| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
|---|---|---|
Helps promote dignity related to independent care of medical needs | BST and video modeling | Setting up and cleaning up related to this act8vity |
independently checking his blood sugar will help keep him safe and increase independence | creating a system for self monitoring with video modeling, timers and built in reinforcement | BA could ask client about his interests in other areas of self care |
Allows individual to monitor their own health | Teach him to monitor his blood glucose levels | Teach him appropriate response to various blood glucose readings |
maintaining a healthy body, especially if solo so that he can manage this absent of others being around. | Teaching using a TA how to test blood sugar and teaching the range he needs to be in + how to manage out of range | identifying medical workers and how to manage out of range when grocery shopping/running errands |
John will be less reliant on others and be able to safely monitor his blood sugar, reducing risk of health issues. | Baseline measurement of understanding of blood sugar requirements and measurement | Food choice |
John would benefit from being able to check his own blood sugar in case he is there alone and needs help. | Using a task analysis to teach John the steps for taking his blood sugar, and what to do if he levels are off | checking his blood sugar, identifying what steps to take next if his blood sugar is low/high, contacting emergency support, teaching how to follow up with writing his doctor and email |
Helps the client maintain a safe blood sugar level | TA | identifying symptoms of low/high blood sugar levels |
It’s important to be able to monitor blood sugar levels in order to remain safe and healthy throughout the day. | Total task chaining | How to respond to blood sugar levels if low or high. What is a high or low level |
Supports John's independence with medical health. | Video modeling. | medication management. |
If the client makes errors it could put his health at risk. | Supervised practice | |
Caring for his blood sugar decreases the chances of a medical emergency | Video modeling | Precursors |
it increases John's self-awareness related to his health | teaching the skill | medication management |
checking blood sugar is extrememly important for your health and doing it correctly involves several steps | creating a task analysis and practicing | importance of setting timers or relying on self to do this reguarly |
Ensuring medication and health is monitored closely and correctly | reminders in phone, confirmations in an app | collaboration with medical team |
Promotes healthy life | TA | Reading skills |
Checking blood sugar is a critical self-care behavior because it is directly related to medical safety and health stability. | Task Analyze the Skill | Health & Medical Safety |
Self management means that they can regular check their health and respond accordingly without continuous check ups. | ||
John’s behavior relates to safety because diabetes requires precise self-management, and supporting him to independently check his blood sugar must be done carefully to avoid serious medical risks. | A safe and effective intervention would teach John to check his blood sugar step by step using a task analysis, behavioral skills training (BST), and prompts that are gradually faded. Visual supports (like checklists), reinforcement for correct performance, and close collaboration with medical professionals would help him learn the skill safely. The goal is to increase John’s independence gradually while maintaining safety at all times. | Additional targets include recognizing symptoms of hypo/hyperglycemia, knowing what actions to take during abnormal readings, safe use of diabetic supplies, medication management, recording/reporting blood sugar levels, basic nutrition safety, and knowing emergency procedures. |
Not caring for oneself can cause harm. This can cause a medical emergency. | Reinforcing compliance or approximations | Diet and exercise |
Monitoring his own blood sugar is directly related to John’s safety because diabetes requires regular and accurate glucose checks to prevent dangerous medical complications. If his blood sugar becomes too high or too low and is not identified quickly, he could experience serious health risks such as dizziness, confusion, loss of consciousness, or even medical emergencies. Supporting John in learning to check his blood sugar safely helps ensure he can recognize and respond to these risks in a timely manner, increasing both his independence and his overall health protection. | An effective approach would be to use a gradual skill-building intervention, such as task analysis and chaining, to teach John each step of checking his blood sugar safely and independently. The behavior analyst can model the procedure, provide clear prompts, and fade assistance as John becomes more competent. Incorporating visual cues, simple written instructions, and regular practice opportunities can also support learning. This approach promotes independence while ensuring that safety procedures—such as handwashing, proper use of the glucose meter, and accurate recording—are consistently followed. | Additional safety-related targets could include skills such as recognizing early signs of high or low blood sugar, knowing when to seek help, properly storing and maintaining diabetes supplies, and safely disposing of lancets or test strips. Other targets might include understanding how food choices and medications affect blood sugar, following a consistent schedule for meals and testing, and developing an emergency plan in case glucose levels reach dangerous ranges. These skills support John’s overall health, independence, and daily safety. |
Diabetes is a medical condition that must be regularly monitored during the day | Skill level | using a device, poking finger, disposal of materials |
Health | Video models | Insulin management |
Health | Self-monitoring system | baseline sugar intake vs goal of sugar intake |
Keeps his blood sugar level at an appropriate level, physical safety | Task analysis | Correctly identifying numbers and how they relate to more than or less than concepts |
It is great that John wants to take more responsibility for checking his blood sugar. As John has diabetes, he must check his blood sugar regularly and accurately in order to optimize his health. Not checking it or doing it inaccurately might put him at risk of a diabetes related complication. If using a finger prick, it has to be done accurately to avoid injury. | Provide video modelling and a checklist of the steps required to complete checking his blood sugar. Provide support/guidance where necessary and reinforcement for each correct step. A timer can be used on his phone to signify when he should take his blood sugar and a note book or note app can be used to document his blood sugar readings. Use of a continuous glucose monitor (wearable device that tracks blood sugar and sends reading to an app) can also be explored if preferred by the client. | -Properly sanitizing and throwing out garbage after checking blood sugar |
| How does this behavior relate to client safety? | What might be an effective approach to intervention? | What might be an effective approach to intervention? |
