Type 1 Diabetes

 

Read the following Clinical Case:
Jason is 11 years old and has Type 1 Diabetes. He was diagnosed with Diabetes when he was 5 years old. He is comfortable taking his “blood sugar” readings during the day. He likes to participate in sports and is on the soccer team, which practices three times a week after school. His mother always packs his lunch for school so he does not have to worry about eating the food in the cafeteria.

For this written assignment plan a day’s meal for Jason.
• Include breakfast, lunch, dinner, and snacks.
• In particular, include any snacks he may need after school to maintain a balanced diet during soccer practice.
• Also include a brief discussion about three issues/considerations regarding nutrition, diabetes, and children that nurses must be aware of.

Sample Solution

When you have a child with type 1 diabetes, meal planning is important. Everything your child eats can affect their blood sugar. Like all children, kids with type 1 diabetes need nutrient-rich foods that help them grow and keep them at a healthy weight. Over the course of a day, your child should get about 10%-20% of their calories from protein, 25%-30% calories from healthy fats, and about 50%-60% from carbohydrates. There are no specific foods that are off-limits to your child, but there are things to consider when meal planning and grocery shopping. People with diabetes have a higher risk of developing heart disease. Because of that, it is good to steer your child away from fatty foods that contain cholesterol, saturated fat, and trans fat.

ortantly, is to ensure that the senior management are best equipped to lead the organisation successfully. However, further down the hierarchy Fielder’s contingency theory begins to hold much less relevance, it becomes impractical from a organisational perspective due to the number of people at this level of leadership. The logistics of matching the leader with their least preferred co-worker is impossible to consistently achieve, so a more continuum based approach is required.
Figure 1: Chelladurai’s Multi-Dimensional Model of Leadership (Miller and Cronin, 2012)

There are other contingency theories that provide a more continuum based approach such as Redding’s theory of leadership and management, however Fielder’s description of how situational factors affect the leadership style required for the situation is extremely useful in understanding the fundamentals of leadership (Pettinger, 2007). Chelladurai in his Multi Dimensional Model of Leadership, expands on much of Fiedler’s theory but in a continuum based approach, in which the leader can adapt their leadership style to fit the situation (Chelladurai and Madella, 2006). Chelladurai’s theory is taken from sports psychology but can be applied to an organisational scenario. It provides a much more empirical categorisation of task structure, clearly differentiating a plethora of situations that require certain leadership styles for success. Chealldurai found three characteristics that affect the leadership style required for a situation, called antecedents, they mainly expand upon Fiedler’s situational factors and leader – member relations and ultimately affect how a leader should behave towards a situation. The first are situational characteristics, the environment in which the leader must perform, the second are leader characteristics, the experience, personal qualities and skills of the leader, and the third are member characteristics, the motivation, skill and experience levels of group members (Chelladurai and Madella, 2006). The situational characteristics and member characteristics have a required behaviour to ensure maximum group performance, they also have a preferred behaviour to ensure the satisfaction of group members, if the leaders actual behaviour matches both the required behaviour and preferred behaviour of the situation the consequence is maximum group performance and satisfaction. However, if the group are not performing and achieving goals or are not satisfied or both, then the leader is able to amend their actual behaviour to improve this. Leaders able to monitor performance and satisfaction, and understand what is re

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