Question

You must develop a detailed teaching plan with an emphasis on self-management. Be sure to include a collaborative suggestion for another professional who would be involved in the teaching plan. Inclusion of culture, client developmental level, and socioeconomic factors should be considered. A nine-year-old male patient with newly diagnosed type one diabetes. You are caring for this child and his parents in the pediatric unit and need to provide essential teaching related to diabetes so the patient can be discharged home before seeing the pediatric endocrinologist in a few days.

Answer 1

Ans) Diabetes education is important but it must be transferred to action or self-care activities to fully benefit the patient. Self-care activities refer to behaviors such as following a diet plan, avoiding high fat foods, increased exercise, self-glucose monitoring, and foot care.

- DSME/S has been provided through a formal program where patients and family members participate in an outpatient service conducted at a hospital/health facility. In keeping with evolving health care delivery systems and in meeting the needs of primary care, DSME/S is now being incorporated into office practices, medical homes, and accountable care organizations.

- Receiving DSME/S in alternative and convenient settings, such as community health centers and pharmacies, and through technology-based programs is becoming more available and affords increased access.

- Regardless of the setting, communicating the information and supporting skills that are necessary to promote effective coping and self-management required for day-to-day living with diabetes necessitate a personalized and comprehensive approach. Effective delivery involves experts in educational, clinical, psychosocial, and behavioral diabetes care.

- Clear communication and effective collaboration among the health care team that includes a provider, an educator, and a person with diabetes are critical to ensure that goals are clear, that progress toward goals is being made, and that appropriate interventions (educational, psychosocial, medical, and/or behavioral) are being used.

- A patient-centered approach to DSME/S at diagnosis provides the foundation for current and future needs. Ongoing DSME/S can help the person to overcome barriers and to cope with the ongoing demands in order to facilitate changes during the course of treatment and life transitions.