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What is your daughter’s diagnosis?

Question
01/27/21 6:00 PM PST

She’s been diagnosed with type 1 diabetes.

WHEN WAS YOUR DAUGHTER DIAGNOSED WITH DIABETES?

Question
01/27/21 6:00 PM PST

Well, when I took Chelsea to the emergency room the doctors ran some tests and asked me about her symptoms. She was confused and disoriented. Honestly, I didn’t know what was going on with her until the doctors told us she has type 1 diabetes. Type 1 Diabetes Chelsea Warren Shadow health Transcript

Oooh, sorry about that

Empathize
01/27/21 6:00 PM PST

Uh, thanks.

When was your daughter hospitalized?

Question
01/27/21 6:01 PM PST

We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.

Did your daughter have complications with her diabetes?

Question
01/27/21 6:01 PM PST

We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.

How was your daughter feeling?

Question
01/27/21 6:02 PM PST

Chelsea was feeling pretty bad when we first got here. I thought maybe she had a stomach bug, because she was throwing up. She was also kind of confused — just not herself. She was pretty out of it. Type 1 Diabetes Chelsea Warren Shadow health Transcript

Sorry about that. Its hard seeing your child unwell

Empathize
01/27/21 6:02 PM PST

Thank you.

Has your daughter’s weight changed lately?

Question
01/27/21 6:03 PM PST

Well, her horseback riding lesson two days ago was the first time I’d seen her in two weeks. She was staying with her Mom. When I saw her at her riding lesson, I thought she looked a little thinner than normal.

How much weight has your daughter lost?

Question
01/27/21 6:04 PM PST

I think she lost around five pounds. It happened in the last two weeks, when she was staying with her mom. She’s not normally this thin.

Do you know anything about type 1 diabetes?

Question
01/27/21 6:05 PM PST

Just what I’ve learned here in the hospital. We’ve had a lot of different people come in and talk to us . . . and I’ve been reading a lot of articles on my phone. I’ve been reading about insulin, and uh, carb counting, but I don’t think it’s all sunk in.

It is good to have good knowledge about the disease so that you can manage your daughter’s condition effectively

Educate
01/27/21 6:05 PM PST

I see.

What is your daughter’s typical diet? (Clarified to What is your daughter’s diet like?.)

Question
01/27/21 6:06 PM PST

It’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to what my daughter’s diet is like.) Type 1 Diabetes Chelsea Warren Shadow health Transcript

It is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet.

Educate
01/27/21 6:07 PM PST

Okay.

How many carbohydrates does your daughter eat a day?

Question
01/27/21 6:08 PM PST

I . . . I don’t think she eats many carbs. I haven’t counted yet, but we stick to pretty healthy foods. We don’t eat a lot of sugar.

What medications does your daughter take for her diabetes? (No matching questions found.)

Question
01/27/21 6:09 PM PST

What medications does your daughter take? (No matching questions found.)

Question
01/27/21 6:09 PM PST

Any treatment? (No matching questions found.)

Question
01/27/21 6:10 PM PST

Are you married?

Question
01/27/21 6:10 PM PST

Chelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing.

Okay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorce

Empathize
01/27/21 6:11 PM PST

Mmmhmmm.

How is your daughter’s relationship with her mother? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 6:12 PM PST

Chelsea and Nora are really close.

That is great

Empathize
01/27/21 6:13 PM PST

Uh, thanks.

Has your daughter been hospitalized before?

Question
01/27/21 6:13 PM PST

This is Chelsea’s first visit to a hospital. No surgeries . . . I mean, she hasn’t even broken a bone before.

Does any one in your family have diabetes?

Question
01/27/21 6:14 PM PST

Well, Mother has type 2 diabetes. She was diagnosed a little bit after Chelsea was born. Other than that, nothing else.

Do you take medications?

Empathize
01/27/21 6:14 PM PST

Thanks, I appreciate it.

Do you take medications?

Question
01/27/21 6:15 PM PST

Um, I mean, I guess I take insulin every day, if that’s what you mean.

Do you monitor your blood glucose levels? (Clarified to Do you check your blood sugar at home?.)

Question
01/27/21 6:15 PM PST

Other people have been checking it for me. I haven’t done it myself yet. (Clarified to if I check my blood sugar.)

Okay. It is good to closely monitor your glucose levels

Educate
01/27/21 6:16 PM PST

Oh, ok. I think I get it.

thanks for answering the questions Chelsea. Type 1 Diabetes Chelsea Warren Shadow health Transcript

Empathize
01/27/21 6:16 PM PST

Thank you.

Do you have a high heart beat?

Educate
01/27/21 6:17 PM PST

There’s so much to learn. I feel like my brain is full! But thanks for telling me.

Do you have a high heart beat? (Clarified to Does your heart race?.)

Question
01/27/21 6:17 PM PST

Nope, my heart feels fine. (Clarified to if my heart races.)

Do you have fever?

Question
01/27/21 6:17 PM PST

No, I don’t think I have a fever.

I will now perform a physical assessment

Educate
01/27/21 6:18 PM PST

Oh, ok. I think I get it.

 Checked ID band

Exam Action
01/27/21 6:18 PM PST

 Assessed vitals

Exam Action
01/27/21 6:18 PM PST

Do you feel any pain?

Question
01/27/21 6:30 PM PST

No. No pain.

 Assessed growth

Exam Action
01/27/21 6:30 PM PST

 Assessed growth

Exam Action
01/27/21 6:31 PM PST

 Inspected IV site

Exam Action
01/27/21 6:31 PM PST

 Assessed vitals

Exam Action
01/27/21 6:32 PM PST

Do you have any needs right now? (Clarified to Do you need anything?.)

Question
01/27/21 7:01 PM PST

I guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all kinda confusing, but I want to know more. (Clarified to if I need anything.)

Diabetes is a metabolic disease. With the right diet, appropriate exercise and adherence to medication and close monitoring of the blood glucose levels, the condition can be managed very well.

Educate
01/27/21 7:02 PM PST

Ok. Ok. I got it.

 Inspected IV site

Exam Action
01/27/21 7:02 PM PST

 Educate Chelsea in the most therapeutic manner on what supplies she will need to administer insulin.

Exam Action
01/27/21 7:03 PM PST

Chelsea, before you administer insulin, you will need a new, packaged syringe, a vial of insulin, alcohol wipes, and access to a special container for storing your used syringe. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 7:06 PM PST

Okay, got it.

Actually, what do you mean by a special container?

It is called a sharps container. Before you go home, we will make sure that each of your parents gets one, and that you know where to find one at school.

Question
01/27/21 7:07 PM PST

Okay, thanks.

 Educate in the most therapeutic manner on how to prepare a syringe for injection.

Exam Action
01/27/21 7:07 PM PST

Ned, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.

Question
01/27/21 7:08 PM PST

Understood. This is how I will prep Chelsea’s syringe when I am going to administer Chelsea’s insulin.

Hey, I thought I was going to be doing that.

 You have not selected the most therapeutic way to deliver this information. The incorrect response you selected has been removed. Try again with the remaining responses.

Exam Action
01/27/21 7:08 PM PST

 Educate in the most therapeutic manner on how to prepare a syringe for injection.

Exam Action
01/27/21 7:08 PM PST

Chelsea, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.

Question
01/27/21 7:09 PM PST

Take the syringe out of the package, get the cap off the needle, pull the plunger back to my correct dose. Roger, dodger.

 Educate Chelsea on the first steps in filling the syringe with insulin.

Exam Action
01/27/21 7:09 PM PST

Put the bottle of insulin on a flat surface, and hold it steady with one hand. With your other hand, push the needle straight into the insulin bottle and slowly push the plunger down. This will inject the air in the syringe into the bottle. Don’t pull the syringe out yet. Any questions?

Question
01/27/21 7:10 PM PST

No questions. So far, so good.

 Educate Chelsea on completing the process of filling the syringe with insulin.

Exam Action
01/27/21 7:10 PM PST

With the needle still in the insulin vial, turn both upside down, so that the bottom of the vial is pointing at the ceiling. Slowly draw the plunger down so that insulin fills the syringe. Keep the tip of the needle in the insulin, and make sure you don’t bend the needle. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 7:10 PM PST

I still get it.

 Educate Chelsea on how to evacuate air bubble