Date post: | 01-Nov-2014 |
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The Teenage Brain and Type 1:
How to Help Your Tween / Teen on the Road to Greater Independence
Ellen H. O’Donnell, Ph.D.Mass General Hospital
The Teenage BrainPros and Cons
Functions of the Prefrontal
Cortex:
• Planning • Reasoning• Organization• Impulse Control• Judgment• Memory• Regulating Attention
• Self Monitoring
Preparing to Leave the Nest
Risk Taking has a purpose.
Motivated by novelty and rewards.
Will take greater risks when with friends.
Individual Differences
The Big Picture
What Teens with Type 1 Want:
What Parents of Teens with Type 1
Want:
For my teen to be more independent in taking care of his / her diabetes.
To be more independent in taking care of my diabetes.
DiabetesA Moving Target
95% of Diabetes Care is “Self”
Care Parents
School
Nurse
Teen5% for medical team
Division of Responsibilities:
ParentsTeen
School Nurse
Other Helpers
Remember:The Goal is not Perfection
Some Tips and ToolsMaking the Transition
Goal Setting
O SpecificO RealisticO MeasurableO Time Limited
O Sara will write down BG at bedtime nightly for two weeks. Mom will send to nurse to figure out adjustments.
Problem Solving
O S elect a Problem
O O ptions
O L ikely Outcome
O V ery Best One
O E valuate
CommunicationO Agree on a time and schedule for
routine talk about diabetes.O Leave meter in designated spot to review
O Set rules for critical communication.O e.g. If BG is above or below agreed upon
range.O Use tools:
O CalendarO Texting/ smartphonesO Software
The Bigger Picture
Putting Diabetes In It’s Place
Putting Diabetes on the “Back Burner”
Diabetes Burnout
It’s more like a fizzle