Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

Education & Empathy : 3 of 4 (75.0%)
During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy
1 Type 1 Diabetes Management
Followed Up
Description: Chelsea expresses that she doesn’t know much about diabetes or understand it, and that “other people” have been checking her blood sugar and administering insulin for her.

This is your avatar.
Do you take medications?

Question
06:15 PM PST

Chelsea Warren
Um, I mean, I guess I take insulin every day, if that’s what you mean.

This is your avatar.
Do you monitor your blood glucose levels? (Clarified to: Do you check your blood sugar at home?)

Question
06:15 PM PST

Chelsea Warren
Other people have been checking it for me. I haven’t done it myself yet. (Clarified to: if I check my blood sugar)

This is your avatar.
Okay. It is good to closely monitor your glucose levels

Educate
06:16 PM PST

Chelsea Warren
Oh, ok. I think I get it.

This is your avatar.
thanks for answering the questions Chelsea.

Empathize
06:16 PM PST

Chelsea Warren
Thank you.

This is your avatar.
Do you have a high heart beat?

Educate
06:17 PM PST

Chelsea Warren
There’s so much to learn. I feel like my brain is full! But thanks for telling me.

Model Statement: “I understand that type 1 diabetes can seem overwhelming, because you have a lot to learn about monitoring your blood sugar, giving yourself insulin injections, and changing the way that you eat. However, you’re going to have a lot of support along the way from your family members, friends, school nurses, and even your riding instructor. Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy. While everyone is here to support you, you’re the most important part of this process, because you understand how you feel better than anyone else does.”

2 Living With Chronic Illness
Not Encountered
Description: Chelsea expresses mixed feelings about her new diagnosis of type 1 diabetes.

Model Statement: “I understand that this diagnosis can make it seem like your life has been turned upside down. That’s a perfectly normal feeling to have. You should know that while type 1 diabetes is a lifelong and serious illness, it’s also manageable. You can still live a normal life, and do all of the things you love to do. With time, you’ll get used to all of these new experiences.” Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

3 Hidden Carbohydrates
Followed Up
Description: Mr. Warren expresses a belief that his daughter eats a low-carbohydrate and low-sugar diet, but he lists foods that are carb-heavy or high in sugar.

This is your avatar.
What is your daughter’s typical diet? (Clarified to: What is your daughter’s diet like?)

Question
06:06 PM PST

Ned Warren
It’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to: what my daughter’s diet is like)

This is your avatar.
It is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet. Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

Educate
06:07 PM PST

Ned Warren
Okay.

Model Statement: “Carbohydrates are a basic food group, and they can affect a diabetic person’s blood sugar. Even “healthy” foods, like whole-grain pancakes or fruit, can be high in carbohydrates. It’s important for you and Chelsea’s mother to monitor Chelsea’s carbohydrate intake, so that she can effectively control her blood sugar. Chelsea’s endocrinologist, and a pediatric nutritionist, can help you modify Chelsea’s diet.” Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

4 Two Households and Chronic Illness
Followed Up
Description: Mr. Warren says that he is divorced, and Chelsea splits her time evenly between two households. He expresses an amicable relationship with his ex-wife, but Chelsea’s diagnosis is going to require more cooperation and communication than ever before.

This is your avatar.
Are you married?

Question
06:10 PM PST

Ned Warren
Chelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing. Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy

This is your avatar.
Okay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorce

Empathize
06:11 PM PST

Ned Warren
Mmmhmmm.

Model Statement: “Communication between divorced or separated parents can often be difficult. It’s great that you and Chelsea’s mother have a good relationship, because Chelsea’s diagnosis will require a stable and supportive dual household that ensures she is getting everything she needs to live a healthy life. You and your ex-wife will have to coordinate diabetic supplies, diet, and routine blood glucose monitoring, so that there are no gaps in Chelsea’s care Chelsea Warren Type 1 Diabetes Shadow health Education & Empathy.”

Type 1 Diabetes Chelsea Warren Shadow health Transcript

Transcript

Started: Jan 27, 2021 | Total Time: 118 minAll Lines (121)Interview Questions (71)Statements (27)Exam Actions (23)

Your avatar Checked ID bandExam Action
01/27/21 5:21 PM PST
Your avatar Assessed vitalsExam Action
01/27/21 5:21 PM PST
Your avatar Checked ID bandExam Action
01/27/21 5:21 PM PST
Your avatarHello, I am nurse xxx. What is your name? Type 1 Diabetes Chelsea Warren Shadow health TranscriptQuestion
01/27/21 5:32 PM PST
Chelsea WarrenHiiiii.
Your avatarWhat is your name?Question
01/27/21 5:32 PM PST
Chelsea WarrenChelsea Warren.
Your avatarNice. Welcome to the clinic ChelseaEmpathize
01/27/21 5:32 PM PST
Chelsea WarrenThank you.
Your avatarWhat brought you to the clinic today?Question
01/27/21 5:33 PM PST
Chelsea WarrenDuh. Diabetes.
Your avatarSorry about thatEmpathize
01/27/21 5:33 PM PST
Chelsea WarrenThanks, I appreciate it.
Your avatarHow do you feel?Question
01/27/21 5:34 PM PST
Chelsea WarrenI feel way better now. I am super ready to go home.
Your avatarGood to hearEmpathize
01/27/21 5:34 PM PST
Chelsea WarrenUmmmm thanks.
Your avatarAre you having pain right now?Question
01/27/21 5:35 PM PST
Chelsea WarrenNo. No pain.
Your avatarThat is great ChelseaEmpathize
01/27/21 5:36 PM PST
Chelsea WarrenThank you.
Your avatarDo you feel comfortable?Question
01/27/21 5:38 PM PST
Chelsea WarrenYeah, I feel comfortable. I just wanna go home. I’m way better now.
Your avatarWhy were you admitted?Question
01/27/21 5:38 PM PST
Chelsea WarrenLike . . . two days ago I was at a riding lesson and I felt really bad all of a sudden. Me and Ms. Saint George thought I got too hot, but then I puked — er, threw up. I don’t remember the rest very well, but my dad brought me here, and then the doctors said I had DKA or whatever.
Your avatarSorry about that incidentEmpathize
01/27/21 5:39 PM PST
Chelsea WarrenUmmmm thanks.
Your avatarWhat was the duration of the symptoms? (No matching questions found.)Question
01/27/21 5:40 PM PST
Your avatarhow long did the symptoms last?Question
01/27/21 5:40 PM PST
Chelsea WarrenI guess I felt bad for like, 10 days before the DKA.
Your avatarHave you been urinating more often?Question
01/27/21 5:41 PM PST
Chelsea WarrenI was going a lot before the DKA thing. But it seems back to normal now.
Your avatarWere you almost more thirsty?Question
01/27/21 5:42 PM PST
Chelsea WarrenI’m not super thirsty very often, but for like 10 days before the diabetic key-do . . . the DKA thing, before that I was soooo thirsty. I could not drink enough water. I literally could not.
Your avatarHave you been feeling more thirsty?Question
01/27/21 5:42 PM PST
Chelsea WarrenWell, before the DKA, I was super duper thirsty for like . . . 10 days. I didn’t know what was wrong, I just started drinking so much water. It felt like my mouth was always dry.
Your avatarExcessive thirst is a symptom of DKAEducate
01/27/21 5:43 PM PST
Chelsea WarrenOh, ok. I think I get it.
Your avatarAre you fatigued?Question
01/27/21 5:43 PM PST
Chelsea WarrenI feel way better now, but before the DKA I was really tired. I didn’t wanna do anything. I felt like a slug. That happened for like . . . I dunno. Like 10 days before the DKA. It was super weird.
Your avatarAre you always feeling fatigued?Question
01/27/21 5:44 PM PST
Chelsea WarrenI mean I’m not normally tired. I was super tired before the DKA, but I didn’t know that’s what was wrong with me.
Your avatarAny appetite changes?Question
01/27/21 5:44 PM PST
Chelsea WarrenMy appetite is fine now, but before the diabetic key . . . the DKA thing . . . I didn’t want to eat, like, anything. My mom thought maybe I was getting sick or hitting a growth spurt or something.
Your avatarAm glad your appetite is back Chelsea.Empathize
01/27/21 5:45 PM PST
Chelsea WarrenThanks, I appreciate it.
Your avatarWhen did you start feeling sick?Question
01/27/21 5:45 PM PST
Chelsea WarrenI’ve been feeling pretty bad for a while. Since like ten days ago. I started feeling really bad right before dad took me to the hospital. That was two days ago.
Your avatarWhat type of diabetes do you have?Question
01/27/21 5:46 PM PST
Chelsea WarrenType 1. The kid kind.
Your avatarThat is correct.Educate
01/27/21 5:46 PM PST
Chelsea WarrenThere’s so much to learn. I feel like my brain is full! But thanks for telling me.
Your avatarWhat is your favorite diet? (No matching questions found.)Question
01/27/21 5:47 PM PST
Your avatarWhat is your typical diet?Question
01/27/21 5:47 PM PST
Chelsea WarrenMy mom, Nora, is like, a total health nut. Breakfast is yogurt and fruit, lunch on the weekends is salad and chicken, and then she always does some kind of healthy grilled meat and veggies. Dad . . . well, he’s a little more chill about it. I mean, he’s a lot busier so he can’t cook as much.
Your avatarWell, it is good to have high intake of fruits and vegetablesEducate
01/27/21 5:48 PM PST
Chelsea WarrenThis is a lot to take in, but I think I get it.
Your avatarWhat is your usual breakfast?Question
01/27/21 5:48 PM PST
Chelsea WarrenWhen I’m staying with my mom, normally we eat yogurt and fruit for breakfast. When I stay with Dad, he likes to make pancakes or waffles sometimes.
Your avatarWhat do you usually eat for lunch?Question
01/27/21 5:49 PM PST
Chelsea WarrenWell, I eat lunch at school. Shadow Academy has pretty good food, actually. When I’m staying with mom, on the weekends she’ll make a big salad with chicken. For lunch with my dad, we usually go out for a sandwich.
Your avatarIt is good to follow the recommended diet for people with diabetesEducate
01/27/21 5:50 PM PST
Chelsea WarrenOk. Ok. I got it.
Your avatarDo you exercise?Question
01/27/21 5:50 PM PST
Chelsea WarrenYeah. I ride horses a few times a week, and there’s also gym class at school. Sometimes on the weekends Dad wants me to go running with him, but I hate it.
Your avatarThat is nice. Exercise is very important for your healthEducate
01/27/21 5:50 PM PST
Chelsea WarrenThere’s so much to learn. I feel like my brain is full! But thanks for telling me.
Your avatarDon’t worry about thatEmpathize
01/27/21 5:51 PM PST
Chelsea WarrenThank you.
Your avatarD o you smoke tobacco?Question
01/27/21 5:51 PM PST
Chelsea WarrenNo way! What would Sparkle think of me?
Your avatarYeah, smoking is bad for your healthEducate
01/27/21 5:52 PM PST
Chelsea WarrenOk. Ok. I got it.
Your avatarHave you ever vaped or used an ecigarette?Question
01/27/21 5:52 PM PST
Chelsea WarrenPuff on a USB stick that turns your lungs into popcorn? I’ll pass.
Your avatarDo you drink alcohol?Question
01/27/21 5:53 PM PST
Chelsea WarrenOMG I dunno. I’m 11! I’ve never tried it.
Your avatarYeah, alcohol is bad for your healthEducate
01/27/21 5:53 PM PST
Chelsea WarrenThis is a lot to take in, but I think I get it.
Your avatarDo you have a headache?Question
01/27/21 5:54 PM PST
Chelsea WarrenHeadaches? I don’t really get those.
Your avatarDid your nausea improve?Question
01/27/21 5:54 PM PST
Chelsea WarrenYup — I don’t feel nauseated anymore.
Your avatarThat is nice.Empathize
01/27/21 5:56 PM PST
Chelsea WarrenUmmmm thanks.
Your avatarAre you feeling sick?Question
01/27/21 5:56 PM PST
Chelsea WarrenI feel way better now. I felt really bad two days ago, but I’m back to normal now.
Your avatarAre you going to be sick?Question
01/27/21 5:56 PM PST
Chelsea WarrenI don’t feel like that anymore. I haven’t thrown up in two days.
Your avatarAre you feeling constipated?Question
01/27/21 5:57 PM PST
Chelsea WarrenNope. That’s normal, thanks.
Your avatarHow long have you been urinating more frequently?Question
01/27/21 5:58 PM PST
Chelsea WarrenI was peeing a lot more like . . . 10 days before I had the diabetic key . . . the DKA thing.
Your avatarDo you feel dizzy?Question
01/27/21 5:58 PM PST
Chelsea WarrenNuh uh.
Your avatarDo you feel tingling anywhere?Question
01/27/21 5:58 PM PST
Chelsea WarrenNo, nothing like that.
Your avatarDo you have a wound?Question
01/27/21 5:58 PM PST
Chelsea WarrenUh, I don’t think so. I don’t really get hurt that often, though.
Your avatarWhat is your relationship to the patient?Question
01/27/21 5:59 PM PST
Ned WarrenChelsea is my daughter.
Your avatarWhat is your daughter’s diagnosis?Question
01/27/21 6:00 PM PST
Ned WarrenShe’s been diagnosed with type 1 diabetes.
Your avatarWHEN WAS YOUR DAUGHTER DIAGNOSED WITH DIABETES?Question
01/27/21 6:00 PM PST
Ned WarrenWell, when I took Chelsea to the emergency room the doctors ran some tests and asked me about her symptoms. She was confused and disoriented. Honestly, I didn’t know what was going on with her until the doctors told us she has type 1 diabetes. Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatarOooh, sorry about thatEmpathize
01/27/21 6:00 PM PST
Ned WarrenUh, thanks.
Your avatarWhen was your daughter hospitalized?Question
01/27/21 6:01 PM PST
Ned WarrenWe came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
Your avatarDid your daughter have complications with her diabetes?Question
01/27/21 6:01 PM PST
Ned WarrenWe came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
Your avatarHow was your daughter feeling?Question
01/27/21 6:02 PM PST
Ned WarrenChelsea was feeling pretty bad when we first got here. I thought maybe she had a stomach bug, because she was throwing up. She was also kind of confused — just not herself. She was pretty out of it. Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatarSorry about that. Its hard seeing your child unwellEmpathize
01/27/21 6:02 PM PST
Ned WarrenThank you.
Your avatarHas your daughter’s weight changed lately?Question
01/27/21 6:03 PM PST
Ned WarrenWell, her horseback riding lesson two days ago was the first time I’d seen her in two weeks. She was staying with her Mom. When I saw her at her riding lesson, I thought she looked a little thinner than normal.
Your avatarHow much weight has your daughter lost?Question
01/27/21 6:04 PM PST
Ned WarrenI think she lost around five pounds. It happened in the last two weeks, when she was staying with her mom. She’s not normally this thin.
Your avatarDo you know anything about type 1 diabetes?Question
01/27/21 6:05 PM PST
Ned WarrenJust what I’ve learned here in the hospital. We’ve had a lot of different people come in and talk to us . . . and I’ve been reading a lot of articles on my phone. I’ve been reading about insulin, and uh, carb counting, but I don’t think it’s all sunk in.
Your avatarIt is good to have good knowledge about the disease so that you can manage your daughter’s condition effectivelyEducate
01/27/21 6:05 PM PST
Ned WarrenI see.
Your avatarWhat is your daughter’s typical diet? (Clarified to What is your daughter’s diet like?.)Question
01/27/21 6:06 PM PST
Ned WarrenIt’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to what my daughter’s diet is like.) Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatarIt is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet.Educate
01/27/21 6:07 PM PST
Ned WarrenOkay.
Your avatarHow many carbohydrates does your daughter eat a day?Question
01/27/21 6:08 PM PST
Ned WarrenI . . . I don’t think she eats many carbs. I haven’t counted yet, but we stick to pretty healthy foods. We don’t eat a lot of sugar.
Your avatarWhat medications does your daughter take for her diabetes? (No matching questions found.)Question
01/27/21 6:09 PM PST
Your avatarWhat medications does your daughter take? (No matching questions found.)Question
01/27/21 6:09 PM PST
Your avatarAny treatment? (No matching questions found.)Question
01/27/21 6:10 PM PST
Your avatarAre you married?Question
01/27/21 6:10 PM PST
Ned WarrenChelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing.
Your avatarOkay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorceEmpathize
01/27/21 6:11 PM PST
Ned WarrenMmmhmmm.
Your avatarHow is your daughter’s relationship with her mother? Type 1 Diabetes Chelsea Warren Shadow health TranscriptQuestion
01/27/21 6:12 PM PST
Ned WarrenChelsea and Nora are really close.
Your avatarThat is greatEmpathize
01/27/21 6:13 PM PST
Ned WarrenUh, thanks.
Your avatarHas your daughter been hospitalized before?Question
01/27/21 6:13 PM PST
Ned WarrenThis is Chelsea’s first visit to a hospital. No surgeries . . . I mean, she hasn’t even broken a bone before.
Your avatarDoes any one in your family have diabetes?Question
01/27/21 6:14 PM PST
Ned WarrenWell, Mother has type 2 diabetes. She was diagnosed a little bit after Chelsea was born. Other than that, nothing else.
Your avatarDo you take medications?Empathize
01/27/21 6:14 PM PST
Chelsea WarrenThanks, I appreciate it.
Your avatarDo you take medications?Question
01/27/21 6:15 PM PST
Chelsea WarrenUm, I mean, I guess I take insulin every day, if that’s what you mean.
Your avatarDo you monitor your blood glucose levels? (Clarified to Do you check your blood sugar at home?.)Question
01/27/21 6:15 PM PST
Chelsea WarrenOther people have been checking it for me. I haven’t done it myself yet. (Clarified to if I check my blood sugar.)
Your avatarOkay. It is good to closely monitor your glucose levelsEducate
01/27/21 6:16 PM PST
Chelsea WarrenOh, ok. I think I get it.
Your avatarthanks for answering the questions Chelsea. Type 1 Diabetes Chelsea Warren Shadow health TranscriptEmpathize
01/27/21 6:16 PM PST
Chelsea WarrenThank you.
Your avatarDo you have a high heart beat?Educate
01/27/21 6:17 PM PST
Chelsea WarrenThere’s so much to learn. I feel like my brain is full! But thanks for telling me.
Your avatarDo you have a high heart beat? (Clarified to Does your heart race?.)Question
01/27/21 6:17 PM PST
Chelsea WarrenNope, my heart feels fine. (Clarified to if my heart races.)
Your avatarDo you have fever?Question
01/27/21 6:17 PM PST
Chelsea WarrenNo, I don’t think I have a fever.
Your avatarI will now perform a physical assessmentEducate
01/27/21 6:18 PM PST
Chelsea WarrenOh, ok. I think I get it.
Your avatar Checked ID bandExam Action
01/27/21 6:18 PM PST
Your avatar Assessed vitalsExam Action
01/27/21 6:18 PM PST
Your avatarDo you feel any pain?Question
01/27/21 6:30 PM PST
Chelsea WarrenNo. No pain.
Your avatar Assessed growthExam Action
01/27/21 6:30 PM PST
Your avatar Assessed growthExam Action
01/27/21 6:31 PM PST
Your avatar Inspected IV siteExam Action
01/27/21 6:31 PM PST
Your avatar Assessed vitalsExam Action
01/27/21 6:32 PM PST
Your avatarDo you have any needs right now? (Clarified to Do you need anything?.)Question
01/27/21 7:01 PM PST
Chelsea WarrenI guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all kinda confusing, but I want to know more. (Clarified to if I need anything.)
Your avatarDiabetes is a metabolic disease. With the right diet, appropriate exercise and adherence to medication and close monitoring of the blood glucose levels, the condition can be managed very well.Educate
01/27/21 7:02 PM PST
Chelsea WarrenOk. Ok. I got it.
Your avatar Inspected IV siteExam Action
01/27/21 7:02 PM PST
Your avatar Educate Chelsea in the most therapeutic manner on what supplies she will need to administer insulin.Exam Action
01/27/21 7:03 PM PST
Your avatarChelsea, before you administer insulin, you will need a new, packaged syringe, a vial of insulin, alcohol wipes, and access to a special container for storing your used syringe. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health TranscriptQuestion
01/27/21 7:06 PM PST
Chelsea WarrenOkay, got it.
Chelsea WarrenActually, what do you mean by a special container?
Your avatarIt is called a sharps container. Before you go home, we will make sure that each of your parents gets one, and that you know where to find one at school.Question
01/27/21 7:07 PM PST
Chelsea WarrenOkay, thanks.
Your avatar Educate in the most therapeutic manner on how to prepare a syringe for injection.Exam Action
01/27/21 7:07 PM PST
Your avatarNed, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.Question
01/27/21 7:08 PM PST
Ned WarrenUnderstood. This is how I will prep Chelsea’s syringe when I am going to administer Chelsea’s insulin.
Chelsea WarrenHey, I thought I was going to be doing that.
Your avatar You have not selected the most therapeutic way to deliver this information. The incorrect response you selected has been removed. Try again with the remaining responses.Exam Action
01/27/21 7:08 PM PST
Your avatar Educate in the most therapeutic manner on how to prepare a syringe for injection.Exam Action
01/27/21 7:08 PM PST
Your avatarChelsea, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.Question
01/27/21 7:09 PM PST
Chelsea WarrenTake the syringe out of the package, get the cap off the needle, pull the plunger back to my correct dose. Roger, dodger.
Your avatar Educate Chelsea on the first steps in filling the syringe with insulin.Exam Action
01/27/21 7:09 PM PST
Your avatarPut the bottle of insulin on a flat surface, and hold it steady with one hand. With your other hand, push the needle straight into the insulin bottle and slowly push the plunger down. This will inject the air in the syringe into the bottle. Don’t pull the syringe out yet. Any questions?Question
01/27/21 7:10 PM PST
Chelsea WarrenNo questions. So far, so good.
Your avatar Educate Chelsea on completing the process of filling the syringe with insulin.Exam Action
01/27/21 7:10 PM PST
Your avatarWith the needle still in the insulin vial, turn both upside down, so that the bottom of the vial is pointing at the ceiling. Slowly draw the plunger down so that insulin fills the syringe. Keep the tip of the needle in the insulin, and make sure you don’t bend the needle. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health TranscriptQuestion
01/27/21 7:10 PM PST
Chelsea WarrenI still get it.
Your avatar Educate Chelsea on how to evacuate air bubbles from the syringe.Exam Action
01/27/21 7:10 PM PST
Your avatarThe needle is still in the bottle at this point. Tap the side of the syringe with your finger to make any bubbles rise to the top. Then, you can push the plunger just enough to force the air out through the needle.Question
01/27/21 7:11 PM PST
Chelsea WarrenMakes sense to me.
Chelsea WarrenNow that I think about it, what’s wrong with air?
Your avatarInjecting yourself with insulin is safe, but if there are bubbles in the syringe, they will take up space, and you won’t inject enough insulin.Question
01/27/21 7:11 PM PST
Chelsea WarrenUnderstood.
Your avatar Educate Chelsea on prepping the insulin injection site.Exam Action
01/27/21 7:11 PM PST
Your avatarAfter removing the needle from the vial, use an alcohol pad to clean the injection site. Let the site dry, otherwise it might sting a little. Pinch approximately 1 inch of skin, not too hard. Insert the needle into the pinched skin at the proper angle and slowly push the plunger in until it is empty. Leave the needle in your skin for five seconds. Any questions?Question
01/27/21 7:12 PM PST
Chelsea WarrenHuh, okay.
Your avatar Educate Chelsea on how to complete the injection process.Exam Action
01/27/21 7:12 PM PST
Your avatarOnce you take the needle out, keep an eye on the area you injected. If you see any bleeding, use a tissue to clean it up. If you see any insulin leak out, check back with your provider to go over the injection process again.Question
01/27/21 7:12 PM PST
Chelsea WarrenWatch out for leaks, and clean up the blood. I got it.
Your avatar Now it’s time for Chelsea to demonstrate what she’s learned.Exam Action
01/27/21 7:12 PM PST
Your avatarOk, Chelsea, do you feel ready to practice injecting insulin? We’re going to use sterile saline to practice, since you don’t need a dose of insulin right now.Question
01/27/21 7:12 PM PST
Chelsea WarrenYep! Let’s do this.
Ned WarrenAre you sure you’re ready for this, sweetie?
Chelsea WarrenI got it, Dad. Don’t worry.
Your avatar Chelsea demonstrates the proper technique for how to prep and fill a syringe. Type 1 Diabetes Chelsea Warren Shadow health TranscriptExam Action
01/27/21 7:13 PM PST
Your avatarNext.Question
01/27/21 7:13 PM PST
Your avatar Chelsea demonstrates the proper technique for giving herself an injection.Exam Action
01/27/21 7:13 PM PST
Your avatarNext.Question
01/27/21 7:13 PM PST
Your avatar You complete education with Chelsea on how to effectively manage her diabetes, having successfully covered areas such as glucose monitoring using a glucometer, how to manage risk factors such as hypoglycemia and hyperglycemia, how her diet impacts her diabetes, what to do on sick days, and how to create an action plan at her school. Chelsea and Ned both verbalize that they feel ready to manage Chelseas new chronic illness. Ned says he feels confident that he and his ex-wife will be able to manage Chelsea’s diabetes for the next few days, until their appointment with an endocrinologist. Type 1 Diabetes Chelsea Warren Shadow health Transcript
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Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

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Free-revision Policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

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Privacy Policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

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4-hour deadlines

Your urgent tasks will be completed within 4 hours. Your discussion responses and late orders will be will be handled fast and we still maintain our quality.

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