| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
|---|---|---|
If John forgets to check his blood sugar it could lead to serious health risks, particularly if no one else is around to monitor his symptoms or alert him | timers, alerts, notifications to check blood sugar or even a continuous glucose monitor he can wear that will sound alarms and send notifications to other responsible adults phones on his behalf if immediate intervention is necessary | ability to respond to alarms, carry out the steps to check blood sugar effectively, trouble shoot highs and lows effectively |
Makes him less vulnurable for others to have to carry out the checks | Video modelling | Who can check his bloods, safe words, |
Client has to be able to safely check his blood sugar by following appropriate protocol. | A task analysis | Client taking his blood sugar should be monitored by staff |
checking his blood sugar relates directly to the client's healthy and ability to alert or self-administer needed medications. | Total task chaining if some of the steps are known or forward chaining if the behavior is new to the client. | The meaning of, or interpretation of blood sugar levels and the potential next steps should the client have high or low blood sugar levels as well as the sanitation/disposal of tools used in checking blood sugar levels. |
Autonomy with health. | Task analysis and chaining. | Checking additional health indicators. |
This would support John to identify his current sugar levels before any negative symptoms appear. | Self-Care | Identifying prerequisite skills such as identifying what is considered as a "high" or "low" level. |
Client needs can me met in a timely manner | assessment, video modeling then instruction with supervision | Getting rid of sharps, gettin correct amount of insulin if necessary |
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Client has a medical condition that requires regular monitoring to keep them safe and healthy. | Video modeling for checking blood sugar or task analysis. | Being able to read numbers, understanding what numbers are safe and unsafe for blood sugar. |
He could die if his blood sugar is not correct. | Having him follow a TA and then gradually fading the TA. | What to do in case of an emergency (e.g., who to contact) |
Important for his physical health and wellbeing. | Forward chaining to teach the skills needed to complete the blood draw and check. | How to administer medicine when needed or call for emergency help. |
Checking his blood sugar and all the behaviors related to that. | A pre assessment and then a task analysis including video modeling. | Pricking himself and sensitization to that. Documenting it, identifying when a number is too high or low, taking out the machine, putting away the machine, keeping it organized, does he know how to wash his hands effectively before and after the pricking? |
High or low could be dangerous | repeated trials | safe eating |
Checking blood sugar independently allows John to monitor a crucial part of his health independently. This would be imperative if he is not around another person that could do it for him. | Video modeling and Task Analysis. | Interpreting the results from the blood sugar monitor |
Managing diabetes is a health concern | Total task training | Recognizing symptoms of low blood sugar and the proper response |
Self-care | Consider how skill acquisition changes risk to the individual. | Prioritize autonomy and privacy. |
It is vital to his safety that his blood sugar is monitored | ||
Keeping blood sugar in normal range is vital to current and future health. | Chaining, either forward or total depending on a pre-assessment of his current skills. | Diet |
he has diabetes and by checking his blood sugar it gives him autonomy | creating a TA | having materials and visuals to use them and the order it needs to be in |
error correction | forward chaining | how to respond to emergencies |
getting sick | chart | excersice |
because the client is looking out for their own health and safety | chaining | maintaining a healthy lifestyle |
X | A chaining procedure tbd after pre-assessment to determine current skill level. | To notify the appropriate person if his bgl is too high or too low. |
It helps John prevent serious health problems by managing his diabetes safely and independently. | Use a step-by-step teaching plan (task analysis), prompts, and practice in real settings to build independence. | Recognizing blood sugar symptoms, using insulin safely, proper supply disposal, diet management, and emergency planning. |
health related | develop a TA and shaping procedure | schedule of when to check or teaching him signs/symptoms in his body that indicate he should check |
| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
