Nursing care for patients with type 2 diabetes who cannot control their sugar levels in the community: Case study comparing 2 cases

Abstract

Purpose : To compared a nursing practices for diabetic patients with uncontrollable glucose levels in community.

Study design : Cases study.

Materials and Methods : The sample with type 2 diabetes were selected from  e purposive selection who received services at primary and holistic work groups between January 2023 and December 2023. Data were collected using a medical record form, patient records Interviews with patients and relatives, observation and data collection for analysis. We were compared data based on Gordon's 11 health models, to assess patient problems. Define nursing diagnosis nursing activities evaluate nursing results, summarize results and analyze to obtain guidelines for nurses in nursing for diabetic patients with uncontrollable glucose levels in community.

Main findings : Both case studies had type 2 diabetes for more than 10 years. Both cases had hyperglycemia have knee pain and began to worry about complications from end-stage chronic kidney disease. The difference was that case study 1; already started to have kidney complications. Have stage 3A renal impairment (moderate stage chronic kidney disease). This patient needs to adjust his behavior and limit protein intake. But the second case study had chronic kidney disease in the early stages. Patients must adjust their behavior and reduce salty foods. The goal of treatment for both patients were to adjust lifestyle habits and adjust food consumption. To slow down the deterioration of the kidneys and reduce the chance of the disease progressing faster than it should. After the two case studies received nursing care It was found that there were more appropriate health behaviors. This study shows that nurses play an important role in patient care by using the nursing process. Causes effective nursing results Can prevent or delay complications in for diabetic patients with uncontrollable glucose levels in community.

Conclusion and recommendations : The results of this study will be used as a guideline for nursing patients with type 2 diabetes who cannot control their sugar levels in the community.