Diabetes is a chronic issue and stressor is one of the components that an individual has to continually adjust. The nurse should acknowledge the stressor because after discharge patients feel alone and they should have proper resources (Husband, 1988). It is also stated that diagnosis of strengths of the patients is equally important as finding the problem/barriers. Strengths are available resources to the patients that are important in overcoming future problems.
After reviewing the studies done by various authors it is certain that patients compliance with the self-care regimen can be increased through mutual goal setting and joint planning between the patient and nurse. Self-care is a human behavior and it is one of the vital components of diabetes care. Self-care is self-directed. A research by Surucu, Kizilci, and Ergor (2017) shows that Orems self-care deficit nursing theory (SCDNT) based on nursing education has significantly lower HbA1c scores among the participants with type II diabetes. Thus, SCDNT was a good guide in planning the study and for the self-management education. Another study by Wagnild, Rodriguez, and Pritchett (1987) shows that this self-care theory can also be implemented in acute care and hospital settings. Our med-surg unit will be highly benefitted with this theory.
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Uncontrolled levels of blood glucose are the basic problem in patients who admit to our unit. Many related to lack of knowledge of diabetes management, self-care deficit of various causes, sedentary lifestyle, food choices and personal belief. This tells us that when we look into a patient in the hospital a nurse needs to take everything into consideration and make a care plan accordingly.
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