| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
|---|---|---|
This is a critical behavior for safety. If there is a missed dosage or a lapse or overdose in medication there are significant consequences | Beginning to train with blood glucose monitors and practice with medication administration is highly recommended. | ability to tell time. Ability to recognize alarms. Ability to make calls or video chats to discuss concerns with medical professionals. |
Checking his blood sugar is an important health task that needs to be done. | Video modeling and forward chaining procedure. | Learning how to check a timer and respond to an alarm |
This relates to physical health | Identifying what is a safe vs unsafe blood sugar number. Healthy and unhealthy things to eat | Identifying healthy foods |
N/A | N/A | N/A |
check in with adults | treatment program | |
Self-care related to medical concerns | Teach him to test his own blood sugar using a TA or video modelling | Picking up supplies or medication |
Self care | Forward chaining | Recognizing low/high blood sugar and responding appropriately |
I don't know | video primming/ video modeling | I dont'know |
Diabetes management | Skill building to complete steps | Steps to take if blood sugar readings are not in line |
Managing blood sugar is a life-saving skill | Task analysis | Teaching normal range for blood sugar, what to do if blood sugar is too low or too high, how to track trends in blood sugar levels |
To monitor sugar levels | Forward chaining | How to measure blood sugar |
Safety for their own health | Forward Chaining teaching techniques | |
Promoting autonomy for John as he cares for himself could improve his quality of life, ensure that treatment is being done at all times, not just when someone is available to help the client, and could minimize complications of diabetes caused by irregular blood sugar checks. | Depending on John's ability to manage his time, a visual schedules and/or the using of timing alarms may be necessary to ensure blood checks are completed independently at the right times. Additionally, the use of a task analysis could be helpful in teaching the individual steps to take one's blood sugar. | Ability to manage time, ability to read numbers, dexterity to manipulate the machine. |
Being able to care for his own diabetes will decrease the risk of harm to John, increasing safety. | Create a task analysis for checking blood sugar. Total task chaining might be a good fit if John already knows some of the steps. If he does not, forward chaining would likely be more appropriate. You could consider video models as well as in-vivo training to promote generalization. | Administering insulin, managing and ordering John's diabetes equipment, troubleshooting if blood sugar is not at the correct level/following up with physician. |
if they miss it it could be drastic | fading procedure | time and schedule manangment |
It is an essential safety issue | Total task training | Correctly reporting blood sugar seeking insulin |
This part of his health. Can use this in case of medical emergency to identufy he is in risk | Show clear step by step of how to test blood. Identify risky values | Teach what food is suitable. |
Could result in passing out, hitting head, even death | Teaching how to check blood sugar levels | Teach how to recognize signs of sugar levels high or low |
Client needs to monitor blood sugar for his health | using checklist and fading support for monitoring | how to respond to each scenario in regard to blood sugar levels |
By teaching him to independently check his blood sugar, you are allowing him autonomy, as well as not relying on others in case of high/low blood sugar. | Probe to see how many steps of the process he already knows. Based off this, implement an appropriate chaining procedure to teach the process of checking blood sugar. | Teach responses associated with the different levels of blood sugar (aka what to do if low/high) |
Diabetes is a serious medical condition and can have severe consequences if not properly managed | Use schedules/alarms to indicate times to check blood sugar, and then use a task analysis with chaining to follow the steps of checking his blood levels. Video modeling might be helpful, but monitoring and assistance might be. Required since checking your blood sugar involved pricking you finger. | What to do if blood sugar levels are outside of normal range? How to manage diet/exercise and other behaviors that help keep his blood sugar in check, and can he identify what it feels like when his blood sugar levels are low/high? Also, how to clean up/ provide wound care after checking levels |
Less people in bathroom | Chaining | Wiping |
Managing health is safety | Shaping | Visual for numbers |
Health is related to client safety | Shaping | Understanding blood sugar numbers |
Independence | Forward training twaching | |
| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
