| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
|---|---|---|
Recognizing when his blood sugar is high or low and able to administer medication to himself. | Teach how to take his blood sugar. Teach how to administer medications. | Document Blood sugar levels to provide to others- self management. |
managing blood sugar is critical to good health | complete a task analysis | having a staff member check in frequently to ensure monitoring is being completed |
Health monitoring avoids danger of blood sugar issues | Concrete numbers with what to do | Monitoring physical sensation/ symptoms |
Effectively manage and respond to critical health care | Create task analysis and test to determine type of chaining procedure to be used | What to do if blood sugar is high or low |
John needs to know how and regualrly do his correctly. | Chaining | Knowing how to read, and follow directions. |
It provides a safer environment for John and gives him greater autonomy. | Video Modeling, Task List, Forward Chaining. | Contacting a nurse if needed, eating a predesignated sweet if low. |
John's ability to monitor his own blood sugar provides him with the knowledge and skills to recognize increased blood sugar and take appropriate action. | BST model, including video modeling | Medication administration, recording of blood sugar |
Improved blood sugar monitoring helps his overall health. | Provide him with a continuous monitoring system which is really easy to use. | Show him how to ask for help when blood sugars are not stable, |
It is a health problem and it is safe if he takes care of himself. | Total chain | To teach the client to go to doctor visits for checkups |
To make sure his blood sugar is managed well | Video modeling and TA with forward chaining | Record the data daily to make sure the practice is made properly |
Increase monitoring of his health problem and he becomes less dependent on others to monitor. | Pre-assessment and chaining procedure | identifying safe and unsafe levels |
managing critical health issues | self-care, emergencies | medication management, blood sugar management/response |
It would help him manage his own medical needs independently | Total task chaining | Maintaining equipment, keeping logs of data, when to ask for help |
John is learning self-care to manage blood sugar prior to it being a problem. | To help gain independence skills. | Having emergency supplies always with him. |
New plan is established, | Use of schedule with timer, supervised and guided. | Follow up on the new plan. |
Learning how to consistently check blood sugar levels will allow the client to be independent and responsible for his own health and self-care. He will start to connect the readings from checking blood sugar to his personal feelings and sensations. He will also be able to mitigate any adverse consequences. | Depending on his baseline knowledge, either whole task analysis or forward chaining. | Inteventions depending on blood sugar reading (e.g., eat a certain food, notify doctor, etc.) |
Without his medication and knowing his blood sugar he could die. | Pre-assessment in order to determine which teaching method should be utilized. | Getting help if needed. |
encouraging them to be more independent and responsible for their health. Also, need to make sure the client does the blood sugar reading safely so that he doesn't harm himself. | Forward chaining, video model | Knowing what to do in an emergency |
This promotes independence and the ability for the individual to care for himself | I would start with a task analysis and based on how many steps he knows would determine you would teach it through forward or total task chaining video modeling could also help teach the steps needed. | Teaching him the signs of when his sugar is too low or too high to indicate he may need to test. It would also be beneficial to teach the client to get help when he is unable to complete this task |
It will help the client self manage an important medical concern for himself. | Depending on his level of skill - video modeling | Diet education |
health safety | video modeling | What to do if his blood sugar is good high or low |
being able to take his own blood sugar can help prevent spikes/low | task analysis | what to do if it is low/spikes |
Checking the blood sugar relates to his daily well being. | forward chain | reading the measurements |
It keeps his blood sugar monitored. | Use of self-monitoring, an alert or alarm on a device. | If the individual can follow an alert, if the individual can self-administer, and read labels properly. |
Failing to take readings at the appropriate time or in the correct way has immediate and significant consequences on the clients health | include a task strip, train the use of alarms and timers on the phone, practice with direct support and chaining/shaping | response to readings (injection, additional wait time, etc), dietary management to increase insulin stability throughout the day |
| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
