Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy
Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy
Education & Empathy : 3 of 4 (75.0%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.
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Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

 1 Type 1 Diabetes Management
Followed Up

 Description: Chelsea expresses that she doesn’t know much about diabetes or understand it, and that “other people” have been checking her blood sugar and administering insulin for her.

Do you take medications?

Question

06:15 PM PST

Um, I mean, I guess I take insulin every day, if that’s what you mean.

Do you monitor your blood glucose levels? (Clarified to: Do you check your blood sugar at home?)

Question

06:15 PM PST

Other people have been checking it for me. I haven’t done it myself yet. (Clarified to: if I check my blood sugar)

Okay. It is good to closely monitor your glucose levels

Educate

06:16 PM PST

Oh, ok. I think I get it.

thanks for answering the questions Chelsea.

Empathize

06:16 PM PST

Thank you.

Do you have a high heart beat?

Educate

06:17 PM PST

There’s so much to learn. I feel like my brain is full! But thanks for telling me.

 Model Statement: “I understand that type 1 diabetes can seem overwhelming, because you have a lot to learn about monitoring your blood sugar, giving yourself insulin injections, and changing the way that you eat. However, you’re going to have a lot of support along the way from your family members, friends, school nurses, and even your riding instructor. Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy. While everyone is here to support you, you’re the most important part of this process, because you understand how you feel better than anyone else does.”

 2 Living With Chronic Illness
Not Encountered

 Description: Chelsea expresses mixed feelings about her new diagnosis of type 1 diabetes.

 Model Statement: “I understand that this diagnosis can make it seem like your life has been turned upside down. That’s a perfectly normal feeling to have. You should know that while type 1 diabetes is a lifelong and serious illness, it’s also manageable. You can still live a normal life, and do all of the things you love to do. With time, you’ll get used to all of these new experiences.” Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

 3 Hidden Carbohydrates
Followed Up

 Description: Mr. Warren expresses a belief that his daughter eats a low-carbohydrate and low-sugar diet, but he lists foods that are carb-heavy or high in sugar.

What is your daughter’s typical diet? (Clarified to: What is your daughter’s diet like?)

Question

06:06 PM PST

It’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to: what my daughter’s diet is like)

It is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet. Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

Educate

06:07 PM PST

Okay.

 Model Statement: “Carbohydrates are a basic food group, and they can affect a diabetic person’s blood sugar. Even “healthy” foods, like whole-grain pancakes or fruit, can be high in carbohydrates. It’s important for you and Chelsea’s mother to monitor Chelsea’s carbohydrate intake, so that she can effectively control her blood sugar. Chelsea’s endocrinologist, and a pediatric nutritionist, can help you modify Chelsea’s diet.” Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

 4 Two Households and Chronic Illness
Followed Up

 Description: Mr. Warren says that he is divorced, and Chelsea splits her time evenly between two households. He expresses an amicable relationship with his ex-wife, but Chelsea’s diagnosis is going to require more cooperation and communication than ever before.

Are you married?

Question

06:10 PM PST

Chelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing. Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

Okay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorce

Empathize

06:11 PM PST

Mmmhmmm.

 Model Statement: “Communication between divorced or separated parents can often be difficult. It’s great that you and Chelsea’s mother have a good relationship, because Chelsea’s diagnosis will require a stable and supportive dual household that ensures she is getting everything she needs to live a healthy life. You and your ex-wife will have to coordinate diabetic supplies, diet, and routine blood glucose monitoring, so that there are no gaps in Chelsea’s care Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy.”


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