Since hypertension and type II diabetes is caused by eating habits and lifestyle issues, health teachings should include proper meal plan which focuses on consistent and regulated intake of the following: (1) calories and carbohydrates based on the patient’s age, gender, body weight, and height; (2) vitamins; (3) minerals; (4) increased fiber; (5) low sodium diet; and (6) moderate sugar depending on the patient’s blood glucose level.
It is equally important to encourage the patient to lessen or stop the habit of smoking (nicotine), drinking of alcohol, and avoid stressful situations which could lead to the increase of blood pressure (Johnson, 2004, p. 432). Instead of
Depending on the patient’s age, nurses should consider the patient’s physical maturation, cognitive abilities, and psychosocial development when conducting health teaching (Habel, 2007). Although the patient is well-educated and prefers all learning styles; the nurse should always consider the age factor and readiness to learn. Since the patient is 65-year old, there is a possibility that the patient is experiencing learning barrier related to loss of hearing. In this case, the nurse should consider the idea of allowing the patient to read the health-related materials.
The patient’s readiness to learn is an important factor behind the success of nurse’s health teachings. In case the patient is not interested in learning due to physical discomfort such as pain, the nurse should take more time to teach the patient health information in short details.
Pertinent to the patient’s health condition, nursing diagnosis may include high random blood glucose levels of more than 200 mg/dL due to type II diabetes (Johnson, 2004, p. 286). For chronic renal failure, nursing diagnosis will include excessive fluid volume caused by sodium and water retention (decreasing the patient’s urine output) (Johnson, 2004, p. 677).
To prove that allowing the patient to read nurse’s health