Introduction
Patient Anna, 26 years old, has been suffering from diabetes of the second degree for 20 years. In the last 3 years, her well-being began to deteriorate as she began to live independently and moved away from her parents. The girl is experiencing anxiety disorder, eating disorders, as well as neurosis as a consequence of her chronic diagnosis.
Discussion
Throughout her life, the patient has shown a lack of conscientiousness in following doctor’s orders. She was tested less frequently than required, her insulin levels were monitored, and she did not follow her prescribed diet well. In the last week, the girl was admitted to the hospital after fainting because she had been without access to insulin for an extended period of time. This was the reason for hospitalization, but after the normalization of her condition, it was discovered that the patient was not familiar with the basic rules of diabetes self-care, which was the main reason for starting an educational program.
The patient’s main need is to gain knowledge and skills on the most favorable regime for living with this diagnosis and to increase literacy in the area of necessary medications. Moreover, it is important to show the girl what methods of psychological self-help she can use to reduce the manifestations of her disorders. The basic method that best suits the girl is the method of an informed, interactive conversation in which she can ask clarifying questions and share her own experiences. The patient’s education will be based on the fact that she has a sufficient level of education to understand some basic medical terms. Moreover, given her declining quality of life, Anna has a high level of motivation, which translates into great engagement and the ability to concentrate throughout the conversation. The girl also has good computer skills and no current complaints of pain, which greatly increases the chance that the training will be effective.
The patient already knows that the course will consist of conversations aimed at increasing her self-care and self-help skills; she is not told about a detailed lesson plan by the staff. As with any training, sessions with the girl will be based on cognitive, psychomotor, and affective domains. The first involves all the elements of consciousness involved in the process, including memory, specificity of thinking, quality of attention, and concentration. Psychomotor encompasses physical conditions, which include the form of interaction with the student, body position, and level of fatigue. Finally, affective domains are based on the emotional component of learning, taking into account mood, motivation, and psychological microclimate. In Anna’s case, the psychomotor aspect would be the most important, because her well-being is not always stable and will greatly influence the other two components.
Conclusion
Within the diagnosis of “Knowledge deficient,” the goal for the patient is to teach the girl all available self-help tools for 1 month, which will be tracked by the final testing. During the month, 50-minute classes will be held twice a week, with the inclusion of self-training. Rationale: repetition and self-study are critical for effective learning of patients having problems with self-care skills (Monroe & Wilkerson, 2022). Talks will be set up in a well-lit study room, in the absence of family and friends, as the goal is to increase self-help skills. Teaching materials such as Assessment of self-care and education in patients with type 2 diabetes mellitus will be used (Monroe & Wilkerson, 2022). As part of the control of the effectiveness of the course conducted, a final test will be organized to test the theoretical knowledge. From a practical point of view, it will be evaluated how the patient is able to provide care to other clients of the clinic with the same diagnosis. If it were necessary to evaluate the work of another specialist, I would use the same evaluation tools.
Reference
Monroe, K. & Wilkerson, A. (2022). Assessment of self-care and education in patients with type 2 diabetes mellitus. Routhledge.