Pediatric Primary Care Case Studies by Brady Margaret & Richardson Beth & Burns Catherine E

Author:Brady, Margaret & Richardson, Beth & Burns, Catherine E. [Brady, Margaret]
Language: eng
Format: epub
Publisher: Jones & Bartlett Learning
Published: 2010-10-24T16:00:00+00:00

Education Plan

Children and adolescents with type 2 diabetes and their families should receive age-appropriate, ongoing diabetes self-management education (Funnell et al., 2007). The goal of diabetes education is to provide the adolescent and family with the knowledge and skill required to perform daily self-care tasks, manage acute situations such as sick days and hypoglycemia episodes, and make lifestyle changes for effective disease management. Involving the family in lifestyle interventions to improve eating and exercise behaviors is an opportunity to improve health not only for the adolescent, but also for his or her family. The National Diabetes Education Program offers education materials specifically targeted to type 2 diabetes in youth (see Table 18-1 ). The diabetes management plan needs to emphasize lifetime behavior change as the key to successfully managing type 2 diabetes (Burnet, Plaut, Courtney, & Chin, 2002; Kaufman & Schantz, 2007).

Education content should be structured, age-appropriate, and include blood glucose monitoring, nutrition therapy, and physical activity with an emphasis on lifestyle changes and should be culturally sensitive and individualized to meet the needs of the family. Education may be delivered either individually or in group settings and should be based on assessment of attitudes, beliefs, learning style, baseline knowledge, and readiness to learn (Swift, 2007). Table 18-1 lists educational resources specifically geared to the needs of children and adolescents with type 2 diabetes.

Diabetes education and care is most successful when provided by a diabetes team. In the majority of situations, a child with diabetes will be co-managed by a primary care provider in conjunction with a pediatric endocrinologist and pediatric diabetes team. In cases where geographic access to specialty care is limited, telehealth services may be available through tertiary care centers; these have demonstrated some success with adolescents with diabetes (Batch & Smith, 2005; Heidgerken et al., 2006).

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