Justification of the Value of Evidence Used for the Concept Maps NURS FPX 6021 Assessment 1 Concept Map
The first concept map is designed for acute care at the St. Anthony Medical Center, where Mrs. S was admitted with high blood glucose levels and acute kidney failure. According to NANDA, the most urgent diagnosis in acute care is unstable blood glucose levels in a patient with type 2 diabetes mellitus. Individuals with type 2 diabetes have impaired glucose metabolism leading to a rise in their blood glucose levels. Sustained high blood glucose negatively affects these individuals’ health resulting in complications such as retinopathy and diabetic nephropathy. According to Advani (2020), acute kidney failure is a complication of acute hyperglycemic crises among individuals with type 2 diabetes mellitus. Effective management of the high blood glucose levels is therefore critical to minimize the effects of hyperglycemia on the kidney. Individuals with type 2 diabetes are recommended to maintain HbA1c below 7% to prevent complications and minimize disease progression (Davies et al., 2018). Mrs. S has an HbA1c of 8.5%, which reflects poor glycemic control resulting in symptoms such as weakness and blurred vision. Patient education is critical to achieving good blood glucose control and the promotion of early health-seeking behaviors. According to Garg et al. (2019), health education is vital in improving patient knowledge and attainment of blood glucose control which slows down the progression of the disease. The second and third diagnoses of excess fluid volume and fatigue are related to acute kidney failure. Medications such as potassium-sparing diuretics and loop diuretics help increase urine output and minimize fluid overload in patients with acute kidney failure (Patschan et al., 2019). Therefore, referring Mrs. S to a nephrologist for medication prescription is critical to her treatment.
NURS FPX 6021 Assessment 1 Concept Map
The meeting at home with Mrs. S shows that her health status has improved significantly. Though she has not achieved normal fasting blood glucose levels, her current readings signify improvement. The reading of 140mg/dl after meals and 125 in the morning is above the recommended levels, which is a risk for her health. Individuals with type 2 diabetes should aim for fasting blood glucose levels below 100mg/dl, which is the normal value (Davidson et al., 2021). Encouraging the patient to monitor her blood glucose levels every day is critical to achieving self-care behavior and attaining blood sugar control. Educating the patient empowers her to interpret the blood glucose readings prompting her to seek care when necessary. According to (Tefera et al., 2020), health literacy among individuals with type 2 diabetes is vital for executing self-management protocols like blood glucose monitoring, diet control, and physical exercise engagement. Mrs. S voices hope by saying she is ready to learn how to regulate her diet to achieve blood sugar control. Family support is key to helping individuals with type 2 diabetes achieve glycemic control and improved health outcomes. Pamungkas et al. (2017) posit that family support is vital for individuals with type 2 diabetes to attain better glycemic control, self-efficacy, and psychological well-being. Therefore, providing family education for Mrs. S and her daughter is essential to improve her support system and attain improved health outcomes.