Learning Disability

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Diabetes Mellitus Deep vein thrombosis

Presentation Takes insulin Takes warfarin


HbA1C is increased INR lvls variable
Glucose lvls raised on several
occasions
Initial check You have been diagnosed with a You have been diagnosed with a
condition, has anybody explained? condition, has anybody explained?
What symptoms initially? What symptoms initially?
Any symptoms now? Any symptoms now?
Address Learning Disability I can understand from my notes I can understand from my notes
you also have some learning you also have some learning
difficulties, may I know what difficulties, may I know what
difficulty you exactly have, so I can difficulty you exactly have, so I can
help you better. help you better.
“Don`t remember things” “Don`t remember things”
“When doctors use big words, I “When doctors use big words I
don`t understand” “When doctors don`t understand” “When doctors
talk fast I don’t understand” talk fast I don’t understand”
What has been done I can see you have been prescribed I can see you have been prescribed
medications to be taken….., do you medications to be taken….., do you
take it daily as prescribed? take it daily as prescribed?
Complication of medication Ever skipped a meal Bleeding from anywhere
Faintish, cold sweat
Complication of disease Thirst Leg pain/swelling
Excessive urination
Challenges in daily life Diet – what do you eat? Diet - what do you eat?
Medication Medication - tablet
Social Social
Diagnosis-explain in simplest way High levels of sugar in our blood, Blood flows in our body, we want it
we want it to be normal, as can to be thin, in your case it becomes
cause problems with eyes, heart. thick, like jelly, we want to prevent
that
Address identified issues Medication- give tips on how to Medication- give tips on how to
remember remember
I will make a note, set an alarm on I will make a note, set an alarm on
your phone, anyone who can your phone, anyone who can
remind you remind you

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