Patient-centered Diabetes Care in Children: An Integrated, Individualized, Systems-oriented, and Multidisciplinary Approach:

Global Advances in Health and Medicine

Gunver S.Kienle¹ 

关键词: Diabetes care management;    diabetes mellitus type 1;    self-management education course;    pediatrics;    patient-centered care;    blood glucose self-monitoring;    case report;   

DOI  :  10.7453/gahmj.2013.005

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Type 1 diabetes mellitus in children is associated with various medical, psychological, emotional, social, and organizational hurdles. Patient-centered disease management should address all patient-relevant issues in an individualized, systems-oriented, and multi-disciplinary approach.Case:A 10-year-old girl with type 1 diabetes mellitus, a developmental disorder with motor and sensory dysfunction and dyscalculia was cared for full-time by her mother and an assistant nurse. Receiving standard intensified insulin therapy, she still had poor glucose control with frequent mild and severe hypoglycemic episodes. She was socially isolated and not able to attend peer activities and was frustrated with her situation. The mother was substantially stressed, and the child-mother relationship was endangered.The girl and her family were referred to an integrated, patient-centered, and highly individualized, multidisciplinary diabetic care program that offered self-management education courses and psychosoma...

【 授权许可】

CC BY