NURS FPX 6610 Assessment 2 Patient Care Plan

Name

Capella university

NURS-FPX 6610 Introduction to Care Coordination

Prof. Name

Date

Nursing Diagnosis and Care Plan for Mrs. Snyder

Patient Identifier: 6700891 Medical Conditions: Uncontrolled anxiety, obesity, hypertension (HTN), diabetes mellitus (DM), and hypercholesterolemia

1. Ineffective Health Management: Diabetes and Lifestyle Habits

Mrs. Snyder, a 56-year-old patient, presents with multiple chronic illnesses, including uncontrolled diabetes and hypertension. Her daily habits, such as frequent consumption of high-sugar snacks like cookies, have significantly impaired her glycemic control. Upon admission to the emergency department, her blood glucose levels ranged from 230 to 389 mg/dL. She reported symptoms such as fatigue, abdominal discomfort, shortness of breath, and polyuria. These indicators, coupled with her dietary behaviors and hypertension, underscore the urgency of managing her metabolic health.

The primary objectives are to normalize her blood glucose and blood pressure levels within the next 30 days and foster long-term improvements in her nutritional habits and general well-being over the following three months (Ramzan et al., 2022). Nursing interventions are tailored to educate, motivate, and empower the patient toward adopting sustainable health behaviors.

Interventions	Description	Rationale
Educate on diabetes self-care	Explain nutritious eating, physical activity, and sleep	Enhances understanding and promotes lifestyle improvements (USC, 2018)
Support monitoring practices	Train on glucose tracking and food logging	Encourages early identification of glucose spikes (Carolina, 2019)
Insulin administration training	Provide instruction on injection techniques	Increases compliance and improves therapeutic outcomes (Heart, 2021)

Progress will be assessed through consistent reviews of blood glucose and blood pressure recordings. Should outcomes fall short, further dietary or pharmacological adjustments will be implemented.

2. Heightened Anxiety Due to Caregiver Role and Family Conflict

Mrs. Snyder’s mental health is significantly impacted by her roles at home, particularly her duties as the main caregiver for her ailing mother and ongoing issues with her son. This emotional overload has exacerbated her anxiety, leading to physiological symptoms such as elevated blood pressure and rapid pulse. Furthermore, she inconsistently takes her anxiolytics, diminishing their therapeutic effects. The stress of managing household duties and financial responsibilities contributes to her deteriorating psychological state.

Nursing goals include achieving a stable blood pressure of 130/90 mmHg and maintaining her heart rate within the normal range of 60–100 beats per minute within a month. Another crucial aim is to mitigate her anxiety symptoms by encouraging medication adherence and therapeutic intervention (Pegg et al., 2022).

Interventions	Description	Rationale
Ensure anxiolytic compliance	Encourage routine medication use	Aids in controlling physiological anxiety symptoms (Ströhle et al., 2018)
Initiate CBT therapy	Weekly counseling sessions	CBT is known to effectively reduce anxiety (Pegg et al., 2022)
Provide social resources	Connect with local spiritual and emotional support groups	Enhances social connection and emotional resilience (Goodtherapy, 2019)

Outcomes will be monitored weekly, focusing on changes in anxiety levels, physiological parameters, and participation in therapy. Care plans will be modified based on her responsiveness to treatment.

3. Emotional Strain from Cancer Diagnosis and Caregiving Burden

In addition to her chronic illnesses, Mrs. Snyder is coping with a recent diagnosis of ovarian cancer. Her psychological stress is exacerbated by the prospect of chemotherapy and the responsibility of caring for her mother. She reports abdominal discomfort and exertional dyspnea, with a drop in oxygen saturation levels during physical activity.

Short-term objectives include securing alternate caregiving arrangements for her mother within two weeks, enabling her to prioritize her treatment. Long-term goals focus on improving her oxygen saturation and physical strength within three months. Holistic care addressing her physical and emotional stressors is critical.

Interventions	Description	Rationale
Refer to social services	Assist in finding a caregiving facility for her mother	Reduces stress and promotes treatment adherence (Hoyt, 2022)
Monitor pain regularly	Ongoing assessments for treatment-related pain	Ensures timely pain control and enhances functionality
Introduce relaxation techniques	Provide training in meditation, yoga, and guided imagery	Non-drug approaches aid in stress reduction (Sheikhalipour et al., 2019)

Her care plan will be evaluated through improvements in pain control, oxygenation status, and emotional well-being. Adjustments will align with progress in caregiving support and her response to cancer treatment.

References

Cancer. (2021, October 6). Managing diabetes when you have cancer. Cancer.net. https://www.cancer.net/navigating-cancer-care/when-cancer-not-your-only-health-concern/managing-diabetes-when-you-have-cancer

Carolina, C. M. (2019, October 16). Unlocking the full potential of self-monitoring of blood glucose. Uspharmacist.com. https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-glucose

NURS FPX 6610 Assessment 2 Patient Care Plan

Goodtherapy. (2019, September 23). Therapy for self-love, therapist for self-love issues. Goodtherapy.org. https://www.goodtherapy.org/learn-about-therapy/issues/self-love

Heart. (2021, May 6). Living healthy with diabetes. Heart.org. https://www.heart.org/en/health-topics/diabetes/prevention–treatment-of-diabetes/living-healthy-with-diabetes

Hoyt, J. (2022, May 26). Assisted living & senior placement agencies. SeniorLiving.org. https://www.seniorliving.org/placement-agencies/

Pegg, S., Hill, K., Argiros, A., Olatunji, B. O., & Kujawa, A. (2022). Cognitive behavioral therapy for anxiety disorders in youth: Efficacy, moderators, and new advances in predicting outcomes. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7

Ramzan, B., Harun, S. N., Butt, F. Z., Butt, R. Z., Hashmi, F., Gardezi, S., Hussain, I., & Rasool, M. F. (2022). Impact of diabetes educator on diabetes management: Findings from diabetes educator assisted management study of diabetes. Archives of Pharmacy Practice, 13(2), 43–50. https://doi.org/10.51847/2njmwzsnld

Sheikhalipour, Z., Ghahramanian, A., Fateh, A., Ghiahi, R., & Onyeka, T. C. (2019). Quality of life in women with cancer and its influencing factors. Journal of Caring Sciences, 8(1), 9–15. https://doi.org/10.15171/jcs.2019.002

NURS FPX 6610 Assessment 2 Patient Care Plan

Ströhle, A., Gensichen, J., & Domschke, K. (2018). The diagnosis and treatment of anxiety disorders. Deutsches Aerzteblatt Online, 115(37). https://doi.org/10.3238/arztebl.2018.0611

USC. (2018, January 9). What does self-care mean for diabetic patients? Nursing.usc.edu. https://nursing.usc.edu/blog/self-care-with-diabetes/