Question

Your patient Isapoinhkyaki is a 9 year old girl of Blackfoot descent; she has been recentlydiagnosed with Diabetes. She has recently moved to Brampton from Southern Alberta and has made very few friends.Isapoinhkyaki lives in a basement apartment with her father.He works as a labourer and has intermittent work. Her mother lives in another city but her grandmother lives in the upstairs apartment. They rely on food banks to supplement their diet.

Formulate a comprehensive nursing care plan for the client based on the described
condition/issue -3 diagnosis must be considered of these one will be chosen to follow
through Please make sure you identify your primary diagnosis on the care plan
A. Primary Diagnosis
B. Risk for Social Isolation
C. Deficient Knowledge
D. Risk for Impaired Parenting

Answer 1

The primary diagnosis for Isapoinhkyaki is Type 2 Diabetes Mellitus, requiring management through lifestyle changes and insulin therapy. Social isolation and impaired parenting are also concerns due to the family's socio-economic situation. A comprehensive education plan addressing diabetes management is crucial for the family.

Step-by-step explanation:

Nursing Care Plan for Isapoinhkyaki

Primary Diagnosis: Type 2 Diabetes Mellitus is the primary condition affecting Isapoinhkyaki, requiring immediate and consistent management through insulin therapy, lifestyle modification, and continued education to manage blood glucose levels effectively.

Risk Factors: Blackfoot heritage could imply specific cultural considerations and possibly genetic predisposition to Diabetes. The current socio-economic situation suggests a risk for nutrition-related health disparities due to reliance on food banks and potential lack of consistent access to diabetes-friendly food options. Also, living in a new environment without prior support networks could lead to a Risk for Social Isolation, which can negatively impact her mental and emotional health. Lastly, Isapoinhkyaki's father's intermittent work pattern and their current living situation might indicate a Risk for Impaired Parenting, potentially leading to unpredictability in the home environment and diabetes care.

Diabetes Education: As part of the nurse's role, providing a Deficient Knowledge care plan to the family is essential. Diabetes education would involve teaching Isapoinhkyaki and her family members about the importance of glucose monitoring, appropriate dietary choices, regular exercise, and recognizing signs of hypo- or hyperglycemia. Collaborating with a certified diabetes educator or registered dietician who understands the cultural context may enhance compliance and outcomes.