Understanding Erickson Psychosocial Stages Of Diabetes

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

This can be achieved through motivational interviewing. A randomized controlled trial compared teenagers who received 12 months of motivational interviewing visits versus a control group receiving only “supportive” visits for 12 months (Channon et al., 2007). The group that received the motivational interviewing had an average hemoglobin A1c decrease from 9.3% to 8.7%; this improvement was maintained at 12 months and 24 months post-intervention (Channon et al, 2007). Another study performed by Stanger et al., studied the effects of motivational interviewing along with contingency management (2013). The motivational interviewing sessions were done individually with the adolescent and the contingency management concept was incorporated through rewarding the adolescent with money for meeting various goals such as, regularly monitoring their blood sugars. At the end of treatment, average hemoglobin A1c was decreased from 11.62% to 9.11% and adherence to diabetes management was increased as represented by how many times the adolescent checked their blood sugar in a day and week (Stanger et al.,

Empowerment parents of children with diabetes through provision of resources and emotional support, aids in dealing with the chronic disease¹⁵. Support groups can not only help parents keep abreast of new treatment options, but also provide strategies to better care for their children¹⁶. Face-to-face support from healthcare professionals provides reassurance as well as psychological and emotional support in dealing with the

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[ ].

[Name] is now 14-1/2 -years-old. He is seen in followup for insulin-dependent diabetes, which was diagnosed exactly 1 year ago, at the age of 13-1/2. He has been followed by me since January of 2007 and I have been in contact about twice a month with his mother [Name], who has faxed blood sugars and I have gone ahead and adjusted his insulin doses and I am very please with how well he is doing. This is an amazing teenage who really seems to take pride in taking care of himself, and is very compliant with his diabetes regimen.

Type 2 diabetes typically emerges in middle adulthood, a period of life where lifestyle patterns and behaviors have become firmly established and may require greater effort to change. Also, during the pre-complications phase of type 2 diabetes, and even in the early phase of complications, the patient is often asymptomatic. Driving forces that might motivate a patient to seek medical care - unpleasant symptoms and awareness and fear of a serious illness - are therefore not present to provide a sufficient level of threat and motivation to make changes.

In the article Diabetes Management at Camps for Children with Diabetes, recommendations are given on how to manage a diabetes camp for children. The idea behind the camp is to create an environment that will be safe for children with diabetes. Through the course of this camp, a main area of focus is education. A list of topics that children with diabetes should be educated on includes blood glucose monitoring, carbohydrate counting, the importance of diabetes control, and diabetes complications. It has been shown that these camps are very effective for children. The article concludes that diabetes camps are an effective teaching environment in helping children to manage their diabetes (American Diabetes Association,

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

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,

She began by using the Aseptic technique which I was accustomed with. The nurse checked the child’s blood glucose level with a glucometer and fortunately, it read 8.5mmol which was ideal for an insulin dependent diabetes patient. The nurse pointed out that the increase in blood glucose levels could be as a result of a low insulin regime which could be adjusted by the paediatric diabetes care team in accordance with the National Institute for Health and Care Excellence NICE (2014) pathway for managing diabetes. Furthermore, the nurse explained that the child should be provided a structured programme of education on the effects of diet on her condition (NICE, 2014). This would increase her cooperation in managing her own condition. The mother was assured by the nurse that a referral was going to be sent for the paediatric diabetes care team to assess the child and make amendments to her insulin

Juvenile Diabetes is a disease that more and more children are getting each day and it affect about 0.1 percent of children that are school age. There are two types of diabetes that are common in children. The first one is type one diabetes and the second one is type two diabetes. There are major health problems associated with type one including troubles physically, a multidisciplinary approach by physician, nurse and dietitian is needed to treat juvenile diabetes. In patients with new onset type 1 diabetes, lifelong insulin therapy must be started. As a chronic disease diabetes mellitus requires long term medical attention both to limit the development of its devastating physical and psychological complications and to manage them when they do occur. As for the ADA (American Diabetes Association) Diabetes Mellitus is a disproportionately expensive disease; I read that in 2002, the per capita cost of health care was $13,243 for people with diabetes, while it was $2,560 for those without diabetes. As of now there is no cure for Juvenile Diabetes but there is ongoing research to test medications and new products to find a cure for Juvenile Diabetes. There are however many coping methods, support groups, counseling, insulin injections and pumps that children with juvenile diabetes make a part of their everyday lives.

For the purpose of the essay, the Critical Appraisal Skills Program (CASP) tool will be used to critically appraise the qualitative research titled ‘‘Supporting adolescents with type 1 diabetes mellitus: A qualitative study’’. Critical Appraisal describes as “a process of carefully and systematically examining research to judge its trustworthiness, value and relevance in a particular context” (Burl 2009). Polit and Beck (2007) suggests critiquing the study for its validity and reliability all the elements of the study should examine carefully, including research design, methodology, discussion, result and conclusion section of the article. However. Jolly (2013) criticise without reviewing the raw data of the study the qualitative research cannot

In today’s world, parents have an abundance of worries when it comes to their children. Drugs, bad grades, and pre marital sex are just some things that may plague a parent with sleepless nights. But even on the worst of those nights of worry, most parents can’t imagine that their child could face an illness. Not just a runny nose or seasonal flu, but an illness that would affect their child throughout his or her entire life. Diabetes is a disease without a cure, and one that more, and more children have to live with.

The role of a hospital diabetes specialist in New Zealand is very important in helping to treat and manage those with type 2 diabetes. Specifically, diabetes specialists often examine and diagnose diabetics, recommend medical treatments and work with families or caregivers of those affected, provide the necessary treatment to patients and follow them up with progress checks, keep patients diabetes records and coordinate with their family doctor and will often be involved in the research of the diabetes mellitus disease (Physicians, 2017). Diabetes specialists work may involve caring for a child with diabetes, which usually involves working closely with families and is therefore important that the specialists understand the developmental stages