Question

Case Scenario: Client with Diabetes

Bettie Douman is a 40-year-old professional secretary who is
employed full-time at a large university. She has had type 1
diabetes mellitus for 20 years. Bettie has

Answer 1

For Bettie Douman, it would be beneficial to increase oral hygiene practices and incorporate a balanced diet. Hypoglycemia is a potential emergency to prepare for, so monitoring blood sugar levels and having glucose snacks readily available is important. A detailed self-care plan could include consistent glucose monitoring, regular exercise, a healthy diet, and routine dental check-ups.

Step-by-step explanation:

If I were to make changes to the dental hygiene care plan for Bettie Douman, I would recommend incorporating more thorough oral hygiene practices. This could include increasing the frequency of brushing and flossing, using an antibacterial mouthwash, and scheduling regular dental cleanings. Additionally, I would suggest implementing a balanced diet that focuses on nutrient-rich foods and limiting sugary and acidic foods.

When treating this client, one potential emergency to prepare for is hypoglycemia, which can occur if Bettie's blood glucose levels drop too low. To prevent this emergency, it is important to closely monitor her blood sugar levels during dental treatment and have glucose tablets or snacks readily available in case of a drop in blood sugar. Additionally, communicating with her healthcare team to ensure proper insulin management during the appointment is crucial.

A detailed self-care plan for Bettie could include the following components:

1. Daily monitoring of blood glucose levels using a glucose meter
2. Consistent use of her insulin pump and regular communication with her healthcare provider to adjust insulin dosages as needed
3. Regular exercise, such as her daily walks, to help maintain a healthy weight and promote blood glucose control
4. Adopting a balanced, nutritionally dense diet that focuses on whole foods and limits processed and sugary foods
5. Maintaining a consistent oral hygiene routine, including brushing at least twice a day, flossing daily, and using a fluoride toothpaste and antibacterial mouthwash
6. Scheduling regular dental check-ups and cleanings to monitor and address any oral health concerns
7. Attending educational sessions or support groups specific to diabetes management to stay informed and motivated in her self-care efforts