| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
|---|---|---|
Preventing Health Complications | Individualized teaching techniques | Self-Monitoring and Awareness |
promotes ability to self monitor and properly administer important health medication | forward chaining, checklist, task analysis | healthy food choices, exercise, self care (personal hygiene) |
He must have the skills to monitor his levels to ensure his safety | assess skill level, provide intervention, assess skill acquisition, provide further training if needed | ability to access assistance if needed- emergency procedures |
John can learner to manage his own blood sugar, which could help if no one is around to assist. | Create a task analysis | |
The ability to check blood sugar levels independently will support better decision-making. | If finger pricks are part of the process, a modified practice opportunity using contrived scenarios may be helpful. | Identification of what to eat or avoid based on the blood sugar reading. Emergency procedures for high or low readings. |
Allows him to check and monitor his own blood sugar levels | Video modeling, total task chaining | What to do when blood sugar is too high. What to do when blood sugar is too low |
Client is able to identify his own blood sugar level and this will be the first step to being able to be more Independent | Setting alarms to check blood sugar level and then identifying if it is at a good range. If not, then task analysis on what steps need to do, take out insulin, wipe area, inject. | Being able to identify what is safe level and not |
Managing health. Autonomy is self care needs | Learning the blood sugar machine | Low or high numbers |
This is potentially lethal health condition | FBA to insure proper steps for diabetes management | Independence |
Links to health | teaching new skills, e.g, using forward chaining | healthy eating |
John will need to reliably follow a strict schedule for checking his blood sugar. If he forgets to check or does it incorrectly, there could be implications for his health. | Depending on John's skill level, an intervention might include task analysis to break down the steps associated with checking his blood sugar. Additionally, creating a schedule and a system of reminders might be applicable too. | Ensure he can keep track of his blood sugar levels. |
He needs to be able to effectively monitor his blood sugar | Task analysis | Recognizing signs of feeling low blood sugar |
He needs to accurately be able to complete the steps, remember to check his sugar, and be able to identify the reading. This would also involve a process of identifying hi / low / okay and notifying someone or taking steps to appropriately address. | Depending on client -- chaining procedure, self-monitoring (e.g. check list when complete), possibly token system to support acquisition, stimulus prompts such as keeping the item in a specific spot, having an alarm etc, as well as teaching to self identify and label signs that sugar may be high or low (e.g. dizziness, etc.) | Do they consistently identify how to respond to high / low sugar? Do they know how to identify numbers and what the normal range is. Can they label private events and respond appropriately. |
His health in the indicator on the behaviors success. | setting timers. perhaps a self-managment intervention. focus on the process of the checking blood sugar with chaining | checking at a certain time if the behavior was accomplished. |
Protects John from the vulnerability of being in someone else's care | TT Chaining & Video Modeling | Being able to call/contact emergency services if his blood sugar drops too low, knowing what foods/drinks to eat in an emergency situation, and knowing how to expressively identify/label his condition to another person (e.g., paramedic) |
Important to manage blood sugar levels which manages health and reduces emergency situations. | Task analysis to break down steps on testing blood sugar | Understanding different blood sugar levels and what they mean. |
increases healthy safety and recognizing medical emergency | There are different apps that can track glucose effectively that are less invasive then finger prick. Teach recognizing alerts and glucose range. | Nutrition education |
managing his diabetes | total task | |
Independence | Visual modeling | Overall introduction of using needles and other medical supplies. |
Make taking care of health and medical needs a priority when possible | Total task chaining is a good fit when the individual can already do many of the steps in the TA.In-vivo training promotes generalization while teaching in a structured learning environment is more convenient which provides more opportunities to practice. | Other health goals, weight, blood pressure |
Allows blood sugar to be taken reliabliity without a support person present. | Assessment to see what skills the client can preform with 100% accuracy, | What to do about blood sugar numbers |
Maintenance of Health Problem Solving Challenges with blood sugar Prevention of ill effects of diabetes damage | Developing a Task Analysis based on a preassessment and what parts of monitoring need the most help... Approach to learning (total task, forward chaining, backwards chaining) Determining learning tools: video modelling Discuss who he would ask questions to | Understanding rationale for learning/ developing awareness of healthy eating Developing a Task Analysis based on a preassessment Determining situations that it would be used Determining learning tools: video modelling Discuss who he would ask questions to |
His health needs to managed appropriately or else he could get very sick or die. | ? | time management, self-assessment |
It is important for John to know how to appropriately do this since it is his health as his performance is important when working with clients. | Consider how skill acquisition changes risk to the individual. | responding to emergencies |
Managing his condition, keeping him alive. | Video modeling | First aid. |
| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
