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A priority concern for this patient involves the concept of Glucose…

- - - - Evaluation: Patient will remain free from any burn injuries throughout his hospital stay. Patient and family will state the importance of adjusting the controls on his water heater at home
    - - Evaluation: Patient will remain free from any skin breakdown throughout his stay at the hospital. Patient does not develop any foot ulcers at home, as he is wearing properly fitting shoes and inspects his feet daily.
    - - Evaluation: Patient will remain injury free throughout hospital stay. Patient's room will remain clutter free with only the necessary medical equipment present. Patient will use a razor with a safety when shaving.
  - - - Evaluation: Patient's blood glucose remains under 140 mg/dL throughout hospital stay.
    - - Evaluation: the patient is properly able to demonstrate accurate SMBG and is able to verbalize when he should be checking his glucose levels. At the time, the patient was still intubated, so this needs to be completed once the patient is extubated prior to discharge.
    - - Evaluation: Patients urine remains free from ketones, does not display signs of dehydration, and has normal levels for his creatine, BUN, and H&H.
        Since this patient was on a mechanical ventilator, he was receiving his nutrition through an orogastric tube.
  - - - Evaluation: Patient will accurately demonstrate to the nurse the administration of the correct units of insulin based off of his blood glucose level.
    - - Evaluation: Upon follow up, the patient will have been exercising five days a week for 30 minutes each day, and prior to discharge the patient will state the importance of checking his blood sugar prior to exercising and state that he should delay exercise if blood sugar is above 250 mg/dL
    - - Evaluation: By the end of his hospital stay, patient will be able to state foods that contain carbohydrates, read food labels, and determine appropriate serving sizes. Patient will be able to state what the "Rule of 15" is in regards to self-treating hypoglycemic episodes
- - - - Patient will explain methods to prevent injury
      - Demonstrate behaviors that decrease the risk for injury
      - Patient will remain free of injuries throughout the stay in the hospital.
  - - - Demonstrate how to accurately test blood glucose prior to leaving the hospital (Ackley et al., 2017)
      - Maintain blood glucose levels at normal or near normal levels throughout hospital stay (Lewis, Bucher, Heitkemper, Harding, Kwong, & Roberts, 2017).
        
        Maintain preprandial blood glucose values in noncritically-ill hospitalized patients below 140 mg/dL.(Ackely et al., 2017) :
      - Experience few or no hyperglycemia or hypoglycemia emergencies.
  - - - Patient will describe daily food and fluid intake that meets therapeutic goals (Ackley et al., 2017).
      - Patient will describe activity and exercise patterns that meet therapeutic goals (Ackley et al., 2017).
      - Patient will describe scheduling of medications that meet therapeutic goals (Ackley et al., 2017).