Diabetes Type 2 Nursing Diagnosis

The following nursing diagnoses are common in patients who have been diagnosed with diabetes type 2:

Diabetes Type 2 Nursing Diagnosis

1 Impaired Gas Exchange related to lung edema secondary to diabetic nephropathy (Renal failure) as evidenced by increased respiratory rate, increased breath sounds and decreased oxygen saturation.

Diabetic nephropathy is a complication of diabetes that can cause fluid to build up in the lungs. This fluid buildup is called pulmonary edema. The lungs become over-inflated, making it hard for the body to breathe normally. This can lead to decreased oxygen levels in your blood (hypoxemia), which may be life-threatening if left untreated.

Diabetic nephropathy can also cause shortness of breath and fatigue, both symptoms that are present with this nursing diagnosis.

2 Increased Cardiac Output related to increased tissue perfusion secondary to insulin resistance as evidenced by a weight gain of ____ lbs in ____ days.

• Increased Cardiac Output related to increased tissue perfusion secondary to insulin resistance as evidenced by a weight gain of ____ lbs in ____ days.

In this case, the nursing diagnosis that relates to your patient’s problem is: Increased Cardiac Output related to increased tissue perfusion secondary to insulin resistance as evidenced by a weight gain of ____ lbs in ____ days.

3 Risk for impaired skin integrity related to skin breakdown due to neuropathy as evidenced by skin rash.

Risk for impaired skin integrity related to skin breakdown due to neuropathy as evidenced by skin rash.

A diabetic nurse may record this diagnosis in a patient’s medical record when they notice that the patient has poorly healing sores on their body, which is caused by the nerve damage incurred by diabetes type 2.

For example, if a diabetic nurse notices a reddened area on one of their patients’ legs and the patient reports that it does not feel “normal,” this might be an instance where this diagnosis would be appropriate.

4 Noncompliance related to lack of understanding of treatment regime as evidence by ____% of treatment followed.

It is important to understand that the patient has a specific dietary and exercise regimen that they must follow. It is also important to understand what type of insulin they use and how often they administer it. Patients with diabetes may require regular checkups at their doctor’s office or at clinics, depending on the severity of their condition. In addition to these regular checkups, patients will also need to know about any medications for other conditions that diabetes can contribute toward causing (e.g., high blood pressure). Patients should be aware of common side effects from treatment such as low blood sugar levels or hypoglycemia, which can cause fatigue and dizziness in some people.

5 Deficient Knowledge related to new diagnosis and self-management as evidence by questions about diet, exercise and insulin administration.

“Diabetes type 2 is a chronic disease that affects the way your body uses blood sugar (glucose). The disease usually occurs in adults, but can develop at any age. People with diabetes have too much glucose in their blood and can’t use it properly. Over time, this can lead to serious problems with vision, kidneys and blood vessels.”

~American Diabetes Association

The nurse’s role is vital in assisting patients to understand their diagnosis and treatment options as well as providing support for self-management of their condition. Nurses can help patients understand how to manage this disease through diet, exercise routines and insulin administration. It is also important for patients to understand the importance of diet and exercise since these two factors are major determinants of long term health outcomes associated with diabetes type 2.

6 These are some nursing diagnoses for diabetes type 2.

Nursing diagnoses are the language of nursing. They are a formal way to describe what is happening with the patient, and they help to identify problems that must be addressed. The nurse will use these nursing diagnoses to develop a plan of care with the patient and his or her family. Nursing diagnoses are written in standard format, so they have an organized structure and make it easy for anyone who reads them to understand their meaning.

The following are some examples:

• Disturbed body image related to obesity (NANDA-I)
• Imbalanced nutrition: less than body requirements related to poor dietary habits (NANDA-I)

Closing

The nursing diagnoses you should consider for your patient with diabetes type 2 are: Impaired Gas Exchange related to lung edema secondary to diabetic nephropathy (Renal failure) as evidenced by increased respiratory rate, increased breath sounds and decreased oxygen saturation. Increased Cardiac Output related to increased tissue perfusion secondary to insulin resistance as evidenced by a weight gain of ____ lbs in ____ days. Risk for impaired skin integrity related to skin breakdown due to neuropathy as evidenced by skin rash. Noncompliance related to lack of understanding of treatment regime as evidence by ____% of treatment followed. Deficient Knowledge related