Nursing Care for Uncontrolled Type 2 Diabetes Mellitus Patients in Community

Abstract

Diabetes is a chronic non-communicable disease that is a significant world health problem. Acute and chronic complications occur when diabetes isn't managed properly. Hypoglycemia is a frequent adverse complication. The impact of hypoglycemia is both on patient quality-of-life and associated costs to the healthcare system and society. The case study from July – August 2019 is presented a patient with uncontrolled diabetes and hypoglycemia. The study used outpatient and inpatient department records, interview and observation. The results showed that the patient and family lacked knowledge in monitoring complications and self-management. The patient had an inappropriate diet and exercise. Nurses should evaluate and do a discharge plan with the health care team. Moreover, a home visit is important to assess the knowledge and behavior of patient. Health education and skills training are needed for the patient and caregiver. The motivation, empowerment and social support are resources which can help patient and family manage themselves to prevent complications and increase the quality of life.