Coping with Diabetes

Scenario: The RN is caring for a 30-year-old violinist who makes his living as a touring concert artist. While on a European concert tour, he fainted on stage, was taken to a hospital, and subsequently diagnosed with Type I Diabetes Mellitus. The RN is teaching the patient about self-monitoring of blood glucose, dietary considerations, and insulin injections. The patient tells the RN that he cannot possibly manage this regimen, since he spends a lot of his life “in airplanes and on stages.” Address the following: 1. Discuss an approach the RN can take to assist this patient to understand his disease and comply with treatment. 2. What factors would the RN need to consider with this patient? 3. How might the regimen need to be adapted, based on this patient’s lifestyle?