In order to provide an effective nursing care for diabetic patients, it is required that a good plan should be developed that promotes the achievement of the aims and objectives of the care plan. This is done by identifying the tasks to be performed to achieve the overall objective of the care plan and the sequence in which each tasks will be performed. In the previous activities, I conducted an assessment of children suffering from diabetes at Mark Skinner Elementary School in Chicago by identifying the children who suffer from diabetes, the risk factors associated with their health statuses, and the strengths and weaknesses affecting their ability to overcome diabetes. The information I obtained from the assessment provided a background for development of care plan that will be applied in addressing the needs of students who are affected by diabetes.
The model used during the assessment of diabetic students was the Mobilize, Assess, Plan, Implement, Track (MAP-IT). Mobilization was achieved by motivating the staff, students, and parents at the school to participate actively in preventing diabetes by complying with the directions we provided during identification and assessment of students within the institution. According to (Antola, Lonnqvist, & Uusi-Rauva, 2006), mobilization of stakeholders constitutes an effective approach towards management of any health challenge affecting the target population. During Risk assessment, I found that many students were exposed to diabetes because of a diet that is composed of high amounts of proteins, lack of exercises, and inability to use insulin pump in an effective manner, and lack of monitoring by the children’s parents. The findings from the assessment stage provided the basis on which planning for care will be done. The assessment also showed that parents and family members were stressed by the fact that other child had diabetes and could not live normally as other children. Diabetic children were also less active in physical activities which further worsened their health status.
During planning stage, a sequence of tasks will be developed in order to reduce the risk factors contributing to diabetes among the students and provide the relevant treatment to improve their recovery. Barton & Grant (2006) state that planning is an important component of any care plan because it enables identification of resources and skills that need to be made available in order to carry out any health care service in an effective manner. The implementation stage will involve the execution of the plan of care as well as reduction of the risk factors contributing to high incidences of diabetes among the students at Mark Skinner Elementary School. It will involve educating the families to be proactive in monitoring the lives of their children and seeking treatment for any child with diabetes, and educating the teachers and school administration to take good care of students with diabetes while they are at the institution.
The implementation stage will also involve management of risk factors by educating the parents and family members of diabetic students to overcome psychological and emotional problems caused by the health status of their children. They will also be educated not to provide their children with food products that promote diabetes. Besides, they will be motivated to encourage their children to participate in physical exercises in order to achieve physical fitness. According to Dabelea et al. (2014), risk factors management is an effective method of ensuring children are not affected by diabetes after undergoing treatment or when they are recovering from this health condition. Lastly, risk factors will be managed by asking parents to be positive that their children will recover from diabetes and avoid being stressful.
Tracking will involve monitoring the teachers and parents to determine whether they are providing the children with diabetes with support such as taking them for treatment or providing them with insulin pump as a method of promoting insulin regulation. Those who do not follow the required guidelines will be provided with further assistance until their blood sugar levels are restored to normal.
Disaster Management Plan
Mark Skinner Elementary School is located in Chicago which is exposed to a number of disasters that can result into severe impact on children suffering from diabetes. This requires that adequate disaster management plan must be put in place to ensure the safety of children. The main forms of disasters that are examined in this case are floods and extreme cold weather.
Extreme Cold Weather is a condition that can be experienced at any time of the day irrespective of the seasons of the year due to changes in weather such as when there is low humidity in air. This is a condition that can affect the ability of a child with diabetes to experience discomfort and inability to feel warm. Handling of cold weather conditions during the process of caring for diabetic students can be achieved by purchasing heavy coats that can be used by diabetic students when the weather is cold. It is also recommended that parents and teachers should listen to weather updates and provide diabetic students with protective clothing (Pinhas-Hamiel & Zeitler, 2005). The disaster kit for cold weather that the families of diabetic students should have must contain heavy clothing, insulin pump, pain reliever drugs, bandage, packed food, and water.
Floods in Chicago are usually unpredictable and may occur when children have gone to school and not able to get support from parents and teachers. The occurrence of floods can cause difficulty in walking to and from school and also cause discomfort to children with diabetes due to the exposure of their bodies to water (World Health Organization, 2004). When it is expected that heavy rains will be experienced, students should be provided with heavy boots that enable them to wade through water without getting into contact with it. Their families should be provided with disaster kit that contains a sleeping bag, an umbrella, heavy jackets, torch, packed food, water, and pain reliving drugs. The school should monitor diabetic students and ensure they are assisted to reach their homes when floods occur. If the room in which the students are located is occupied with floods, they should be evacuated and provided with any First Aid depending on the severity of their conditions. The disaster kit should be used in the process of evacuation.
In conclusion, diabetes among elementary school students is a major concern that must be addressed by a number of stakeholders such as parents, teachers, and health professionals. Students must be enabled to overcome the risk factors which contribute to severity of their conditions while measures should be put in place to promote their safety during natural disasters such as floods and cold weather. This care plan is most suitable for Mark Skinner Elementary School in managing diabetes among its students and achieving a diabetes-free institution.
Antola, J., Lonnqvist, A., & Uusi-Rauva, E. (2006). Designing a strategy map in order to facilitate strategy implementation. Liiketaloudellinen aikakauskirja, 1, 11.
Barton, H., & Grant, M. (2006). A health map for the local human habitat. The Journal for the Royal Society for the Promotion of Health, 126(6), 252-253.
Dabelea, D., Mayer-Davis, E. J., Saydah, S., Imperatore, G., Linder, B., Divers, J., … & Liese, A. D. (2014). Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. Jama, 311(17), 1778-1786.
Harrison, E. F. (1996). A process perspective on strategic decision making. Management decision, 34(1), 46-53.
Pinhas-Hamiel, O., & Zeitler, P. (2005). The global spread of type 2 diabetes mellitus in children and adolescents. The Journal of pediatrics, 146(5), 693-700.
World Health Organization. (2004). International statistical classification of diseases and related health problems (Vol. 1). World Health Organization.