Nursing Care of Diabetes Mellitus with Chronic Kidney Disease In the Chronic Disease Clinic at Banfang Hospital: Case Study 2 Case

Abstract

     This study comparative case study of 2 cases using the nursing process and principle of clinical practice of registered nurse (7 Aspect of Care ) are guidline for care. The first patient was diagnosed with diabetes mellitus with chronic kidney disease and hypertension hyperlipidemia and gout. The second patient was diagnosed with diabetes mellitus with chronic kidney disease and hypertension hyperlipidemia. Gather  complete information on  patient health conditions It is of sufficient quality to diagnose problems,  planning, implementation and evaluation. From following up and evaluating the symptoms of the patients coming for treatment at the chronic disease clinic 3 times and following up with 1 home visit for both cases.  

     The results of the study found that the patients' nursing diagnosis were the same, they have hyperglycemia and have inappropriate self-care behaviors for diabetes, hyperglycemia and are also at risk for complications of kidney failure due to decreased kidney function and have inappropriate self-care behaviors to slow down kidney deterioration. Moreover, they are at risk for not receiving injections enough to control blood sugar levels according to the treatment

plan, risking tissue lack of oxygen due to anemia. In terms of different problems, in case study patient 1,there was concern about ankle pain and knee pain, and also have risk of danger from falls due to ankle and knee pain. The second case study patient is at risk of harm due to hypogycemia , and risk of harm due to unclear vision and numbness in the extremities of both hands and feet.There is concern about Chronic kidney disease and kidney replacement therapy because they have stage 5 chronic kidney disease. Nursing activities for both patients focus on providing knowledge, advice, practice, andalso providing care and monitoring of health conditions. We create motivation and empowerment, so nursing results make patients have correct behavior and suitable for the disease situation with no acute complications occurred. Patients and their families are satisfied with nursing services at a high level.