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Prevalence of Diabetes in Rohan

   

Added on  2020-03-01

9 Pages2394 Words499 Views
Running head: PAEDIATRIC CLINICAL SCENARIOPaediatric Clinical ScenarioName of the StudentName of the UniversityAuthor Note
Prevalence of Diabetes in Rohan_1
1PAEDIATRIC CLINICAL SCENARIOCare needs of the child and familyNutritional needs:Proper nutrition should be provided to Rohan which will not exaggerate diabetes condition inhim. There should be regular monitoring of the blood glucose level in Rohan. Based on theblood glucose level, modifications should be done in his food.Physical needs:The physicalneed of Rohan is proper diabetic diet which has been proposed by the doctors.According to her teacher, Rohan and his family are vegetarian and hence not following thediabetic plan, which includes meat. Rohan also needs rigorous physical activity and cyclicinsulin uptakewhich will help to reduce his blood sugar level and prevent ketoacidosis. Thephysical activities will also help him to perform regular developmental activities which otherkids of his age would be getting(Joslin and Kahn 2012. Social needs:The prime social needs of Rohan are love, compassion and generosity. His mother is ill andsuffering from depression and his father is busy and hence Rohan conducts his own glycemictest and subcutaneousinsulin injection. He is only 9 years old, an age at which childrendevelop identity, and become independent. He must therefore lead a healthy social life so thathe does not get isolated.Cultural needs:Rohan and his family are immigrants and hence the main cultural need for Rohan is afriendly environment. The depression of his mother is affecting him also, a friendlyenvironment where he can communicate his thoughts and feelings will be helpful for Rohanto lead a healthy life(Zheng and Chen 2013).Moreover, the embedded cultural beliefs adheredby the Rohan’sfamily were to be explained to the clinical staff during the preparation of thedietary plan. This factor could have enabledthe clinician to provide an alternative to meat(DeFronzo 2014).
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2PAEDIATRIC CLINICAL SCENARIOThree Priorities for Nursing CareEducate the patient and the family member about the threats of diabetesRohanis very young to understand the chronicityof Type 1 Diabetes Mellitus. His mother isill and sufferingfrom post-immigrationdepression and his father remains busy all the time.Here it is important for Rohan’s father to make some time for his family and understand theproblems. Rohan’s teacher who is also concerned about his health must also come forward.Thecommunity nurse will help Rohan’s father to recover from unfamiliarity andmisinterpretation of the information. The nursing interventions will be evidenced by verbalstatements of concern or misconceptions centringthe disease and development of thepreventable complications(American Diabetes Association 2016). The desired outcomes ofsuch nursing care are active participation in the learning process followed by generation ofdisease awarenessand correlation of the signs and the symptoms of the disease with adequateexplanation.Educate the family about the risk of unstable glucose level in bloodRohanis only 9 years old with three younger sisters and hence the lack of adherence of thediabetes management will solely be directed towards his parents and teachers. The nursingcare will involveblood glucose monitoring, timely intake of insulin, regular physical activity(Dunning 2013). The desired outcomes of such treatment will help in identification of thefactors leading to the unstable glucose concentration in blood, proper understanding body’sneed and maintenance of normal glucose concentration. Counselling Rohan’s MotherThe first steps towards delivering the quality nursing care for immigrants are addressingthe heath and the mental needs of the persons. Here, Rohan’s mother with be thoroughlycounselled for post immigration depression and her difficulties with nephriticproblems(Lindsay et al 2012). The desired outcomes will help in overcoming depression viagetting accustomed with the new country, generation of concern and sympathy for thechildren and family and capability to express and discuss the problems and gainingconfidence to fight against depression.
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