Nursing Assignment: Analyzing Rohan's Diabetes Care Requirements

This nursing assignment examines the care requirements of a 9-year-old boy named Rohan, diagnosed with type 1 diabetes mellitus. Due to his mother's illness and lack of adequate care from his father and sisters, the assignment focuses on three key nursing priorities: a balanced diet, counseling, and insulin replacement with blood sugar level (BSL) monitoring. The report details a SMART nursing care approach, emphasizing specific, measurable, attainable, relevant, and time-bound goals. It outlines strategies for building a trustworthy relationship with Rohan, incorporating interpersonal communication, social development, family-centered care, child rights, cultural safety, and growth and development theories. The plan includes interventions like dietary support, regular exercise, and counseling for both Rohan and his parents, with an evaluation of outcomes focusing on improved interaction, positive behavior changes, and family involvement. The assignment emphasizes the importance of regular healthcare professional visits for monitoring glucose levels, exercise, and diet to prevent future health risks, as well as palliative care to improve Rohan's overall well-being.

Running head: NURSING ASSIGNMENT
Nursing Assignment
Name of the student:
Name of the university:
Authors note:

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This assignment describes and analyzes the care needs of a 9 year old boy, named as
Rohan who is diagnosed with type 1 diabetes mellitus and is unable to go to school.
Part 1
Consider the situation & review the information
Rohan will be provided proper care and attentionsince his mother is unwell and he does not
recieve prooper care from his father and sisters .
Three problems /issues for nursing care
The three nursing priorities to provide nursing care to Rohan are a well balanced diet,
counselling and insulin replacement through injections & BSL monitoring.
Balanced Diet
He will be advised to follow a balanced and a healthy diet which is rich in carbohydrates and
fibers and low in fat. It will help in balancing his food intake with the dose and activity of insulin
He will also be provided meat as he is unable to have it and is mentioned in his diabetic plan . A
dietitian will be appointed for him in order to supervise his diet in order to make sure that the
concentration of blood glucose level is in appropriate range.
Exercise
Rohan will be advised regular exercise. He will be provided a proper counseling with the health
counselor and will be made comfortable so that he shares his problems.

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Insulin replacement through injections & BSL monitoring
He will be taken for blood tests at regular intervals to examine the concentration of blood
glucose level in his body before having a meal and during bed time.He will be examined for
several symptoms such as temperature, pulse, slurring of speech and blood pressure.He will be
advised to follow good hygiene practices and will be observed for any signs of infection, wound
and swelling.He will be advised to have proper antibiotics as prescribed by the doctor and will be
encouraged to take adequate amount of fluids such as water and juices
Establish goals
Rohan should be provided quality care so that he gets well soon and lives a healthy live.
SMART nursing care approach involves Specific, Measurable, Attainable, Relevant and Time
Bound efforts. These approaches can be used to provide proper care by his parents. The first
aspect Specific focuses providing proper care to Rohan. Measurable refers to the quantification
or an indication of progress made. Attainable refers to providing treatment of the patient by the
nurses and the doctors (Potter, 2014). Relevant refers to the results that can be obtained. Time
Bound refers to the duration when the results can be obtained.
The father and sisters of Rohan will be advised to accompany him in the morning as he
goes alone for insulin dosage since his mother is not well. Rohan will be provided proper
guidance and motivation which will prevent him to suffer from depressive symptoms, anxiety
and sadnees due to diabetes.He will be provided ralaxation therapies which will help him to
soothe his mind nad instill positivity to fight with th disease (Dabelea et al.2014).

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Strategies & plan of care
There are several strategies that can be taken in order to develop a trust worthy
relationship with Rohan. Interpersonal or communication theory can play an important role in
developing a trustworthy relation with Rohan Social development plays an important role in the
normal growth and development in children. It is a process through which a child improves his
interaction with other children and adults those who are around them. They also develop skills
and start communicating with other people which helps in processing their actions. Social
development it can be defined as how a child has developed relationships with others such as
parents and friends (Greene, 2013). It also involves the manner through which they deal if any
conflict arises It begins in children at the age of 2 years and the parents play an important role in
the social development in children. They can help their child in developing and strengthening
language skills by several practice sessions, developing self esteem and having a positive attitude
in life.
Family centered theory involves the participation of families in a formal or an informal
manner to provide protection and care to children. It provides a safe environment to children and
plays a significant role in fulfilling all their needs. It also focuses on developing the strengths of
children by working on their weaknesses. Family centered theory works on partnering with the
family members of patients in the welfare of children (Kotlar and De Massis, 2013).Family plays
an important in influencing the behavior and beliefs of a child. Hence, Rohan should get proper
support from his parents and sisters. Since his mother is ill, his father should take him for insulin
therapy and provide him moral support to fight against diabetes.
Child rights theory focuses on the aspect that the children should be provided proper
education and upbringing by their parents. It is the responsibility of parents to take care of their

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health and understand their requirements.They should monitor the behavior of their children and
understand if they are facing any psychosocial issues such as depression,sadness or anxiety and
should follow appropriate strategies (Goldhagen, 2015).
Cultural safety theory demonstartes several aspects such as improving healthstatus of
individuals and providing proper access to health care services.It also focuses on the
discrimination being made among individuals and the acceptance of such behavior by them
(Richardson, Yarwood, and Richardson,2017).
Growth and development theories play a vital role in predicting the behavior of human
beings in different contexts such as cognitive, biophysical, psychosocial, and moral (Mischel,
2013).Cognitive aspects include the intellectual and thinking capabilities of patients. Biophysical
aspects include the changes that occur with growth and age. Psychosocial aspects include the
behavior and personality and the moral aspects include ethical principles that differentiate
between right and wrong. Hence, these theories can play a significant role in the normal growth
and development of Rohan and improve his health and well being.
A psychoanalytic theory of psychosocial development was proposed by Erik Eriskson
which comprises eight stages starting from infancy to adulthood. The eight stages are Infancy,
Early Childhood, Preschool Age, School age, Adolescence, Early adulthood, Adulthood and
Maturity. During the early childhood stage, experiences psychosocial issues such as anxiety and
depression which may lead to a positive or negative result in the development of personality
(Elliott, 2015).
Parents will be advised to help Rohan when he goes for insulin which will promote his
health condition which would help in improving his trust and confidence in himself. He will be

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given proper care and attention by the hospital staff including the doctors and the nursing staff.
He will be provided special assistance in all the activities of daily routine so that he improves his
skills.Rohan will be advised to take appropraite amount of rest and maks sure that he sleeps
well which would improve his menatal state.The nursing staff along with the counsellor and the
doctors will provide proper counselling which will improve his physical and psychological
condition (McDarbyc and Acerinie, 2014).
Take Actions
The two interventions for providing quality care to Rohan are helping him in taking
proper diet as recommeneded and explain him the importance of exercise on a regular basis in or
der to reduce or maintain weight.The effectiveness of care provide to rohan can be evaluated by
monitoring his dietary intake and to make sure he is taking meat in his diet.His body weight will
also be monitored regularly and his level of glucose in the blood will also be moinitored before
the meals and before going to sleep at night.
The most important prioritiy is to provide proper counselling to rohan and his parents
about diabetes managemenet.Parents of Rohan will be provided counseling so that they give
proper time to him and it will help him to get well soon from diabetes. Parents play an important
role in understanding and analyzing the progress of development in their children (Ritholz et.
al.2014). He will be advised to spend some time with his friends as they also play as significant
role in the social development of children by staying connected and maintaining healthy
relationship with them. Proper care of mental and physical health will be taken to ensure his
functional wellness (Richardson, Yarwood and Richardson, 2017).
Evaluate Outcomes:

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Rohan will get well soon if he given proper care by his parents and the nurses. He will start
interacting with his parents and children of his age .Palliative care will also be provided to him
as it wil help in changing the behavior and thinking and would make him feel positive. His
family memebrs will start giving him attention when they are provided proper information and
knowledge about diabetes management so that they can provide proper care to Rohan and he gets
well soon (Olfson et al.2014).
Hence, it can be concluded that Rohan will be provided proper care.He will be taken
regularly to health care professionals such as doctors and clinicians in order to keep a check on
his various parameters such as concentration of glucose in the blood ,regular exercise and a
balanced diet to prevent any risk in future.

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References
Dabelea, D., Mayer-Davis, E.J., Saydah, S., Imperatore, G., Linder, B., Divers, J., Bell, R.,
Badaru, A., Talton, J.W., Crume, T. and Liese, A.D., 2014. Prevalence of type 1 and type 2
diabetes among children and adolescents from 2001 to 2009. Jama, 311(17), pp.1778-1786.
Goldhagen, J., Mercer, R., Webb, E., Nathawad, R., Shenoda, S. and Lansdown, G., 2015.
Toward a Child Rights Theory in Pediatric Bioethics. Perspectives in biology and
medicine, 58(3), pp.306-319.
Greene, J.O., 2013. Message production: Advances in communication theory. Routledge.
Kotlar, J. and De Massis, A., 2013. Goal setting in family firms: Goal diversity, social
interactions, and collective commitment to family‐centered goals. Entrepreneurship Theory and
Practice, 37(6), pp.1263-1288.
McDarbyc, J.M. and Acerinie, C.L., 2014. Psychological care of children and adolescents with
type 1 diabetes. Pediatric diabetes, 15(20), pp.232-244.
Mischel, T. ed., 2013. Cognitive development and epistemology. Academic Press.
Olfson, M., Blanco, C., Wang, S., Laje, G. and Correll, C.U., 2014. National trends in the mental
health care of children, adolescents, and adults by office-based physicians. JAMA
psychiatry, 71(1), pp.81-90.
Richardson, A., Yarwood, J. and Richardson, S., 2017. Expressions of cultural safety in public
health nursing practice. Nursing inquiry, 24(1).

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Ritholz, M.D., Wolpert, H., Beste, M., Atakov-Castillo, A., Luff, D. and Garvey, K.C., 2014.
Patient-provider relationships across the transition from pediatric to adult diabetes care: a
qualitative study. The Diabetes Educator, 40(1), pp.40-47.