Clinical Simulation: Real Life RN Nursing Care of Children 3.0 – Type 1 Diabetes

Clinical Simulation: Real Life RN Nursing Care of Children 3.0 – Type 1 Diabetes Mellitus
Objectives:
Identify pathophysiology of type 1 diabetes mellitus and clinical manifestations of hyperglycemia and
hypoglycemia.
Identify diagnostic testing that is completed for a client who has diabetes mellitus.
Identify primary assessment for a client who has new onset diabetes mellitus.
Develop an evidence-based plan of care for a school-age/early adolescent client with a new diagnosis
of type 1 diabetes mellitus.
Use clinical reasoning to promote a positive outcome for a client who has diabetes mellitus.
Identify important nursing considerations for medications used in treating clients who have type 1
diabetes mellitus.
Communicate effectively and therapeutically with a client who has a new diagnosis of type 1
diabetes mellitus and his family.
Complete an accurate and effective SBAR communication.
Educate the client and family about the disease process, lifestyle changes, diet, exercise,
medications, treatments, school needs.
Scenario Overview: The type 1 diabetes mellitus scenario focuses on a 12-year-old male who presents to his
provider’s office with manifestations of diabetes mellitus, his care and educational needs during diagnosis
and hospitalization, and his follow- up appointment to evaluate the outcomes of his treatment and plan of
care.
Tasks:
1. Complete Active Learning Templates:
Growth and Development: School-age/early adolescence, care for the hospitalized child
Medication: Insulin: Types, administration, modes of delivery including insulin pens and insulin
pumps
Nursing Skill: Fingerstick procedure for monitoring blood glucose
System Disorder: Type 1 diabetes mellitus, hyperglycemia and hypoglycemia
2. Debrief:
Reflect on an “Aha” moment that you experienced during the simulation.
Describe the clinical situation and provides the details on what you learned that lead to the
expansion of your clinical knowledge.
Describe in detail a clinical situation (from clinical or simulation experience) in which you did not feel
prepared to care for a client with a diagnosis of type 1 diabetes mellitus.
What lead to the lack of preparation?
What will you do differently next time when caring for a client with type 1 diabetes mellitus?
What should be included in a plan of care for a client with type 1 diabetes mellitus?
Develop a plan of care for a client with type 1 diabetes mellitus. Include top three client problems,
signs/symptoms, family dynamic needs, educational needs, medications, safety considerations, and
nursing actions to be taken to address client problems and care issues.
Do the tasks