Monday, December 2, 2013

Nursing Care Plan - Diabetes

Bellow you will find a copy of one of the nursing care plans for type 2 diabetes authored by myself (a registered nurse manager). An detailed commentary by myself can be found below the nursing care plan. Please read through the care plan to better understand standards of type 2 diabetes care.Please refer to the link at the end of this article for more in-depth Diabetes information for both patients and medical professionals!Nursing Care Plan NANDA Nursing Diagnosis (problem statement)Imbalanced nutrition r/t excessive intake of nutrients as evidenced by Type II Diabetes:Nursing Care Plan Goal Statements:



Patient will acknowledge his or her behaviors / feelings that exacerbate imbalanced nutrition (excessive) within 8 hours. (this is a great example of a short term goal statement).





Patient will design a realistic dietary plan which will assist him / her with decreasing caloric intake, within 24 hours. (the key word in this statement is REALISTIC, to increase compliance).





Patient will incorporate at least 30 minutes of well tolerated exercise into daily schedule by the end of 48 hours. (another short term goal statement, a lifestyle change in the longterm).



Nursing Interventions for Imbalanced Nutrition (Excessive):The Nurse shall explain and have patient verbalize the relationship of diabetes and diet, and the patient shall give a return explanation is his / her own words. (this nursing intervention will help clear up and misconseptions and reinforce the medical value of a healthy diabetic diet).Patient will consult with a dietician to find out what an optimal caloric intake for her size, activity level and goal of weight loss is, so that she knows where to start in planning her dietary needs. (initial education and working knowledge).Patient will keep a journal of total intake every time food is consumed and mark where improvement can be made. (accountability, ongoing education experience)Patient will display (you choose how) a working knowledge of how to read a food label after nurse demonstrates (you choose method according to patient's best way of learning)Promote family member or caregiver participating in the above mentioned 30 minute exercise program. (increases compliance through a support system, motivation).The nurse shall have patient record an exercise log. (accountability)The patient should have a list of goals and reward for those goals related to reducing overall caloric intake. (will increase compliance).Comments: The most important fact to remember in dealing with type 2 diabetes is well thought out diet can completely negate the diabetic disease process. The Diabetic diet can be strict, but some "cheating" in moderate, planned ways are actually a GOOD idea. Human behavior dictates, and research has shown, a strict diet is rarely followed. With type 2 diabetes the diet is a lifetime diet and overall adherence to the diet is the overall goal. Lack of a regulated diet can easily lead to type 1 diabetes and more severe medical problems such as neuropathy, vision loss, and premature death related to diabetic complications.



Micah Smith is a Nurse Manager at the Garrison Institute an author of NURSING-CARE-PLAN-911.COM [http://www.nursing-care-plan-911.com]

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Thursday, November 28, 2013

Cedar Wood Adirondack Chairs

No back yard is complete without an Adirondack chair. These chairs are comfortable, versatile, and attractive.When deciding on which piece of outdoor furniture to buy, it can be quite difficult to choose of what material you want it be made. Many Adirondack chairs are made from metal or plastic, but the most long-lasting and attractive option is wood. One of the most popular kinds of wood is cedar.Cedar does not weigh much, but is still stable. It lies flat easily and remains straight under stress, so it resists the propensity to splinter and warp like many other kinds of wood do. It also dries out faster than other woods, so cedar does not rot as much.The Western Red Cedar tree (Thuja plicata) grows mostly in forests along the Pacific coast of North America. This area spans from Northern British Columbia in Canada to California. These trees can also be found in drier interior forests in British Columbia, Idaho, Montana, and Washington.The Red Cedar tree grows mostly in mountainous regions. It is a larger tree, growing up to 55 to 75 meters tall and 3 meters in trunk diameter.Red Cedar is a coniferous evergreen tree in the cypress family, according to Wikipedia. It is one of the two arborvitaes found in North America, and is not actually thought of a "true Cedar" tree. The real cedar tree grows in the western Himilayas and the Mediterranean region.This wood contains oils that work as a natural preservative that keeps the wood from deteriorating or rotting. It also has a high resistance to bacteria and fungus.Cedar also contains organic compounds called thujaplicins. These compounds give off the easily identifiable cedar odor. This aroma acts as a disincentive to insects, keeping cedar furniture free of invasion.Cedar wood is exceptionally thermodynamic. The cellular structure of the wood creates interior air spaces that increase the insulation value above that of most woods. Therefore, outdoor furniture made of cedar stays much cooler than furniture made from different materials.Cedar is also very lightweight. It has about 80% the strength of oak, but also possesses much more resistance to bacteria and fungus. These properties make it an exceptional choice for making outdoor furniture.Usually, a red cedar log is divided into two sections. The white part nearest to the bark is called "sap wood," and the inner, red section of the log is referred to as "heart wood." Both Red and White Cedar is used to make outdoor furniture, including Adirondack chairs.White Cedar is structurally very similar to Red Cedar. However, White Cedar has much less of the natural acidic preservatives found in Western Red Cedar. Therefore, White Cedar does not have the same durability that Red Cedar possesses.When buying an Adirondack chair or other outdoor furniture, cedar is a first-rate option. Cedar is durable and resists many different destructive factors, such as rot and insects. You have a choice between Red and White Cedar, depending on what you find most attractive.



Amy Martin is an active author who regularly writes about Adirondack chairs and garden bridges.

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Tuesday, November 26, 2013

Auto Seat Cushion for a Comfortable Travelling Experience

Travelling to places with the use of automobiles is already very common to a lot of people. For long distances, sitting on an automobile can be very uncomfortable. Auto seat cushions may alleviate the discomfort of travelling. It may relieve the discomfort to muscles making the experience an enjoyable one.Auto seat cushions are designed to reduce the anxiety of back, leg and butt pains when travelling. There are even seat cushions that were especially made to cool you down on warm weather conditions or heat cushions for cold weather. Some have built-in temperature and massage controls. You may find them in folding cushions, round vinyl, with cup holders and bench cushion. Materials can be made from foam, gel or plastic. Ideal seat cushions are made with materials that are easy to clean. Dirty seats can emit bad odor and can cause allergy.Some modern designs include ones that are inflatable. They mold and fit themselves to the movement of the driver. Some smaller cushions are also available and were made to support the lumbar area. They were made to absorb the pressure at the butt and back. They are sculpted to have that perfect fit. There are also seat cushions that are shaped like wedges to increase the height of the driver giving him a better view of the road.The right auto seat cushion should not make a lot of unnecessary movement or else, it may do more harm than help with your posture. There are those that come with straps that can be fastened to the car seat and there are fabrics that do not slide.Aside for their comfort, auto car seats can add style to your vehicle. The colors are usually matched with the interior of the car. Designs may vary from elegant prints to simple patterns so you can be sure that there is one available that will fit your personality.



Marsha has been writing articles about papasan chair cushion since 2003 however she also likes to write about indoor chair cushions

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