The stressors associated in Shelby having a child is that her body may be placed under extreme distress with her diabetes. This places stress on her spouse, her mother, and her father. Shelby deciding to have a child goes against her mother’s wishes, and places a strain on her and Jackson’s relationship. Also, M’Lynn has to give a kidney to Shelby due to her childbirth, creating stress among her siblings, and parents. M’Lynn giving Shelby a kidney did impact the family by creating fear in Drum. He did not want to discuss the issue at hand. This event also brought the group of friends closer. The end result of Shelby’s demise, impacted the lives of Jack Jr. forever, he will never have his mother that gave her life to have him. Jackson …show more content…
This training would incorporate the family and individual’s needs, experiences to improve quality of life and lessen medical costs. Education is an essential element of diabetes management. (Burke, Sherr, & Lipman, 2014). Meetings with family members are to discuss diabetes related responsiblities, emotional support for Shelby who has diabetes, and teamwork between all members of family so that no one feels the burden of diabetes alone. (Auslander & Budd, 2014) “Diabetes is a manageable disease and when families receive quality education about [diabetes] and carry it out at home, there are no physical limitations,”(Worthington, …show more content…
Successful management of diabetes is partially due to ability to remain on a regular schedule involving blood glucose monitoring, regular meals, and dietary restrictions. (Auslander & Budd, 2014) Take this journal to medical provider and ask how to best handle when blood glucose is too high or too low. The last task associated with this goal would for the social worker to facilitate a support group meeting between Shelby and other people who suffer from diabetes. Goals for Jackson would be to understand and prepare for complications associated with diabetes. The tasks for this goal would be to form a plan when meals will be completed and eaten. Adopt healthy habits for the entire household. Family teamwork relating to diabetes also pertains to preventing conflicts around food, and coping with blood glucose monitoring. (Auslander & Budd, 2014) Thirdly, have a plan if wife becomes unable to talk, has hypoglycemic attack, how to give glucose tablets, how to raise blood glucose, and when to call
The most significant difference between the regular insulin and the rapid acting insulin is the onset. The onset for rapid-acting or lispro is 10-15 minutes, and for the regular it is ½-1 hour.
Diabetes substantially limits the life function of eating, and it also negatively impacts the life function of learning. Support to manage diabetes and a schedule to check blood sugar levels during non-instructional times of the day or the opportunity to make up any work missed during blood sugar checks are accommodations that would be in this student’s 504 plan. The 504 plan might also require all staff to be trained to recognize and handle any complications related to diabetes to ensure the child’s
It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes
Cardiovascular disease- Diabetes drastically increases the risk of different cardiovascular manifestations, such as coronary artery disease and affiliated chest pain (angina), stroke, tightening of arteries (atherosclerosis), and heart attack. Having diabetes mellitus, raises the likely hood of having heart disease or stroke.
Steel Magnolias is a great movie of love, laughter, and tears. It features six strong-willed woman who "are the Steel Magnolias of the tittle…” as Roger Ebert says. The women dealt with many set backs in life, but no matter what they kept their southern grace and charm in tact at all times. In the film one of the main set backs is Shelby, one of the “Steel Magnolias” (Julia Roberts), fighting with diabetes. Shelby’s diabetes is so bad she’s not supposed to have children due to the strains it would put on her body. Although there is a risk and against her mother’s will Shelby is determined to go though with the pregnancy. In the movie Shelby must choose between having a baby, which is one of the greatest moments in a woman’s life, or
B. Cooke is a 16 year old male who has a new diagnosis of diabetes mellitus. Her blood glucose levels so far have been in range. The treatment regimen discussed by her physician and nutritionist is understood by her parents, while she works at understanding. Her blood glucose is checked numerous times a day as instructed and insulin is administered based on the reading. She is attempting to complete care independently. She is in sports and has a daily exercise regimen with the goal of weight loss. One intervention for this patient was to have her attend additional education with a nutritionist and other teens her age allowing the nutritionist to assess “self-care” progress. The outcome for this patient thus-far is positive with the hope of acceptable diabetes maintenance in the future. It is the belief; teens with a new diagnosis will accept education and self-care easier if other people the same age and
The goal is to increase the percentage of understanding of diabetes and how to live empowered with diabetes. I will conduct outreach programs in various methods to reach the people to participate in the health program. My objective is done by specific, measurable, achievable, results-focused, and time-bound (SMART) goals. By May 31, 2018, an increase of 40% establishes one-on-one follow up education session with each individual and families through home visits or phone calls to monitor them to improve their lifestyles. By February 30, 2018, an increase of 80% distribution of brochures and with door to door interactions with the individuals in the community. By September 2018, increase 90% of people to engage in community health fair, classes, and exercise activities on diabetes and cardiovascular classes. This will introduce the individuals in social support that allow interactions with teaching and
I proceeded to explain to the patient and his wife that blood sugars that stay at high levels can lead to long-term problems including, retinopathy, neuropathy, kidney damage, heart disease, stroke, and peripheral vascular disease. Furthermore, I explained the normal range of fasting blood sugar, and the importance of knowing his Hemoglobin A1c, as well as keeping his body weight within normal limits, and regular visits to his primary doctor. Traits of a Healthy Family that I noted at this time include, the patient admitting he had a problem and indicated his interest in my help. Another trait I noted, he valued his service to others, in this case his wife and children, he wanted to improve his health to continue to be an important influence in their lives, and share his leisure time with them. His wife while I was talking was writing down information, this demonstrated a sense of sharing responsibility (Kaakinen et al.,
Annual testing for abnormalities in fasting serum cholesterol, triglyceride, HDL cholesterol, and calculated LDL cholesterol levels (ADA, 2008)
During this phase the clinic, its staff and the community are assessed, identifying facilitating and obstructive factors. Diabetes self-management education (DSME) is recommended by various organizations and is a standard of medical care (Schreiner & Ponder, 2013). The nine key points recommended at initial diagnosis and during follow-ups are nutritional management education, physical activity recommendations, educating on medications safely and treating for maximal therapeutic effectiveness, monitoring blood glucose, preventing, detecting, and treating acute/chronic complications, personal strategies to address psychosocial issues and concerns and personal strategies to promote health and behavior change (Schreiner
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].
An individualized Diabetes Health Care Plan should be developed by the parent/guardian, the student's diabetes care team, and the school or day care provider. Inherent in this process are delineated responsibilities assumed by all parties, including the parent/guardian, the school personnel, and the student. These responsibilities are outlined in this position statement. The Diabetes Health Care Plan should address the specific needs of the child and provide specific instructions for each of the following i.e. blood glucose monitoring, including the frequency and circumstances requiring testing also insulin administration (if necessary), including doses/injection times prescribed for specific blood glucose values and the storage of insulin, and meals and snacks including food content, amounts, and timing, symptoms and treatment of hypoglycemia (low blood glucose), including the administration of glucagon if recommended by the student's treating-physician, symptoms and treatment of hyperglycemia (high blood glucose) and testing for ketones and appropriate actions to take for abnormal ketone levels, if requested by the student's health care provider. The school staff action tools have been developed to assist school personnel in managing diabetes at school. The actions for the classroom management require receiving training on diabetes basics, a training program for school personnel so appropriate care can be
Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,
To overcome this obstacle, nurses should be persuaded to understand how important it is to ensure that diabetics are safe and receive consistent diabetes management wherever they are. There is a nursing shortage in all areas of healthcare and especially in most school systems, nurses are not always present, and diabetes is becoming more prevalent, so having other personnel who can be trained to deliver routine care and emergency care can ensure that someone knowledgeable is always present. Wood (2013) reported that with the shortage of nurses, diabetic students are not getting appropriate care throughout the day and families are facing hardship trying to ensure that timely and appropriate care is being