Anticipatory Guidance for Teens With Diabetes As They ...

Anticipatory Guidance for Teens With Diabetes As They ...

ANTICIPATORY GUIDANCE FOR TEENS WITH DIABETES
AS THEY TRANSITION TO ADULTHOOD
EMPOWERED TO STAY IN RHYTHM
Lynn L. Severson, RN, BSN, CDE, MSN Graduate Student
University of Wisconsin Eau Claire

Musical Bingo
Purpose
The development of a tool,
combining research and
practice, could improve
self-management for teens
and young adults with diabetes.

Interventions
Research/Practice Tool
(in development)
Interactive Health Games
Focus Groups
Computerized Education
Internet Diabetes Blogs
Outpatient Transition Services
Packet on Services & Insurance
Motivational Interviewing
Coping Skills Training
Addressing Obstacles
Website: www.diabetes.org

College, Work,
Relationships

History And
Physical

Motivations

Peer Influence

Patience

Research Findings
Conflicting
Attitudes

Listen

Individual
Interventions

Health
Promotion

Timely
Appointments

Negotiate
Client-Centered
Goals

Collaboration

Time

Family Support
And Conflict

Expertise and
Interest

Problem
Solving

Humor

Risky Behavior

Marriage, $$,
Transportation

Diabetes
Burnout

Alcohol And
Substance
Abuse

Healthy
Communication

Providers As
Coaches

Creativity

Where The Complex World of Teens, Young
Adults, and Providers Connect
Case Study
Tom, 25 years old, married, father of one, is completing
his college education while working.
He has a 21 year history of type 1 diabetes with
retinopathy. He is new to an insulin pump. Tom reports
being empowered by appointments with his provider,
diabetes educator, and insulin pump blogs.

Brink: The DCCT revealed a multidisciplinary
proactive approach reduced complications.
Dios: Support is associated with greater wellbeing & reduced depression & anxiety.
Polonsky & Wissberg-Benchell: Address
potential obstacles or tipping points to
improve diabetes outcomes.
Schur: Its important for adolescents
to manage their relationship with diabetes
instead of diabetes controlling them.
Woodgate: Treat me like a person; try to
understand me; dont treat me differently;
give encouragement; dont force me; give me
options; have a sense of humor; know what
youre doing.
Wysocki: Gradually transfer care to youth
with parent transitions from monarch to
executive to consultant.

Theory
Picard & Jones (2005). Giving Voice to
What We Know: Margaret Newmans
Theory of Health as Expanding
Consciousness in Nursing Practice,
Research, and Education
White & Klein (2002). Family Theories:
Understanding Families
Wheatley (2001). We are All Innovators

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