During my clinical rotation at Kaiser Permanente on April 30, 2012, I proceeded to listen to nursing knowledge exchange (NKE) with my nurse, to obtain information in regards to my patient Ms.Sunshine*. Then I went into my patient’s room and introduced myself and proceeded to do a head to toe assessment. Subsequently, I started to obtained the subjective data and objective data that can be found in Appendix 1. I created a list of nursing diagnosis that were individualized to Ms. Sunshine and realized that she had Impaired health management, which puts her at risk for many complications of Diabetes, such as uncontrolled glucose causing kidney damage (Lewis et al, 2007). A plan was constructed around the nursing diagnosis and highlighted the importance of a nutritional balance