Question

develop a teaching plan for a school-age child and family about two of the following topics:

Type 1 DM disease process, the lifestyle changes you will have to make, what kind of diet, exercise, medications, treatments, or school needs. Be sure to include the following:

            a. Objectives (what do you want the parents to learn?)

            b. Content (what specific topics will you teach/reinforce?)

            c. Methods and Materials (How will you teach the content/reinforce teaching?

What materials will you use?)

d. Evaluation (How will you evaluate client understanding?)

Answer 1

Type 1 Diabetes disease process

a. Objective

The parents will be able to learn about the effective management of type 1diabetes in their child

b. The specific topic which will be taught are diet, exercise ,medication, insulin therapy ,side effects management, blood glucose monitoring.

c. The method which can be used for teaching are audiovisual aides, flipped classroom method, game based teaching,demonstration and child centric method, The materials which can be used are brochures, projecting using technology, charts.

d. The client can be evaluated by asking questions

Type 1 Diabetes Mellitus

The body will not be able to produce insulin which is necessary to keep blood glucose under control.

The normal glucose in fasting should be between 70-110mg/dL and after eating should be less than 140mg/dL.

Pathophysiology:

After consumption of food the glucose is released into blood.This glucose from the blood will be pushed into cells by the insulin .If there is no insulin this action will be stopped .This will result in increased blood glucose in the body.

Management

Diet:A carbohydrate diet can increase the blood glucose level faster so a complex carbohydrate is recommended .To take vegetables, pulses, grains, sprouts . Avoid fast food ,preservatives, additives, carbonated beverages,white sugar.

Exercise :Regular exercise can help to control blood glucose levels and prevent complications of cardiovascular system.

Medication :

• To take medication as per order
• Not to overdose or underdose
• No OTC drug
• Take oral medications before or after food as per order
• Insulin
  • To be stored in refrigerator at the lower door
  • Avoid direct exposure to sunlight or heat
  • Administer just below the skin (subcutaneous region) at 90 degree angle
  • Site:upper lateral arm around the belly button in abdomen away about 10cm,upper thigh

General

• Assess the child for hypoglycemia or hyperglycemia by glycose monitoring
• Assess for Ketone by dip test if there is fruity odour of breath, severe nausea and vomiting, diarrhea, abdominal pain to get idea about ketoacidosis
• Follow up once in a month to get checked for disease prognosis and make necessary changes