Despite attending all classes as well as one on one visits with the educator, a pt performs only the bare minimum self care skills. Beyond basic survival skills education, he has not been receptive to any additional information about his diabetes. Which explanation is the most likely, and what is the logical course of action for the education?
A. He did not fully understand the information in the classes; he would likely benefit from a review of the self mgmt material
B. His personality is more introspective; he likely uses the "problem focused coping stylE." This pt should be presented with printed information that he can process privately and provided with contact info, should he need help
C. The pt is likely experiencing the "depression and frustration" emotional stage of a chronic diseasE. The educator should emphasize positive changes and accomplishments, but recognize the sense of loss that comes with facing a lifetime disease
D. The pt's actions represent an "avoidant coping style," commonly associated with emotional discomfort. The educator should initiate a frank, honest discussion on what he is feeling, including validating his feelings. "Pushing," additional, more "in-depth" diabetes education at this point would not be helpful.