Nursing Diagnoses and Long-Term Outcomes for Martin Redbird:

QUESTION

Critical Thinking • Martin Redbird, a 47-year-old Cree man, arrived by ambulance from a supermarket, where he had fallen. On his arrival to the emergency department (ED), his breath smells “fruity.” He appears confused and anxious, saying that “they put a curse on me, they want me to die . . . they are yelling, they are yelling . . . no, no, I’m not bad. Oh God, don’t let them get me!” Martin is from a reserve community 700 kilometres north of the city in which he is being treated. When his nephew (closest next of kin) is contacted by the ED by phone, he tells the staff that Martin has diabetes and a diagnosis of paranoid schizophrenia and that this happens when he doesn’t take his medications or eat properly. In a word document answer the following slides and upload them to Blackboard under WEEK 8 Assignment: • A number of nursing diagnoses are possible in this scenario. Given the above information, formulate at least two nursing diagnoses (problems); include related to and as evidenced by. • For each of your nursing diagnoses, write out one long-term outcome (the problem, what should change, etc.). Include a time frame,

ANSWER

Nursing Diagnoses and Long-Term Outcomes for Martin Redbird

Nursing Diagnosis: Risk for Unstable Blood Glucose Level related to non-adherence to diabetes medications and improper dietary intake as evidenced by fruity breath odor, confusion, anxiety, and history of diabetes.

Long-Term Outcome: By the end of 3 months, Martin will demonstrate stable blood glucose levels within the target range (e.g., 70-130 mg/dL fasting and <180 mg/dL postprandial) as evidenced by regular blood glucose monitoring and achieving HbA1c levels within the recommended target (e.g., <7%). This outcome will be achieved through medication compliance and adherence to a well-balanced, diabetic-friendly diet.

Nursing Diagnosis: Risk for Acute Psychotic Episode related to non-adherence to antipsychotic medications and exacerbation of paranoid schizophrenia as evidenced by auditory hallucinations, delusions, anxiety, and a history of paranoid schizophrenia.

Long-Term Outcome: By the end of 6 months, Martin will experience a reduction in the frequency and intensity of psychotic symptoms as evidenced by decreased auditory hallucinations, improved thought processes, and an increased ability to distinguish reality from delusions. This outcome will be achieved through regular intake of prescribed antipsychotic medications and consistent attendance at therapy sessions or support groups for individuals with schizophrenia.