Analyzes The Care Needs Of Rohan Diagnosed With Type 1 Diabetes

Question: Discuss about the Analyzes The Care Needs Of A 9 Year Old Boy Rohan Who Is Diagnosed With Type 1 Diabetes Mellitus. Answer: 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 fornursing care The threenursing priorities to providenursing 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. 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). 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 est eem 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 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 given proper care and attention by the hospital staff including the doctors and thenursing 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: 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. 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. 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