 phases: assessment, nursing diagnosis, planning, implementation, and evaluation. It then discusses each phase in more detail, focusing on assessment and planning. For assessment, it describes collecting both subjective and objective data and different types of assessments. For planning, it discusses developing nursing care plans, both formal and informal, and the process of setting priorities and goals.
Endocarditis is an infection of the inner lining of the heart chambers and valves. It can be acute, affecting those with healthy valves, or subacute, affecting those with pre-existing valve disease. Common causes are bacteria like staphylococcus aureus and streptococcus viridans. Risk factors include congenital heart defects, a history of endocarditis, or damaged heart valves. Symptoms can include fever, fatigue, sweats, and chest pain. Diagnosis involves blood cultures, echocardiograms, electrocardiograms and chest x-rays. Treatment requires high doses of intravenous antibiotics, and sometimes surgery to repair or replace damaged valves. Nursing care focuses on monitoring for fever and complications, encouraging rest, and
The document discusses perioperative nursing which includes the care of surgical patients before, during, and after surgery in three phases - preoperative, intraoperative, and postoperative. It provides details on the roles and responsibilities of nurses in each phase, including assessing and preparing patients, monitoring patients during surgery, and observing patients in recovery to identify any complications. The postoperative phase focuses on caring for wounds, providing health teaching to patients, and monitoring vital signs and intake/output as patients recover from the effects of anesthesia.
Role of nurse in medical surgical setting RakhiYadav53
The document discusses the role and responsibilities of nurses in various medical-surgical settings. Nurses in outpatient departments provide direct care to patients, educate patients and families, and screen patients for admission. In inpatient departments, nurses are responsible for providing quality medical care, managing patient files, and coordinating care. Intensive care unit nurses closely monitor patients' conditions, assist physicians with procedures, and care for pre- and post-operative patients. Nurses in home health care and community settings provide care outside of hospitals through services like health education, wound care, and disease prevention programs.
Importance and relevance of microbiology to nursingPulipati Sowjanya
Microbiology is the study of microscopic organisms and their interactions with other living systems. It is highly relevant to nursing as infectious diseases are a major health issue, especially with aging populations, and new diseases continue to emerge. Nurses must understand microbiology to properly control infections in hospitals, distinguish between harmful and harmless microbes, apply sterilization and cleanliness practices, and safely handle infectious patients and samples. Microbiology knowledge is essential for nurses to participate in healthcare activities like drug production, diagnosis, and treatment of disease.
Nursing interventions for impaired body alignment and mobilitySiva Nanda Reddy
this topic describes the nursing care to be provided for a patient who is having impaired physical mobility or who is immobile. various nursing are provided to prevent complications in different syatems oof the body.
The document describes the fundamentals of health assessment in nursing. It defines health assessment as a systematic appraisal of all factors relevant to a client's health. The purposes of health assessment are to establish a health baseline, identify problems, plan care, and provide a holistic view of the client. The processes involved include obtaining a health history, performing a physical exam using various techniques, and recording findings. The document also outlines different types of assessments and the primary methods used which are observing, interviewing, and examining.
Nursing management patient with Myocardial infraction ANILKUMAR BR
1) The document discusses nursing management of patients experiencing myocardial infarction (MI or heart attack).
2) MI occurs when an area of the heart muscle is permanently damaged due to reduced blood flow in a coronary artery, usually caused by a ruptured atherosclerotic plaque blocking the artery.
3) Nursing management of MI focuses on minimizing damage to heart muscle, preserving heart function, preventing complications, and educating patients on risk factor modification and self-care post-MI.
The document discusses fluid, electrolyte, and acid-base balance in the human body. It covers topics like intracellular and extracellular fluid composition and balance, electrolytes like sodium, potassium, and their regulation. It also discusses acid-base balance, the bicarbonate buffer system, and four major acid-base imbalances - respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis. Key organs involved in regulation are the lungs and kidneys.
This document provides information on vitamins and minerals. It discusses the classification and properties of fat-soluble vitamins A, D, E, and K and water-soluble vitamins B1, B2, B3, B5, B6, B12, C, and folate. Key details include the metabolic functions of each vitamin, associated deficiency diseases, recommended human requirements, and possible side effects.
Pressure sore or bed sore or decubitus ulcer pptProf Vijayraddi
This document provides information about pressure sores (also called bedsores or decubitus ulcers). It defines pressure sores as injuries to the skin and underlying tissue caused by prolonged pressure. Key risk factors include immobility, lack of sensation, poor nutrition, and medical conditions affecting blood flow. Pressure sores are staged from 1 to 4 based on severity, with stage 4 being the most severe. Treatment focuses on reducing pressure, cleaning wounds, applying dressings, removing damaged tissue, pain management, and infection treatment. Prevention emphasizes frequent repositioning and using support surfaces to relieve pressure.
Role and responsibilities of Nursing Officers in Drug administration. This PPT explains about 10 rights of drug administration and different routes of Drug administration
Care of Patient with Elimination needs.pptxAbhishek Joshi
This document discusses elimination and the nursing care related to normal and altered elimination. It begins by defining elimination as the removal of waste from the body through organs like the kidneys, intestines, lungs and skin. It then covers topics like the characteristics of normal urine and feces, factors that affect elimination, and common alterations seen in urinary and bowel elimination like constipation and diarrhea. The document concludes by outlining the nursing responsibilities regarding promotion of normal elimination and management of issues like incontinence, retention, and ostomies.
1) The document discusses osteoarthritis, including its pathophysiology, risk factors, clinical manifestations, diagnostic tests, and treatment approaches.
2) A case study is presented of a 59-year-old female with right knee pain exacerbated by activity who is diagnosed with osteoarthritis based on x-ray findings.
3) Nursing diagnoses for osteoarthritis include acute pain related to joint inflammation and mobility impairment related to pain and limited range of motion. Nursing management focuses on pain management, exercises and mobility aids.
elimination, bowel elimination, physiology of elimination, process of bowel eliminaton factor impaired bowel, factors improve bowel elimination, alteration in bowel elimination, maintenance of bowel motility, assessment of bowel elimination, characteristics of feces, type of feces, methods for maintain the bowel elimination:- enemas, rectal suppositories and colostomies, types of colostomies, colostomy care
The document discusses the evolution and history of medical surgical nursing from ancient times when care was provided informally to the establishment of formal nursing training programs in the 19th century. It then outlines key developments in medical surgical nursing education and practice throughout the late 19th and 20th centuries, including the merging of medical and surgical nursing education and the establishment of nursing specialties and standards. The document also examines social, economic, political, and educational trends that have influenced the development of nursing.
1) Shock is a life-threatening condition where tissue perfusion is inadequate, preventing delivery of oxygen and nutrients to vital organs and cells.
2) Shock progresses through initial, compensatory, progressive, and irreversible stages and can be caused by hypovolemia, heart problems, neurologic issues, sepsis, or allergic reactions.
3) Nursing management of shock involves rapid assessment of circulation, breathing, level of consciousness and skin signs; providing immediate care like oxygen, IV fluids, medications; and identifying and treating the underlying cause.
The document discusses pancreatitis, including defining acute pancreatitis as an inflammation of the pancreas that can range from mild edema to severe hemorrhagic necrosis. It outlines causes such as gallstones and alcohol, pathophysiology, clinical manifestations like abdominal pain and vomiting, potential complications, diagnostic tests, treatment including pain management and nutritional support, and discusses chronic pancreatitis.
This document provides an overview of the nursing process. It begins by outlining the objectives of understanding the nursing process, its characteristics, benefits, and phases. It then defines the nursing process as a modified scientific method used to assess client needs and develop a care plan. The key phases are described as assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting client data, nursing diagnosis identifies responses to health issues, planning develops the care approach, implementation provides care, and evaluation assesses effectiveness. The document explains each phase in further detail.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
This document discusses fluid and electrolyte imbalances. It begins by explaining that water makes up 60% of the adult body weight and is divided between intracellular and extracellular fluid. The five major types of fluid imbalances are then defined as extracellular fluid volume deficit, intracellular fluid volume deficit, extracellular fluid volume excess, intracellular fluid volume excess, and extracellular fluid volume shift. Causes, signs and symptoms, and treatment approaches are provided for each type of imbalance. Common electrolyte imbalances like hyponatremia, hypernatremia, and hypokalemia are also explained.
Unit 10 Promoting Safety in Health Care Enevronment (FON).pdfKULDEEP VYAS
Healthcare environments need to provide a balance between the need for practical and clinical activities or procedures to take place within them, while creating an environment that can contribute to a good experience.
This document provides information on the treatment of pediculosis (head lice infestation). It discusses the purpose of treatment which is to destroy lice and eggs to prevent transmission and promote comfort. The procedure involves assessing the patient, applying anti-lice medication to the hair and scalp, combing to remove lice and eggs, and disinfecting equipment to prevent further spread. Proper technique and cleaning is important to eliminate infestation.
Cookery rules and preservation of nutrientsmanisaikoduri
this presentation gives the information regarding cooking definition, its principles,and methods and also the protective measure to prevent nutrient loss while cooking, food preservation, and also provide information regarding food additives, its usage and its side effects, and finally preparation of 2 recepiees
The document discusses diabetes mellitus (DM), including its classification into types 1 and 2, gestational diabetes, and other types. It covers the anatomy and functions of the pancreas, which produces insulin and digestive enzymes. Diagnostic criteria for DM include hemoglobin A1C, fasting plasma glucose, and oral glucose tolerance tests. Complications of uncontrolled DM are also mentioned. Treatment involves lifestyle changes, insulin therapy, and managing comorbidities.
This document provides an overview of diabetes mellitus (DM), including its anatomy, physiology, epidemiology, classification, diagnosis, complications, and treatment. It discusses the two main types of DM - type 1 caused by beta cell destruction leading to insulin deficiency, and type 2 caused by insulin resistance and impaired insulin secretion. Key facts include that DM affects over 382 million people worldwide, is classified based on etiology, and can be diagnosed through blood glucose and A1C levels. Treatment involves lifestyle changes, glucose-lowering medications like insulin and sulfonylureas, and managing complications to control blood sugar levels.
The document describes the fundamentals of health assessment in nursing. It defines health assessment as a systematic appraisal of all factors relevant to a client's health. The purposes of health assessment are to establish a health baseline, identify problems, plan care, and provide a holistic view of the client. The processes involved include obtaining a health history, performing a physical exam using various techniques, and recording findings. The document also outlines different types of assessments and the primary methods used which are observing, interviewing, and examining.
Nursing management patient with Myocardial infraction ANILKUMAR BR
1) The document discusses nursing management of patients experiencing myocardial infarction (MI or heart attack).
2) MI occurs when an area of the heart muscle is permanently damaged due to reduced blood flow in a coronary artery, usually caused by a ruptured atherosclerotic plaque blocking the artery.
3) Nursing management of MI focuses on minimizing damage to heart muscle, preserving heart function, preventing complications, and educating patients on risk factor modification and self-care post-MI.
The document discusses fluid, electrolyte, and acid-base balance in the human body. It covers topics like intracellular and extracellular fluid composition and balance, electrolytes like sodium, potassium, and their regulation. It also discusses acid-base balance, the bicarbonate buffer system, and four major acid-base imbalances - respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis. Key organs involved in regulation are the lungs and kidneys.
This document provides information on vitamins and minerals. It discusses the classification and properties of fat-soluble vitamins A, D, E, and K and water-soluble vitamins B1, B2, B3, B5, B6, B12, C, and folate. Key details include the metabolic functions of each vitamin, associated deficiency diseases, recommended human requirements, and possible side effects.
Pressure sore or bed sore or decubitus ulcer pptProf Vijayraddi
This document provides information about pressure sores (also called bedsores or decubitus ulcers). It defines pressure sores as injuries to the skin and underlying tissue caused by prolonged pressure. Key risk factors include immobility, lack of sensation, poor nutrition, and medical conditions affecting blood flow. Pressure sores are staged from 1 to 4 based on severity, with stage 4 being the most severe. Treatment focuses on reducing pressure, cleaning wounds, applying dressings, removing damaged tissue, pain management, and infection treatment. Prevention emphasizes frequent repositioning and using support surfaces to relieve pressure.
Role and responsibilities of Nursing Officers in Drug administration. This PPT explains about 10 rights of drug administration and different routes of Drug administration
Care of Patient with Elimination needs.pptxAbhishek Joshi
This document discusses elimination and the nursing care related to normal and altered elimination. It begins by defining elimination as the removal of waste from the body through organs like the kidneys, intestines, lungs and skin. It then covers topics like the characteristics of normal urine and feces, factors that affect elimination, and common alterations seen in urinary and bowel elimination like constipation and diarrhea. The document concludes by outlining the nursing responsibilities regarding promotion of normal elimination and management of issues like incontinence, retention, and ostomies.
1) The document discusses osteoarthritis, including its pathophysiology, risk factors, clinical manifestations, diagnostic tests, and treatment approaches.
2) A case study is presented of a 59-year-old female with right knee pain exacerbated by activity who is diagnosed with osteoarthritis based on x-ray findings.
3) Nursing diagnoses for osteoarthritis include acute pain related to joint inflammation and mobility impairment related to pain and limited range of motion. Nursing management focuses on pain management, exercises and mobility aids.
elimination, bowel elimination, physiology of elimination, process of bowel eliminaton factor impaired bowel, factors improve bowel elimination, alteration in bowel elimination, maintenance of bowel motility, assessment of bowel elimination, characteristics of feces, type of feces, methods for maintain the bowel elimination:- enemas, rectal suppositories and colostomies, types of colostomies, colostomy care
The document discusses the evolution and history of medical surgical nursing from ancient times when care was provided informally to the establishment of formal nursing training programs in the 19th century. It then outlines key developments in medical surgical nursing education and practice throughout the late 19th and 20th centuries, including the merging of medical and surgical nursing education and the establishment of nursing specialties and standards. The document also examines social, economic, political, and educational trends that have influenced the development of nursing.
1) Shock is a life-threatening condition where tissue perfusion is inadequate, preventing delivery of oxygen and nutrients to vital organs and cells.
2) Shock progresses through initial, compensatory, progressive, and irreversible stages and can be caused by hypovolemia, heart problems, neurologic issues, sepsis, or allergic reactions.
3) Nursing management of shock involves rapid assessment of circulation, breathing, level of consciousness and skin signs; providing immediate care like oxygen, IV fluids, medications; and identifying and treating the underlying cause.
The document discusses pancreatitis, including defining acute pancreatitis as an inflammation of the pancreas that can range from mild edema to severe hemorrhagic necrosis. It outlines causes such as gallstones and alcohol, pathophysiology, clinical manifestations like abdominal pain and vomiting, potential complications, diagnostic tests, treatment including pain management and nutritional support, and discusses chronic pancreatitis.
This document provides an overview of the nursing process. It begins by outlining the objectives of understanding the nursing process, its characteristics, benefits, and phases. It then defines the nursing process as a modified scientific method used to assess client needs and develop a care plan. The key phases are described as assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting client data, nursing diagnosis identifies responses to health issues, planning develops the care approach, implementation provides care, and evaluation assesses effectiveness. The document explains each phase in further detail.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
This document discusses fluid and electrolyte imbalances. It begins by explaining that water makes up 60% of the adult body weight and is divided between intracellular and extracellular fluid. The five major types of fluid imbalances are then defined as extracellular fluid volume deficit, intracellular fluid volume deficit, extracellular fluid volume excess, intracellular fluid volume excess, and extracellular fluid volume shift. Causes, signs and symptoms, and treatment approaches are provided for each type of imbalance. Common electrolyte imbalances like hyponatremia, hypernatremia, and hypokalemia are also explained.
Unit 10 Promoting Safety in Health Care Enevronment (FON).pdfKULDEEP VYAS
Healthcare environments need to provide a balance between the need for practical and clinical activities or procedures to take place within them, while creating an environment that can contribute to a good experience.
This document provides information on the treatment of pediculosis (head lice infestation). It discusses the purpose of treatment which is to destroy lice and eggs to prevent transmission and promote comfort. The procedure involves assessing the patient, applying anti-lice medication to the hair and scalp, combing to remove lice and eggs, and disinfecting equipment to prevent further spread. Proper technique and cleaning is important to eliminate infestation.
Cookery rules and preservation of nutrientsmanisaikoduri
this presentation gives the information regarding cooking definition, its principles,and methods and also the protective measure to prevent nutrient loss while cooking, food preservation, and also provide information regarding food additives, its usage and its side effects, and finally preparation of 2 recepiees
The document discusses diabetes mellitus (DM), including its classification into types 1 and 2, gestational diabetes, and other types. It covers the anatomy and functions of the pancreas, which produces insulin and digestive enzymes. Diagnostic criteria for DM include hemoglobin A1C, fasting plasma glucose, and oral glucose tolerance tests. Complications of uncontrolled DM are also mentioned. Treatment involves lifestyle changes, insulin therapy, and managing comorbidities.
This document provides an overview of diabetes mellitus (DM), including its anatomy, physiology, epidemiology, classification, diagnosis, complications, and treatment. It discusses the two main types of DM - type 1 caused by beta cell destruction leading to insulin deficiency, and type 2 caused by insulin resistance and impaired insulin secretion. Key facts include that DM affects over 382 million people worldwide, is classified based on etiology, and can be diagnosed through blood glucose and A1C levels. Treatment involves lifestyle changes, glucose-lowering medications like insulin and sulfonylureas, and managing complications to control blood sugar levels.
Includes Information about Pharmacotherapeutic of Diabetes Mellitus, all details about etiology, Pathophysiology, pharmacology, treatment, current clinical trials on DM etc.
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The document discusses diabetes, including:
- Diabetes is a group of metabolic disorders characterized by hyperglycemia due to defects in insulin secretion or action.
- India currently has 63 million people with diabetes, the second highest number after China.
- There are two main types of diabetes - type 1 caused by beta cell destruction leading to insulin deficiency, and type 2 caused by insulin resistance and relative insulin deficiency.
- Treatment involves diet, exercise, oral medications like metformin and sulfonylureas, and sometimes insulin therapy. The goal is to control blood sugar levels and prevent complications like damage to eyes, kidneys, nerves, and blood vessels.
This document provides an overview of diabetes mellitus. It begins by defining diabetes as a metabolic disorder characterized by high blood glucose levels due to either lack of insulin production or insulin resistance. It then discusses the different types of diabetes (type 1 and type 2), risk factors, clinical manifestations, diagnostic testing, management including nutrition, exercise, and pharmacotherapy, and complications. A meta-analysis is summarized that found disease management programs involving care from diabetes managers can significantly reduce hemoglobin A1C levels compared to usual care, especially when the manager can modify treatment.
The document provides an overview of diabetes mellitus, including the different types (Type 1, Type 2, gestational), signs and symptoms, causes, and statistical data on prevalence worldwide and in the Philippines. It then discusses a case study of a 71-year old Filipino man diagnosed with diabetes. It outlines his medical history, including a family history of diabetes, and analyzes factors affecting his nutrition and eating patterns such as his beliefs about food, personal preferences for oily and sweet foods, sedentary lifestyle, and lack of religious dietary restrictions.
Medical nutrition therapy (MNT) plays a key role in diabetes management and prevention. MNT involves nutritional assessments, diagnoses, and monitoring provided by a registered dietitian. It focuses on helping patients achieve normal blood sugar, lipid, and blood pressure levels and prevent complications. MNT is more individualized than diabetes self-management training and relies on multiple sessions and feedback over time. MNT has been shown to improve glycemic control and is an important part of primary, secondary, and tertiary diabetes prevention and treatment.
The document discusses non-drug management of diabetes mellitus through lifestyle changes including diet and exercise. It covers definitions of diabetes, types of diabetes, principles of diabetes care like learning about diabetes and monitoring health indicators. It provides details on healthy diet, types of exercise, testing before exercise and sample exercise programs. The non-drug management aims to control blood sugar levels through patient education, monitoring and encouraging lifestyle modifications.
The document summarizes non-drug management of diabetes mellitus. It discusses lifestyle changes like following a healthy diet, regular exercise, and weight control as important non-drug approaches. Monitoring health indicators like blood glucose, blood pressure, cholesterol and attending regular medical checkups are also emphasized to manage diabetes and prevent complications long-term without relying solely on medication.
The document summarizes non-drug management of diabetes mellitus. It discusses lifestyle changes like following a healthy diet, regular exercise, and weight control as important non-drug approaches. Monitoring health indicators like blood glucose, blood pressure, cholesterol and attending regular medical checkups are also emphasized to manage diabetes and prevent complications long-term without relying solely on medication.
Obesity is rising globally despite increased knowledge about diet and exercise. Risks include heart disease, stroke, diabetes, and some cancers. Factors causing obesity include an evolutionary tendency to efficiently store calories combined with current low activity, high calorie diets. Appetite is regulated by hormones that signal fullness or hunger. Gut hormones like GLP-1 and leptin help regulate food intake while ghrelin stimulates appetite. Adipose tissue also secretes hormones that impact metabolism.
This document provides an overview of diabetes mellitus (DM), including:
1) It defines DM as a metabolic disorder characterized by chronic hyperglycemia resulting from defects in insulin secretion or action.
2) It classifies the main types of DM as type 1, type 2, and gestational diabetes and discusses their characteristics.
3) It discusses the etiology, pathophysiology, clinical manifestations, diagnosis, and management of type 1 and type 2 DM.
S.B. is a 48 year old female with a BMI of 32.2, classifying her as obese. Her initial treatment plan should include a reduced calorie diet of 1200-1500 kcal/day, moderate exercise daily, and behavioral counseling. The goal is to lose 5-10% of her weight, or 4.5-9.1 kg, within 6 months. Short-term weight loss medications are not appropriate due to her history of hypertension. Long-term options include orlistat, lorcaserin, liraglutide, or phentermine/topiramate, but require monitoring for side effects and weight loss. Non-pharmacologic measures should continue to be emphasized
The ketogenic diet, often referred to as keto, is a low-carbohydrate, high-fat diet that has been shown to help some people lose weight. The ketogenic diet has been studied for its potential benefits in weight loss, managing diabetes, and even some neurological disorders like epilepsy. However, it's essential to note that the ketogenic diet may not be suitable for everyone. Before starting any drastic diet change like keto, it's advisable to consult with a healthcare provider or a registered dietitian, especially if you have any underlying health conditions.
Diabetes mellitus refers to a group of diseases that affect how the body uses blood sugar (glucose). Glucose is an important source of energy for the cells that make up the muscles and tissues. It's also the brain's main source of fuel.
Genetically Compatible Weight Loss FormulaJulie Hewett
The document describes a weight loss formula that claims to:
1. Maintain healthy cholesterol, triglyceride, and blood glucose levels.
2. Promote weight loss and fat reduction by supporting DNA health and increasing lean body mass.
3. Boost energy and metabolism through supporting mitochondrial function and regeneration.
It contains various plant-based ingredients like bitter melon, guar gum, and ashwagandha chosen for their nutritional properties like increasing insulin sensitivity and reducing blood sugar levels. The formula aims to optimize nutrient absorption at the cellular level for effective weight management and overall health.
Makalah bahasa inggris diabetes melitusWarnet Raha
1. The document discusses diabetes mellitus, including its definition, pathophysiology, classification, signs and symptoms, and diagnosis. It is a metabolic disorder caused by many factors that results in chronic hyperglycemia and impaired processing of carbohydrates, fats, and proteins.
2. There are two main types of diabetes - type 1 is characterized by an inability to produce insulin, while type 2 involves decreased sensitivity to insulin. Diagnosis involves measuring fasting blood glucose levels and levels after consuming glucose.
3. Common symptoms include frequent urination, excessive thirst, unexplained weight loss, and tingling or numbness in the extremities. Diagnosis is based on blood tests measuring glucose levels according to WHO criteria.
This document provides an introduction to diabetes mellitus, including:
1. A definition of diabetes mellitus and discussion of its pathophysiology and classification into types 1 and 2.
2. Details on the signs and symptoms, diagnosis, and factors that can contribute to diabetes.
3. An overview of treatment approaches including physical exercise, medications like sulfonylureas, and management of blood sugar levels.
Unit V. Mental Health Problems & Therapeutic Interventionssherkamalshah
This document discusses various mental health issues related to anxiety including the causes and symptoms of anxiety, different types of anxiety disorders, and therapeutic interventions for treating anxiety. It describes anxiety disorders like generalized anxiety disorder, panic disorder, phobias, obsessive-compulsive disorder, and post-traumatic stress disorder. Treatment approaches mentioned include cognitive-behavioral therapy, relaxation techniques, medication, exposure therapy, and stress management.
The document discusses the differences between delirium and dementia. Delirium is characterized by acute onset, fluctuating symptoms, and altered consciousness. It is often caused by medical conditions or medications. Dementia is a progressive decline in cognitive functions caused by conditions like Alzheimer's disease. It has a gradual onset and stable, non-fluctuating course. The document provides assessment tools for delirium and lists nursing interventions to manage symptoms and create a therapeutic environment for elderly patients with these conditions.
Culture has significant effects on health behaviors and illness experiences. When people move to a new culture, they may experience culture shock which involves phases like a honeymoon period, crisis as excitement fades, and eventual adjustment. Illness is understood differently across cultures, with some viewing it as natural and others supernatural. Patients bring culturally influenced ideas about symptoms, treatment, and decision-making. Dietary taboos also vary between cultures. Health care providers must consider these cultural factors to effectively serve diverse patient populations.
The document discusses various social institutions and groups. It defines institutions as systems of norms that govern behavior to achieve important goals or activities. It outlines key institutions like family, religion, political and legal systems, and education. It describes different family types, marriage customs, and religious beliefs. It also defines primary, secondary, and reference groups and how they differ. Minority groups are discussed as subordinate groups with unequal treatment based on attributes.
Values are beliefs about what is good and desirable. They guide behavior and are learned from environment, family, culture and life experiences. Values differ between individuals and cultures. Nurses must clarify their own values and understand patients' values to provide ethical care. When values conflict, resolution requires open communication and compromise.
Session 3 ethical principals and theoriessherkamalshah
This document discusses ethical principles and theories relevant to healthcare. It defines key concepts like autonomy, informed consent, beneficence, and non-maleficence. It also outlines several ethical theories used in decision making, including virtue ethics, deontology, utilitarianism, and rights-based approaches. The document uses examples to illustrate ethical dilemmas that may arise in nursing practice and the importance of ethical decision making frameworks.
Session 1 introduction to ethics convertedsherkamalshah
This document provides an introduction to nursing ethics. It defines key terms like morals, ethics, values, beliefs, and attitudes. It discusses important ethical concepts like ethical dilemmas, principles of autonomy, beneficence, non-maleficence, and justice. It also identifies common nursing ethics dilemmas and discusses the importance and role of ethics in nursing practice.
Session 4 informed consent and confidentialitysherkamalshah
This document discusses confidentiality and informed consent. It defines confidentiality as limiting access to certain information through agreements. Informed consent is defined as a client agreeing to a treatment or procedure after receiving all relevant information about risks and benefits. The importance of maintaining confidentiality and obtaining informed consent is also discussed, including protecting privacy and fulfilling ethical principles of patient autonomy. Elements of informed consent, the consent process, and exceptions are outlined. Nurses play an important role in ensuring patients are fully informed when providing consent.
This document defines human rights and bills of rights. It lists 10 types of human rights such as the right to life, liberty, privacy, and basic necessities. The role of nurses is to advocate for and protect patients' rights. A patient's bill of rights outlines the rights patients have in a healthcare facility, including the rights to privacy, confidentiality, respect, autonomous medical decisions, freedom from abuse, and expressing complaints.
This document discusses ventilation and its importance for community health. It defines ventilation and describes the types and needs of housing. Poor ventilation and housing can negatively impact health by increasing moisture, attracting dirt and biological pollutants. Good ventilation is necessary to control moisture and remove airborne chemicals, particles and odors. Choices that impact indoor air quality include using household chemicals, products from smoking, and controlling pests.
This document discusses food sanitation and preventing foodborne illness. It outlines the key principles of clean, separate, cook, and chill to avoid contamination and properly handle food. Specific foodborne bacteria like salmonella, staphylococcus, clostridium perfringens, and E. coli are described along with their symptoms. Proper handwashing, using separate cutting boards and utensils for raw and cooked foods, thoroughly cooking foods to proper internal temperatures, and promptly refrigerating leftovers are emphasized as ways to keep food safe.
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This document discusses waste management and its impact on health. It defines different types of waste such as solid waste, liquid waste, and hazardous waste. Sources of waste include households, commerce, and industry. Improper waste disposal can negatively impact health through chemical poisoning, flooding, increased disease rates, and mercury toxicity. It also affects animals and aquatic life. The document outlines various waste management strategies like reducing waste, recycling, composting, incineration, and landfilling. It emphasizes the importance of proper collection, transport, and disposal of waste for environmental and public health.
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1. Unit IX- ADVANCE NURSING
MANAGEMENT OF ENDOCRINE DISEASES
Diabetes Mellitus
BY
SEHRISH NAZ
RN, Post RN, MSN
Lecturer, Institute of Nursing Sciences, Khyber
Medical University
Subject: Adult Health Nursing
2/8/2020 Post RN semester one 1
2. Objective
At the end of the unit, students will be able to:
Utilize Functional health pattern to identify patients
problems related to endocrine disorders including: Diabetes
Mellitus
Integrate pathophysiology and pharmacology concepts of
Diabetes Mellitus
Apply nursing process with support on Evidence-Based
Nursing (EBN) to provide to the clients with Diabetes
Mellitus
Discuss the holistic approach for nursing management of
the patient with Diabetes Mellitus
Develop a teaching plan for a client experiencing disorders
of the Diabetes Mellitus
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 2
Objective
3. Endocrine system
• The endocrine system is a chemical messenger system
comprising feedback loops of hormones released by
internal glands of an organism directly into the circulatory
system, regulating distant target organs.
• In humans, the major endocrine glands are the thyroid
gland and the adrenal glands.
• In vertebrates, the hypothalamus is the neural control
center for all endocrine systems. The study of the
endocrine system and its disorders is known
as endocrinology. Endocrinology is a branch of internal
medicine.
4.
5. Anatomy of the pancreas
• The pancreas is an elongated, tapered organ located
across the back of the belly, behind the stomach.
• The right side of the organ—called the head—is the
widest part of the organ and lies in the curve of the
duodenum, the first division of the small intestine.
• The tapered left side extends slightly upward—called
the body of the pancreas—and ends near the spleen—
called the tail.
6. Types of pancreatic glands
• The pancreas is made up of 2 types of glands:
Exocrine
• The exocrine gland secretes digestive enzymes.
These enzymes are secreted into a network of
ducts that join the main pancreatic duct. This runs
the length of the pancreas.
Endocrine
• The endocrine gland, which consists of the islets
of Langerhans, secretes hormones into the
bloodstream.
7.
8. Functions of the pancreas
The pancreas has digestive and hormonal functions:
• The enzymes secreted by the exocrine gland in the pancreas help
break down carbohydrates, fats, proteins, and acids in the
duodenum.
• These enzymes travel down the pancreatic duct into the bile duct
in an inactive form. When they enter the duodenum, they are
activated.
• The exocrine tissue also secretes a bicarbonate to neutralize
stomach acid in the duodenum. This is the first section of the
small intestine.
• The main hormones secreted by the endocrine gland in the
pancreas are insulin and glucagon, which regulate the level of
glucose in the blood, and somatostatin, which prevents the release
of insulin and glucagon.
9. Case Study
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 9
Demographic Data
Name : XYZ Gender: Male
Weight: 72 Kg DOA:12-10-2017
Age :52 Years DOD:16-10-2017
10. Chief complaint:
Excessive thirst
Frequency of urination
Excessive hunger
GBW (generalize body weakness)
Retinopathy
Past Medical : Known DM type 2 & HTN
Surgical History: Not significant.
Social History: Poor
Family History: HTN (Mother)
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 10
Cont..
Parameters
Pulse rate 88
Respiratory rate 24
B.P 180/100
11. Saturday, February 8, 2020 post RN SEMESTER 1 AHN 11
Parameters Reported value Normal value
Blood Sugar 240mg/dl 60-180 mg/dl
Fasting blood sugar 180mg/dl 70-100mg/dl
Glycohemoglobin ( HBa1C) 10.7% 4.27-6.5
CBC -WBC 10.5 4.00-11.0 x 10 9/L
HBG 13 g/dl 11.5-17.5 g/dl
Blood urea 28 mg/dl 18-45 mg/dl
Uric acid 1.2 mg/dl 0.64-1.2 mg/dl
Complete biological & pathological details
12. Diabetes mellitus
Diabetes mellitus is a disorder in which blood
sugar (glucose) levels are abnormally high
because the body does not produce enough
insulin to meet its needs. Urination and thirst
are increased, and people may lose weight
even if they are not trying to.
13. Hormone effect on blood glucose
Hormone Action Result on Blood
Glucose
Insulin Helps glucose enter into cell
Stimulate glycogenesis
Lower
Glucagon Stimulate glycogenolysis Raises
Epinephrine Stimulate glycogenolysis Raises
Growth
hormone
Stimulate catabolism of fat Raises
Glucorticoids Fat and muscle cells resistant Raises
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 13
14. • Insulin is secreted by beta cells in the pancreas and it is an
anabolic hormone.
• When we consume food, insulin moves glucose from blood to
muscle, liver, and fat cells as insulin level increases.
• The functions of insulin include the transport and metabolism
of glucose for energy, serves as the signal of the liver to stop
releasing glucose, enhancement of the storage of dietary fat in
adipose tissue, and acceleration of the transport of amino acid into
cells.
• Insulin and glucagon maintain a constant level of glucose in the
blood .Saturday, February 8, 2020 post RN SEMESTER 1 AHN 14
Functions of Insulin
17. In people without diabetes,
glucose stays in a healthy range because
Insulin is
released at the
right times
and in the
right amounts.
Insulin helps
glucose enter
cells
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 17
Normal Blood Glucose Control
22. Peripheral insulin resistance
Impaired regulation of hepatic glucose production
declining β-cell function
Eventually leading to β -cell failure
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 22
Pathophysiology of Type 2 Diabetes
(NIDDM)
25. Diagnostic criteria of diabetes mellitus (WHO)
• Symptoms (polyuria, polydipsia, weight loss, DKA)
• + Random blood glucose level ≥ 11.1 mmol/l (≥ 200 mg/dl)
or
• Fasting blood glucose level ≥ 7.0 mmol/l (≥ 126 mg/dl), (no
caloric intake 8 h)
or
• 120 min blood glucose in OGTT ≥ 11.1 mmol/l (≥ 200
mg/dl)
or
• HbA1c ≥ 6.5 %
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 25
Diagnostic Criteria
26. • Serum glucose : Increased 200–1000 mg/dL .
• Fasting glucose: greater than or equal to 120mg/dl .
• Fatty acids: Lipids, triglycerides, and cholesterol level
elevated.
• Serum osmolality: Elevated( normal range 275-295 mOsm/L).
• Glycosylated hemoglobin (HbA1C): A result greater than 8%
represents an average blood glucose of 200 mg/dL and signals
a need for changes in treatment.
• Serum insulin: May be decreased/absent (type 1) or normal to
high (type 2).
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 26
Assessment and Diagnostic Findings
27. • Electrolytes
• Arterial blood gases (ABGs): Usually reflects low pH and
decreased HCO3 (metabolic acidosis) with compensatory
respiratory alkalosis.
• Thyroid function tests: Increased thyroid activity can increase
blood glucose and insulin needs.
• Urine: Positive for glucose and ketones.
• Cultures and sensitivities: Possible UTI, respiratory or wound
infections.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 27
Cont..
29. Nutrition therapy (NT)
NT is an evidence-based application of the nutrition
care process for the treatment of a disease or
condition through the modification of nutrient or
whole-food intake provided by a registered
dietitian/nutritionist.
Effective nutrition therapy strategies for people with
type 2 diabetes should emphasize reduced energy
intake along with simplified meal plans such as
healthful food choices or education on portion
control.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 29
30. cont.
To achieve modest weight loss, intensive lifestyle
interventions (physical activity, counseling about
nutrition, and behavior change) with ongoing support
are recommended.
After diabetes medication is started, nutrition therapy
continues to be a key part of type 2 diabetes self-
management.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 30
31. Patient Education
Patients should be educated to practice self-care. This
allows the patient to assume responsibility and control of
his / her own diabetes management. Self-care should
include:
Blood glucose monitoring.
Body weight monitoring.
Foot-care.
Personal hygiene.
Healthy lifestyle/diet or physical activity.
Identify targets for control.
Stopping smoking.
Guidence about Hyperglycemia & Hypoglycemia.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 31
32. Class Mechanism of action Indication(s)
Sulfonylureas and
repaglinide
Increase insulin secretion Insulinopenia
Biguanides
(Metformin)
Inhibit hepatic glucose
production
Increase the sensitivity of
peripheral tissues to insulin
Obesity+ insulin
resistance
Thiazolidenediones
Decrease peripheral insulin
resistance
Reduce fatty acids
Insulin resistance
α-glucosidase
inhibitors
Slow absorption of
carbohydrates
Postprandial
hyperglycemia
Pharmacotherapy
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 32
34. Approaches to prevention of diabetic complications include the
following:
HbA1c every 3-6 months
Yearly dilated eye examinations
Foot examinations at each visit
Blood pressure greater than 130/80 mm Hg.
Get help to quit smoking
Be active
Make healthy food choices
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 34
Preventive Measures
35. Ineffective health maintains related to demonstration
of uncontrolled diabetes and reporting lack of
education about diabetes as evidence by high blood
sugar and knowledge deficient about controlled
diabetes.
Fluid Volume Deficit related to osmotic diuresis as
evidence by increase thirst and dry mouth.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 35
Nursing Diagnosis for Diabetes
Mellitus
36. Nursing Interventions
• -The nurse will educate the patient on how to take his
blood sugar and interpret the results.
• The nurse will educate the patient on how to take the
medication.
• The nurse will educate the patient on how often and
when he needs to check his blood sugar.
• The nurse will consult with the dietitian to educate
the patient on diet regime for diabetics.
• The nurse will encourage the patient to develop a
daily menu that meets his diabetic needs.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 36
37. Nursing Intervention
Monitor input and output to provide estimates of the
need for fluid replacement, renal function, and
effectiveness of the therapy given.
Monitor vital signs.
Assess skin turgor, and mucous membranes.
Measure weight every day to provide the best
Provide fluid therapy as indicated.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 37
38. The responsibility of the healthcare team members does not end
when the patient is discharged. The following are guidelines
that should be discussed before the patient is discharged from
the hospital.
• Patient empowerment is the focus of diabetes education.
• Patient education should address behavior change, self-
efficacy, and health beliefs.
• Simplify the treatment regimen if it is difficult for the patient
to follow and Adjust according to meet patient requests.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 38
Discharge and Home Care Guidelines
39. • Encourage the patient to pursue life goals and
interests, and discourage an undue focus on diabetes.
• Educate client on wound care, Medication, and
glucose monitoring.
• Instruct client to comply with the appointment with
the healthcare provider at least twice a year for
ongoing evaluation and routine nutrition updates.
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 39
Cont..
40. Insulin Pumps.
Implantable and inhalant
insulin delivery.
Transplantation of pancreatic
cells.
Vaccine under research:
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 40
New trends
41. • Brunner, L. and Suddarath, D. (2010). Text Book of Medical Surgical
Nursing. 12th Edition. J.B By Suzanne C. Smeltzer.
• Baynes HW (2015) Classification, Pathophysiology, Diagnosis and
Management of Diabetes Mellitus. J Diabetes Metab
6:541.doi:10.4172/2155-6156.1000541.
• Ionescu-Tirgoviste, Constantin; Gagniuc, Paul A.; Gubceac, Elvira;
Mardare, Liliana; Popescu, Irinel; Dima, Simona; Militaru, Manuella
(2015-09-29). "A 3D map of the islet routes throughout the healthy human
pancreae“, Scientific Reports. 5: 14634. PMC 4586491 . PMID 26417671
doi:10.1038/srep14634.
• Malaisse W. 1996 Metabolic signaling of insulin secretion. Diabetes Rev . 4
:145 –159 .
Saturday, February 8, 2020 post RN SEMESTER 1 AHN 41
References