What type of therapeutic intervention would you suggest to prevent type 1 diabetes
You are an EN working in a paediatric unit at the base hospital. Michael, an 8-year-old patient with Type 1 diabetes, is engaging in behaviour that is disruptive to other patients. On more than one occasion you have lost your temper and had to stop yourself from slapping Michael. You feel very remorseful about this and realise that you need help controlling your anger and finding alternate ways to manage Michael’s behaviour.
Later the same week, you observe another nurse giving chocolate to Michael to encourage him to change his behaviour. You are surprised, as Michael is still learning to manage his diabetes and his parents have requested that he not be given sweets. The other nurse laughs when you ask about this and says, ‘I do a lot of things I am not supposed to do to make Michael behave’.
Intervention mechanism for Type 1 Diabetes
Although you understand the other nurse is just trying to manage a difficult situation, you do not think this approach is helping Michael manage his behaviour and is also creating more difficulty for others who do not offer bribes. You do not want to get your colleague into trouble and are unsure whether to intervene or just ignore the observations you have made.