[Expert Solution]: Nursing progress note for this scenario please

Nursing progress note for this scenario please. Im not asking for subjective and objective I only need NURSING PROGRESS NOTE. Thank you. • You are an EN caring for a client with Diabetes Mellitus. You are allocated to: Perform nursing assessment of the client Perform blood glucose level tests and urinalysis, analyse the results and escalate as needed Follow management protocols for medical situations encountered Assess client’s self-management issues and carers understanding on management of diabetes; hence address the barriers Make care plan for client including client and carer Suggest referrals, community support, health and lifestyle adjustments and provide health education to promote self management Aboriginal and Torres Strait Islander case study Chronic disease impact Scenario 1 : Jackie Smith- [Client with Diabetes Mellitus on OHAs and Insulin] 67 year old Jackie Smith is admitted with unstable blood glucose levels due to mismanagement of DM which the client had for the past 12 years. Client is on oral hypoglycaemic agents and insulin. This is day 2 of hospitalisation. Clientâ€TMs past medical history reveals Type 2 Diabetes Mellitus x 12 years, Hypertension x 10 years . Client is a carer for his daughter with disability. No relevant Psych history revealed. Jackie has an Aboriginal and Torres Strait Islander background. Its breakfast time and you have to perform nursing assessment of the client. Vital signs: RR=18/mt, SpO2 = 94% on Room air (She is a smoker), Temp = 36.60C, HR = 92/mt, BP= 156/82mm pf Hg, no complaints of pain or discomfort at breakfast. BGL = 18.6mg/dl Ketones = 0.2, HbA1c 10.5% Urinalysis = SG 1.005, pH 7, Leukocytes +++, Ketones +, Glycose ++, Air entry reduced on R) basal areas on auscultation. On observation, patient appears comfortable and is ready to eat breakfast. One of her friends is present with her for breakfast. They are having a heated conversation regarding Jackieâ€TMs daughter. On analyses you determine the BGL to be hyperglycaemic and administers the regular insulin as well as the sliding scale insulin after consulting with registered nurse. Both you and the registered nurse checks the test results for patient and inform the patient about the findings. You administer the insulin as charted and advise client to have breakfast. The nursesâ€TM call bell rings. You are answering the call bell. Jackie states that she is feeling dizzy. You observe that she appears very tired and lethargic. Verbalise and demonstrate your response to this situation When checking the BGL 1 hour post administration of Insulin (Assessor prompt to recheck BGL) The Hypoglycaemia managed with 15-15 rule. You find out later the NOK told Jackie not to eat the rest of the breakfast as her BGL is always high. Add to your care plan to have a consultation with patient and educate them regarding the impact of each of the nursing interventions in supposed outcome and why the proposed interventions are selected. Suggest referrals and specialist services as required and explain to the educator regarding the role of the MDT, Aboriginal liaison officer and allied health staff in assisting this client. Care Plan Observation: Vital signs x 4 hourly; BGL QID and 0200am, Mobility: Client independent. Transfers: Independent Hygiene: independent with showers and oral care Toileting: Independent with toileting on toilet seat. Nutrition: soft, high protein diabetic diet Hydration: Normal texture diabetic liquids As the nurse caring for Jackie, you must perform the following tasks: Perform a head-to-toe nursing assessment of Jackie. Perform blood glucose level test and urinalysis. Analyse the results, and escalate as needed Follow the management protocols for the medical situations encountered Assess the clientâ€TMs self-management issues and carers understanding regarding the management of diabetes; hence address the barriers. Make a care plan for Jackie including the client and carer Suggest referrals to community support, health and lifestyle adjustments and provide health education to promote self-management You must address the Chronic disease impact on Jackie.