| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
|---|---|---|
self care | task analysis | |
. | ||
teaching client to perform this task independently increases self-care | task analysis | recognizing warning sign |
allows client to monitor and report health status in real time | using a tsk analysis with prompting | all heath markers |
Diabetes can be life threatening if not properly treated. | Assuming he can do some of the steps already, total task training would be appropriate, perhaps some videl models. | Pulse, BP etc |
It will greatly benefit John to be able to manage his own health needs independently. Blood sugar levels are highly important to an individual with diabetes' overall health and safety. | Video modeling, Total task chaining, self-management system | Reading a blood sugar monitor, following a safety protocol when blood sugar levels are off |
checking blood sugar is important for his health | self monitoring checklist | increments of more responsibility |
If a caregiver is unable to monitor his blood sugar, that could constitute a medical emergency | Checking for knowledge of blood sugar and checking procedure; utilize BST | Healthy food choices, identifying precursor symptoms |
Diabetes is serious so it is vital that the learner knows how to care for himself | Video modeling | Is able to operate a shot (fine motor) |
If the behavior is not successfully engaged in, the client will not get the required medication. | Teaching the skill through chaining, and overseeing it's completed successfully eventually without prompting. Then transition to a chart to be filled out each time. | Completing charts. |
Maintaining safe blood sugar levels are critical for individuals with diabetes. | video modeling, in person modeling, guided practice and check for understanding | Healthy eating habits for diabetics (good foods/bad foods) |
checking his health | visual schedule | being independent |
Self-care and Response to emergencies (if his blood sugar numbers are high or low) | Video modeling & task analysis | Ensuring the client understands how to access help if his blood sugar is too low or too high. |
health related issues- client has to know how to check his blood sugar to keep him safe and healthy | first assessing if the client can do it | |
Improves self-help skills. | Task analysis -- chaining procedure | Reading. Identifying high verse low blood sugar. Identifying/reading medication amounts. |
If John is able to check his own blood sugar, he would be able to help maintain his levels independently and possibly help himself in situations of highs or lows. | Completing a task analysis of how to check his blood sugar. | Understanding the foods or items needed to complete the skill. |
safety | safety | safety |
Unregulated blood sugar can cause additional issues | Using a task analysis to teach the process | knowing foods to eat to increase blood sugar and to decrease |
John needs to be able to monitor his blood sugar levels to ensure that his blood sugar does not become too high or to low. High blood sugar can result in damage to his organs and low blood sugar can result in further health complications such as seizures. | Setting an alarm on John's phone to remind him to check his blood sugar. If John does not have a phone a simple motivator can be used to remind him to test. | Training regarding the amount of insulin John should take before meals as well as additional training regarding the need to take insulin every morning. |
Being able to check his blood sugar in the absence of others and not relying on staff to do so. | Conduct preassessment and create a TA; determine if he has the skills needed to complete steps in the TA successfully and conduct a forward chaining procedure | What to do in response to blood sugar readings (low or high) |
Gives John autonomy, and the ability to check his blood sugar when others are not there for support, ultimately leading to more opportunities to check blood sugar, if needed. | Chaining the steps needed to accurately complete the task. | How to identify appropriate blood sugar levels, and how to respond to inappropriate blood sugar levels. |
increases self-management of the condition which increase independence while being meaningful to the client | first, obtain meoi from managing physician to discuss needs, indications and contraindications, then run a pre-assessment to determine which steps client is able to independently complete, then design the program based on these data | if additional action is needed beyond a simple check of sugar level, teach response for low read, response for high read, and emergency procedures |
Teaching him independence and autonomy. | Training. | Medical Intervention. |
Client can learn to independently check and maintain his health | I would first have to learn what goes into checking blood sugar before suggesting anything for this | What to do in response to different blood sugar levels |
. | . | . |
| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
