NURS FPX 6610 Assessment 2 Patient Identifier: 6700891

Patient Medical Diagnosis: Inadequately treated anxiety, obesity, high blood pressure, diabetes mellitus, high cholesterol, and hypertension.

Nursing Diagnoses: First Diagnosis: Diabetes hazards are not adequately understood or managed by healthcare providers, which could have serious repercussions (Shahid et al., 2021).

Risk of inadequate healthcare management

Subjective: Mrs. Snyder, a 56-year-old married mother of two, is receiving therapy for uncontrolled diabetes and hyperglycemia.

Goal: The patient was admitted to the emergency room with blood sugar readings between 230 and 389, dyspnea during physical activity, lethargy, lower abdomen pain, difficulty urinating, and hypertension.

Second Diagnosis: Increased household duties and challenges cooking for family members who have lactose intolerance and food allergies constitute the second diagnosis. disregards her own health in order to receive approval and praise from her spouse.

First objective: Considering that Mrs. Snyder was recently diagnosed with cancer, which may worsen her diabetes, make sure her blood pressure and glucose levels are under control.

Smart Goal: The patient’s eating habits and overall health will improve in less than a month.

First Intervention

Teach Mrs. Snyder how to manage her own self-care, with a focus on lifestyle changes like following a nutritious diet, exercising frequently, sleeping well, practicing mindfulness, and cutting back on eating within a month to lose weight. Promote self-management of diabetes at home by regularly checking food patterns, blood sugar levels, and eye health (Hartmann-Boyce et al., 2020). Give instructions on how to prepare syringes and administer insulin.

Justification for First Goal: Adequate blood sugar monitoring is necessary for efficient diabetic care (Pop-Busui et al., 2022). In order to achieve the best health results, patients must collaborate with health care providers, nutritionists, and diabetes educators.

Result: Consistent glucose monitoring will help the medical staff assess how well diet, exercise, and insulin dosage are working, allowing for any necessary medication dosage adjustments (Wicaksana et al., 2020).

Subjective: Mrs. Snyder feels overwhelmed, unhappy, anxious, and tired all the time, which contributes to her ongoing anxiety. Her son’s problems, her husband’s lack of support, and the stress of handling home duties all contribute to her high blood pressure and tachycardia.

Second objective: The second objective is to achieve better mental and emotional health, as well as controlled blood pressure (not more than 130/90 mmHg) and a normal heart rate (60–100 bpm) in less than a month (Kuguyo et al., 2020).

Second Intervention

To control anxiety, prescribe the proper anxiolytic medicine and arrange for weekly cognitive-behavioral therapy (CBT) counseling sessions (Bondesson et al., 2022). Put Mrs. Snyder in touch with appropriate social groups that provide spiritual healing and mindfulness techniques.

Justification for Second Goal: Reducing anxiety is a good use of pharmaceutical and psychotherapy therapies, which should lower blood pressure and tachycardia (Bandelow et al., 2021).

Result: Since the suggested goals are a component of a new care plan, ongoing assessment is required.

Third Diagnosis: Mrs. Snyder was given an ovarian cancer diagnosis and was confronted with anxiety and stress associated with chemotherapy.

Subjective: Pain from surgery owing to liver and colorectal masses, anxiety about failing as a caretaker, and fear of chemotherapy (Melaragno, 2021).

SMART Objectives: Manage diabetes in a week. Within a month, improve physical health and lessen malaise by taking your medication as prescribed. Report a 70% decrease in anxiety after you’re released. Within 15 days, locate a suitable care facility for the mother .After three months, tolerate effort (Bandelow et al., 2022). After only one hour of therapy, experience increased oxygenation and pain alleviation.

Third Objective: Investigate other alternatives for better care for Mrs. Snyder’s mother, including facility placement, patient relief, and chemotherapy facilitation.

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