Safety Cosderations

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How does this behavior relate to client safety?What might be an effective approach to intervention?What might be an effective approach to intervention?

Will teach him how to potentially save his own life

Have a monitor that alerts someone else of a drop in blood sugar

What to drink or eat if sugar drops

Client would be in danger if medication not administered properly.

Total task chaining

Requesting help, calling 911, identifying location and personal information.

Blood sugar levels relate highly to overall health. Too low or too high can result in severe health concerns

Chaining to teach the skill

How to approriately address different levels of blood sugar

He needs to have control over his personal health

assess his current skill level to choose a chaining approach

Maybe how to trouble shoot issues or problems that may pop up

This ensures that John will be able to act if he has a low or high blood sugar without depending on caretakers.

Use of video models to check blood sugar

How to dispose of used medical materials safely

self sufficiency, and lessens likelihood of incorrect care from others

phone task lists and reminders

health and safety skills, calling for help based on the type of emergency

Being able to independently get blood sugar levels will help maintain safe levels without highs and lows, which could cause a medical emergency.

video models

self-administration of insulin, preparation of healthy meals, how to call for medical attention

he needs to learn how to manage his health by responding to his monitor correctly, this is a huge safety concern.

total task

individual sessions on reading his monitor. understanding what each symbol means

Managing self care makes individuals less vulnerable to abuse

Do task analysis to determine skills he needs, asses to what skills he already has, use video modeling along with forward or total chain procedures

Can he determine when to test and what response is needed for test outcomes. Also how and when to seek help with this task

Increases independence with task so he can check it if feeling unwell or consumes sugary food

Task analysis and chaining

Hygiene before pricking finger, indicators of issue with blood sugar

if able to check blood sugar can keep safe and healthy and take necessary actions

teach steps of blood sugar checks in contrived setting with total task or forward chaining - generalize to appropriate settings

maintaining blood sugar levels by eating/avoiding sugar

Blood sugar levels affect John's health

Forward chaining

reading numbers
understanding when he is high/low

Insulin is critical for the person to stay alive while increased glucose causes long-term systemic consequences.

Get supplies out and wipe finger with alcohol pad and add from there or could use backward chaining of reading the results, putting the strip in the glucometer, squeeze blood onto the strip....

Cleaning and ensuring the environment is sterile.

If done incorrectly this can create medical emergencies.

Video modeling,
Chaining,
Task checklist.

how to give oneself the proper insulin

He will be able to keep track of his own healthy and be able to document his own numbers

Breaking down the task in smaller step "task analysis"with additional steps

generalization

Self management. Can check and address changes without intervention so speeds up ability to address needs

Forward chaining

Teaching what to do if his blood sugar is low or high

Encourages independence with caring for one's own health with less reliance on other people.

Pre-assess for ability to perform the task.

Purchasing additional glucose test strips.

Being able to manage own health risks has positive implications... Learning to do so has safety implications of correctly and safely finger-pricking, as well as ensuring accurate readings and treatment decisions.

Beginning with understanding the readings and identifying the appropriate course of action OR beginning with process of finger pricking.

Needle safety and disposal; when to test

Helps regulate blood sugar, which is important

Chaining or video model

dietary habits to reduce risk of blood sugar problems

Management of self levels

teaching self monitoring using technology

medication administration

Ensuring his blood sugar levels are at a good level and requires self monitoring

Depending on skill level, a chaining procedure such as total task analysis

Preparing small meals

That if the treatment is effective he could independently ensure his safety.

Scaffolding

Knowing next steps for a low blood sugar

Relates to client's medical needs and health/ safety. Also, checking blood sugar requires the client to engage in low level self-injury (finger prick to measure blood sugar). Last, this involves safety because if blood sugar is read incorrectly, it may lead to more health related safety issues (fainting due to low blood sugar)

Create a task analysis and teacher with the most appropriate chaining procedure

Identifying a baseline duration in which blood sugar typically becomes too low. Increasing help seeking behavior prior to the skill of independently checking blood sugar being mastered/ generalized

It allows the customer to acquire the ability to control their blood sugar levels, making their life safer.

Total Chaining.

Generalizátion and maintenance

health factors

video modeling

How does this behavior relate to client safety?What might be an effective approach to intervention?What might be an effective approach to intervention?