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Practical session of Diabetes Camp 2004

Practical session of Diabetes Camp 2004. Lee Kar Bik Diabetes Educator QMH (Paed) 16 September 2004. The objectives of Diabetes Camp 2004. To promote diabetes education in a more relaxed and non-structural setting.

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Practical session of Diabetes Camp 2004

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  1. Practical session of Diabetes Camp 2004 Lee Kar Bik Diabetes Educator QMH (Paed) 16 September 2004

  2. The objectives of Diabetes Camp 2004 • To promote diabetes education in a more relaxed and non-structural setting. (Main themes: food exchange and CHO counting, insulin dosage adjustment, exercise and diabetes) • To review their management skill in daily life. • To encourage independence, build confidence and self esteem. • To impact a more positive attitude in coping with the illness. • To create a safe and fun environment.

  3. Diabetes Camp 2004 Place: 西貢黃宜州青年營營地 Date: 22/10/04 --- 24/10/04 Participants: 95 DM children Hospitals: 12 Age groups: 8-10 (18) 11-12 (23) ≥13 (54) Sex: female – 51 male – 44 Years of diagnosis: From ~3 months to 17 years Groups: 12 (different ages and sex), 7-8 persons/group Room: 12 Female (7) Male (5) Workers: Doctors / DM nurses / Dietitians / MSW / Camp facilitators / volunteers from parents

  4. Role of Diabetes educators/ DM nurses within a DM Camp • To provide educational and recreational activities • To provide knowledge in management of exercise and hypoglycaemia • To provide psychological and physical support to younger patients • To prevent and manage hypoglycaemia • To ensure safety outdoors activities • To co-ordinate dosage reduction • To identify patients at risk of unstable blood sugar • To monitor patients daily diabetes care . Dextrostix monitoring . Insulin injection technique . Dietary intake

  5. Role of leader within the camp • 鼓勵營友積極地參與營內各種活動節目。 • 協助職員維持營內活動之秩序。 • 鼓勵其他營友遵守營內的規條。 • 協助指導年幼的營友做血糖測試和注射胰島素。 • 協助照顧較年幼的營友,肯定他們已跟進各人的食物表所訂的份量。 • 協助教導其他營友在日常生活中怎樣去調較胰島素量及食物,運動和胰島素 的關係。

  6. Role of leader within the camp • 協助教導其他營友怎樣去處理低血糖反應。 • 鼓勵營友們需積極地面對糖尿病, 給予他們一個正面的榜樣適應由糖尿病所帶來的負面情緒反應。 • 鼓勵大家去分享和思考各人心中面對糖尿病的疑難和矛盾。 • 若有任何疑難或困擾問題, 歡迎轉介職員去協助解決。 • 盡量鼓勵團隊精神。

  7. DM camp program Day 1 (2004-10-22) 09:15 Assembly 09:30 -12:00 Depart SK Pier Settle and grounding Introduce facilitators Trust lean (partner/group) Group name & Slogan Find facilitator 12:00 – 13:00 Lunch ( including check H’stix and injection) 13:15 – 17:00 Small group activities (outdoor) 18:00 – 19:00 Dinner (including check H’stix and injection) 19:00 – 19:30 Sharing 19:30 – 20:00 Briefing for Field trip 20:00 – 21:00 Basic Map Reading 21:00 – 22:00 Preparation for Field trip 22:00 End

  8. DM camp program Day 2 (2004-10-23) 08:00 – 09:00 Breakfast 09:30 – 18:00 Field trips 18:00 – 19:00 Dinner (including check H’stix and injection) 19:00 – 20:00 Preparation for Camp Fire 20:00 – 22:00 Camp Fire 22:00 End

  9. Dm camp program Day 3 (2004-10-24) 親子日營 08:00 – 09:00 Breakfast 09:30 – 12:00 Small group activities (parents to join) 12:00 – 13:00 Lunch (including check H’stix and injection) 13:00 – 1400 Packing 14:00 – 16:00 增進親子溝通工作坊 16:00 – 16:30 Closing Ceremony 16:30 End

  10. Blood Monitoring Blood glucose monitoring • Frequency: before breakfast before lunch before dinner before bed or 3 a.m. & p.r.n. • Blood sugar analyzer: Optium • Recording Record in camp record sheet and their own record book

  11. Blood monitoring Ketone monitoring Measuring serum ketone if BS persistently > 15 mmol/L (2 consecutive readings if asymptomatic) or if there is intercurrent illness Blood ketone level <0.6 mmol/l -------------- No action required 0.6 – 1.5 mmol/l -------------- Retest blood glucose and blood ketones in 2 – 4 hours 1.5 – 3 mmol/l ------------- May be at risk of developing DKA >3mmol/l ------------ Requires immediate emergency treatment

  12. Hypokit • Blood glucose analyser & strips • Lancets • Alcohol prep • Gauze • Ribena candy (10g/pack)/ Vitasoy 125ml/box (10g/box) / biscuit • Glucagon I.M.I & 2.5ml syringe • +/- Hypostop • Bandaid/ Bandage • Insect Repelient • Record sheet & pen • Small sharp box

  13. Medical instrusment (1) Items: 1.Stethoscopes 2.Thermometer 3 .I.V. drip set/ Angiocath / heparin flush and heparin block/ Splint 4. Micropore/ Tagaderm/ Alcohol prep 5. I.V. fluid D5/ NS/ Water for injection 6. I.V. Glucose D20/D50 7. Blood glucose Analyzer/ blood glucose strips 8. Lancet 9. Blood ketone test strip 10. Urine ketone strip

  14. Medical instrusment (2) 11. Syringe (2.5ml/ 10ml, 20ml)/ insulin pen 12. Insulin syringe (30u/ 50u) 13. Gauze/ bandaid/ Elastic Bandge/ Triangular bandage 14. Sharp box/ gloves 15. Medication: Glucagon i.m.i Insulin ( different kinds of insulin) OHA Panadal / Piriton / Stemetil /Maxolon/ Gelusil / Holopon / Lomotil /Ventolin Puff / Hydrocortisone i.v. / Adrenaline i.v. 16. Insect Repellent 17. Antisan 18. +/- Hypostop

  15. Recording

  16. DM camp medical form Name _______________(Chinese)___________________(English) I.D. No_______________ Age ________ Sex _________ Hospital_________________ Year of Diagnosis________________ Paediatrician_______________ Nurse Educator_____________ DM medication_____________________________________ Other medication____________________________________ Allergy history ______________________________________ Medical history______________________________________ Latest HbA1c_________Blood sugar control range _______________ Diet (Cal / CHO portion)__________________________ Frequency / severity of hypo (recent 3 months)_____/week ______ Any severe hypo : ________require glucagon (Y / N) admission(Y / N) Episode of DKA (in last 12 months)_______________ Psychological issue________________________________________ Remarks_________________________________________________ Emergency contact person________________ Relationship_______ Emergency contact phone no________________________________

  17. Recording Room no : _________ Team no : ________ Doctor I/C : ________ (Pager __________ ) Nurse Educator I/C ________

  18. Recording Room no : _________ Team no : ________ Doctor I/C : ________ (Pager __________ ) Nurse Educator I/C ________

  19. Blood sugar recording

  20. 10月23日遠足日誌 姓名: 性別:年齡: _________ 胰島素治療方案:___________________________ 澱粉質分配: _________________________

  21. Aftercare of DM camp . Give advise to parents/ caretakers on insulin adjustment to prevent delayed hypoglycaemia . Sent participants’ blood sugar record and special events within the camping to individual hospital. . Follow up what they had learnt in the camp.

  22. Thank You

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