Building Competency in Diabetes Education THE ESSENTIALS

11-110 | CHAPTER 11

Self-perception and self-concept This part of the assessment is concerned with key psychological factors relating to self concept.

Data collection should include: Body image, sense of self-worth and self-esteem, self efficacy.

Rationale for including this assessment area & application to SME:

• Signs of potential problems: o Recurrent diabetic ketoacidosis (deliberate insulin omission related to secondary weight gain). o Elevated A1C, especially in a knowledgeable patient. o Frequent severe hypoglycemia. o Delayed puberty or sexual maturation, or failure to grow. o Brittle diabetes. For the person with diabetes, several threats to self-concept/self perception may arise. Identifying self as a person with a chronic illness sets one aside as “different”. Diabetes imposes some limitations on spontaneity and choice and also poses potential threats for future functioning. Body image and eating disorders present as potentially significant problems among persons with diabetes.

A1C = glycated hemoglobin

Roles and relationships This part of the assessment reviews the person’s and family’s social connections, to each other and to external groups.

Data collection should include: Dysfunctional relationships, role strain and change in satisfaction with usual roles.

Rationale for including this assessment area & application to SME:

• Assessment of individual roles, family roles and social relationships to provide a comprehensive picture of the person’s functioning in differing, sometimes competing, roles. To further understand the influences of family, information could be gathered about who comprises the family, the birth order of children in the family, the various subsystems or levels of differentiation and the social and other