...Jennifer Bauman Teaching Plan NUR 232 Nursing Diagnosis Knowledge deficit regarding Warfarin R/T unfamiliarity with medication. Planning Learning objectives/Goals 1. On completion of the learning session, the client will verbalize what foods should be avoided or eaten in moderation while taking Warfarin. 2. On completion of the learning session, the client will be able to verbalize adverse signs and symptoms to look for when taking Warfarin. 3. On completion of the learning session, the client will be able to verbalize the importance of compliance and the need for regular monitoring. (Managing OAT: p.584) Content Outline 1. Identify foods to eat in moderation while on Warfarin. 2. Discuss the importance of compliance while taking Warfarin and adverse effects that can occur from taking Warfarin. 3. Identify adverse signs and symptoms that can occur while on Warfarin. Teaching Content The client will be taught that any major change in their diet could affect how the body responds to the medication (Q&A). Foods that are rich in Vitamin K should be eaten in moderation and if there should be an increase in the consumption of Vitamin K over a week, the client should have another INR test. Foods that are rich in Vitamin K include green leafy vegetables, chick peas, liver, egg yolks, cereals containing wheat bran and oats, mature cheese, blue cheese, avocado, and olive oil (Q&A). The client will be taught that compliance while on Warfarin is very important...
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...Teaching Plan When a patient has surgery it is important for them to keep their lungs healthy and to take slow deep breaths. After surgery it can hurt too much or they may feel too weak to take the deep breaths, which can cause lung illnesses. A device that can be used is an incentive spirometer. Its important for someone to learn who to use the incentive spirometer as they will not benefit from using it if not used correctly. A nursing diagnosis for a patient after surgery is ineffective breathing pattern related to surgery as evidenced by patient being short of breath. A short-term goal for this is the patient will use the incentive spirometer for 5 sets 10 times a day. To teach the patient how to use the incentive spirometer I would take the time and sit with them and explain how to use it and also demonstrate how to use it. Then I would have the patient show it back to me and I would give them feedback. Also when I go in the room again I would ask them to show me how it’s done to make sure they are doing it correctly. The step-by-step outline that will be used to teach the patient includes: 1. I would have the patient to sit in semi-fowler position if they can as this will increase lung expansion. 2. Since they are post op I would place a pillow or folded blanket over chest or abdominal incision for splinting. 3. Show the patient how to steady device with one hand and hold mouthpiece with the other. 4. Instruct the patient to exhale normally and then place lips securely...
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...Running Head: TEACHING PLAN Teaching Plan about Cesarean Incision Care for R.R. Teaching Topic Patient R.R. is a 27 year old female who is in need of teaching. R.R. delivered a healthy baby girl via cesarean section on September 18, 2009. R.R. had to have a cesarean section due to labor complications and meconium present in the amniotic fluid. The topic that must be taught to R.R. is proper incision care and to identify the signs and symptoms of infection for her cesarean incision. The patient is to be discharged today, and has had her staples removed. Educational Assessment R.R. is a 27 year old female who has a high school education and 2 years of community college education. No learning barriers were identified. R.R. stated that she prefers brief and to the point instructions with common terminology used instead of medical terminology. Spanish is R.R. first language, but she understands English well. The patient stated that she learns best by demonstration and written information. R.R. is currently a home-maker. She is married and this is her and her husbands’ first child. R.R. is very eager to learn and extremely cooperative. No learning barriers were observed. Psychologically R.R. seemed a bit restless and eager to go home and join her husband, but her attitude remained positive and cooperative. Based on the learning assessment of R.R., it is best for her to observe the proper care of her incision, and to have written information to refer back to and also...
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...Name: _____ Date: 8/6/2014__ Patient’s Initials: L.A._ Age: 78_ Medical Diagnosis: _Admitted with CHF and SOA________ Subjective Data: 1. Pt. states, ”I can’t get my breath”.Objective Data (Head to Toe Assessment including Vital Signs): 1. Respiratory rate 32, B/P 102/60, Temp 101.0, AHR 104. 2. Oxygen saturation 88% on room air. 3. BLE crackles 4. Accessory muscle use. | Nursing Diagnosis: Breathing Pattern, Ineffective | Patient Goals/Objectives (What do you hope will be the result of your efforts? Make sure goal is patient oriented, measurable, and has a time frame). | Planned Interventions: (What is indicated for the management of this particular problem? Name three priority interventions making at least one patient teaching). | Rationale: (Why/How does the intervention work?) Cite page number and source for each intervention. | Evaluation of Patient Goals:(Was patient’s goal met/ not met/ ongoing? Why/why not? List evaluation criteria. If intervention is ongoing, list what patient has accomplished. | Short Term: Within three days: 1. Patient will state relief of SOA. 2. RR will return to within normal limits of 12 to 18 rpm. 3. Oxygen saturation will return to normal expected range of greater than or equal to 90% on room air | 1. Place patient on O2 @ 2lpm/nc. 2. Place patient on oxygen saturation 3. CXR 4. Teach patient to use the incentive spirometer to increase available lung capacity. | 1. This will increase the available oxygen in...
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...Cultural characteristics: Secondary cultural characteristic should be assessed on an individual basis, regardless of the culture. Secondary cultural characteristics such as, occupation and educational level help determine the educational style and level. Primary cultural characteristics including nationality, race, gender and religious affiliation, may affect the educational process and should be considered (Purnell, 2013) Influences of the Greek culture may affect the educational process and outcomes. Culturally, Greek people value eye contact, human warmth, and tend to be expressive in nature. Importantly, they have a general distrust of professionals (Purnell, 2013, p.462-463). In the Greek culture, fitness is held in high regard. They believe that development of the body and mind are equally important (Dalleck, 2002). Learning domain: To meet learning objectives one through five the cognitive and affective domains will be utilized. The cognitive domain involves the development of the learner’s ability to analyze and synthesize information. The cognitive learner responds well lectures, individualized instruction, handouts, visual education materials, and computer aided instruction. The affective domain is used to explore the value system of the client population and to address fears regarding the learned information (Bastable, et.al, 2011, p.388-390). Rationale for educational presentation: My rationale for choosing this topic is that there are 25.8 million people in the...
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...Community Teaching Work Plan Proposal Directions: Develop an educational series proposal for your community using one of the following four topics which was chosen within your CLC group: 1) Bioterrorism/Disaster 2) Environmental Issues 3) Primary Prevention/Health Promotion 4) Secondary Prevention/Screenings for a Vulnerable Population Planning Before Teaching: |Name and Credentials of Teacher: Dana Lynn Eckert, RN, BS, MHA | |Estimated Time Teaching Will Last: |Location of Teaching: | |Approximately 20 minutes |Day Care Center | |Supplies, Material, Equipment Needed: |Estimated Cost: | |Pamphlets Printed Out in Color (via Staples) |For color copies, approximately $1.00 per pamphlet | |Community and Target Aggregate: | |Parents and Day Care Providers | |Topic: Lead Poisoning | • Epidemiological Rationale for...
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...Community Teaching Plan: Teaching Experience Summary of Teaching Plan The idea of teaching a community about possible attacks on our country was one thought, but actually giving them the knowledge of what the various ways to, ultimately, defend themselves was a much greater cause. The possibilities that we may face a biological terrorist attack is quite real. We have seen the horrors of 9-11, we are aware of the wars and hatred; which gives us as human beings all the more reason to learn about these tactics. This presentation was probably the toughest thing I’ve ever had to do. Public speaking isn’t my strongest trait; however, I believed this was my nursing duties to give complete strangers the knowledge that might save their lives one day. Power point presentations are always a helpful tool when explaining a subject that those may not know, they seemed to be much more intuitive and very interested during the whole time the presentation took place (Nursing Planet, 2013). Well, in my opinion, when any one is explaining the probability and various ways that I may need this knowledge to someday defend and save not only my own life but also the people around me I would be pretty interested myself. The total time to present and explain and discuss the presentation was just over twenty minutes. When we finished, the time laps felt much quicker. Perhaps because this was also an interesting topic for myself. All in all, I felt very confident my ability to teach and give specific...
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...Grand Canyon University: NRS-427V-0502 Concepts in Community and Public Health Community Teaching Plan: Teaching Experience Paper June 13, 2015 For the teaching subject that I decided to present on for this project is on the importance of screening students for obesity. In this presentation the school nurse will learn how to calculate and be able to refer those students that are affected or in danger of becoming obese, to a physician for help, further testing, assessments and recommendations or even treatment. As we all know obesity is an epidemic Problem. It is a problem not only here in the United States but also all through out the world. The problem is so terrible that even in third world countries that are poor there is an obesity problem. Why is there such a problem? There are many issues or factors that are the cause for obesity. It can be a decrease in physical activity. Another factor is having a sedentary lifestyle, which means we do not have normal physical activity. Basically, at this time our jobs and lifestyles have us sitting around for long periods of time with out or with very little physical activity. This is terrible for our health because we basically do not burn any calories or use any energy. We over eat and do nothing to burn those meals. There is also the issue of low cost food that is not very nutritious actually it is incredibly unhealthy. The cost of healthy food is higher, which in some way is what...
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...diabetes Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes). The Identified Learning Need Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every...
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...Introduction This paper is our proposed plan for teaching those of all ages about obesity; its detrimental effects on the body, short and long term, and how to avoid associated problems, using a healthy varied eating plan and incorporating a daily exercise schedule. The health risks of obesity are the same for all people and the interventions for weight loss are also the same. These interventions are basic, eat healthy and be active. But educating communities and enabling them to make these changes are not basic tasks in themselves. It takes knowledge, planning, creativity and time to ensure that this teaching is effective. Proposed Community Teaching What is obesity? “Obesity is defined as an abnormal increase of fat in the subcutaneous connective tissue. This means that there are a lot of fat cells gathered in the tissue under the skin. Eating greater amounts of food than the body can use for energy causes this deposition ("Obesitynursing care," 2012). Why? And what is it related to: • Weight 20% higher than optimum body weight • Observed/reported eating patterns that are dysfunctional, food eaten is more than body requirements • Social/economic status • Psychosocial factors Physical /mental health problems associated with Obesity • Metabolic syndrome, this is a combination of conditions that includes: high cholesterol, high blood glucose levels, high blood pressure, and central obesity. • Coronary heart disease, the risk factors are increased with obesity • Diabetes...
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...Introduction This paper is our proposed plan for teaching those of all ages about obesity; its detrimental effects on the body, short and long term, and how to avoid associated problems, using a healthy varied eating plan and incorporating a daily exercise schedule. The health risks of obesity are the same for all people and the interventions for weight loss are also the same. These interventions are basic, eat healthy and be active. But educating communities and enabling them to make these changes are not basic tasks in themselves. It takes knowledge, planning, creativity and time to ensure that this teaching is effective. Proposed Community Teaching What is obesity? “Obesity is defined as an abnormal increase of fat in the subcutaneous connective tissue. This means that there are a lot of fat cells gathered in the tissue under the skin. Eating greater amounts of food than the body can use for energy causes this deposition ("Obesitynursing care," 2012). Why? And what is it related to: • Weight 20% higher than optimum body weight • Observed/reported eating patterns that are dysfunctional, food eaten is more than body requirements • Social/economic status • Psychosocial factors Physical /mental health problems associated with Obesity • Metabolic syndrome, this is a combination of conditions that includes: high cholesterol, high blood glucose levels, high blood pressure, and central obesity. • Coronary heart disease, the risk factors are increased with obesity • Diabetes...
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...TEACHING PLAN FOR POOR PERSONAL HYGIENE ] SUBMITTED BY: Bugtong, Marielle Denise T. SLU III – C3 SUBMITTED TO: Ma’am Florence Pulido Clinical Instructor November 14, 2012 Description of the Learner: Learning Need: Learning Diagnosis: Goal: LEARNING OBJECTIVES | LEARNING CONTENT | LEARNING STRATEGIES/ ACTIVITIES | TIME ALLOTMENT AND RESOURCES NEEDED | EVALUATION | After 30 minutes of health teaching, the patient will be able to:1. | * | * Small group Lecture Discussion | 5 minutes * Pamphlet | Instant Feedback: The client will be able to answer the questions about the definition of personal hygiene and hygiene. | 2. | * | * Small group Lecture Discussion | 5 minutes * Pamphlet | Instant Feedback: The client will be able to answer the questions about the effects of Poor hygiene. | 3. | | * Small group Lecture Discussion | 10 minutes * Pamphlet | Instant Feedback: Letting the patient or significant others state the importance of hand washing. | 4. Explain how Proper Hand washing is done | Procedure: * Wet your hands with warm, running water and apply liquid soap or use clean bar soap. Lather well. * Rub your hands vigorously together for at least 15 to 20 seconds. * Scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails. * Rinse well. * Dry your hands with a clean or disposable towel. * Use a towel to turn off the faucet...
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...Community Teaching Plan: Teaching Experience Paper Gayatri Gajaria NRS 427V Grand Canyon University December 22, 2014 Community Teaching Plan: Teaching Experience Paper For this assignment, I chose my community in city of Montclair, CA. The teaching was done at Montclair Christian Church. The target audience for this teaching plan was parents of infants, pregnant women, and the topic I addressed was Fall Prevention. Falls occurs most frequently in infants when they are trying to explore their environment and can lead to head injury and many fatalities. According to Centers for Disease Control and Prevention, “Falls are the leading cause of non-fatal injuries for all children ages 0 to 19. Every day, approximately 8,000 children are treated in U.S. emergency rooms for fall-related injuries. This adds up to almost 2.8 million children each year” (Centers for Disease Control and Prevention,2012). Falls can be prevented and many fatalities can be avoided. This is the epidemiological rationale for choosing this topic. Infant falls can be traumatizing for the parents and the infants. There are many ways parents can protect their infants from falling. Most of the time, majority of the falls occur at home. They result from infants falling from bed, sofa, chairs, stairs; changing tables etc. When infants fall they can get injured easily. “Minor head trauma is frequent among infants and leads to numerous visits to emergency departments for neurological assessment to evaluate...
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...Teaching Plan: Diabetes Assessment of Learner: A 54 year old obese male with a history of alcohol abuse, is participating in a 28 day rehab program as an inpatient. Patient will be living at a sober house for an extended period of time after rehab program completed and will be able to get medications that are needed without difficulty. The patient has expressed that because of his alcohol abuse he was non compliant in caring for his diabetes. Patient express a strong desire to improve overall health and is motivated to learn. The patient can read and understand English. Nursing Diagnosis: Ineffective health maintenance r/t deficient knowledge and treatment of disease process AEB poorly controlled blood glucose levels Long Term Goal: Maintain blood glucose levels with medication treatment according to doctor’s prescribed orders daily Intermediate Goal: Will verbally recite at least 1 diabetes management technique prior to dishcharge. Short Term Goals: Will notify staff as soon as hypo or hyper glycerin are evident Behavioral Objective Content Outline Teaching Method 1.Describe I. Identify medications Provide handout the diabetic medications they are on , including of medication that they are on and how to side effects and proper education. properly take the medications administration Demonstrate how ...
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...aspects learners need to improve on” (Gravells, 2012, p.50), teachers should administer initial and diagnostic assessments to them before or at the start of a course or programme. The results of initial and diagnostic assessments can be used to help learners agree on Individual Learning Plans specifically designed to meet their learning needs. Some learners might have expectations of making rapid progress within a course or programme but unexpectedly experience difficulties due to a lack of personal or functional skills. Initial and diagnostic assessments should help teachers identify problems early relating to their learners’ personal skills. In certain circumstances, results from initial and diagnostic assessment might indicate that some learners do not have the requisite skills to have any realistic chance of progressing within a course or programme and they should be referred to a course or programme which more specifically meets their learning needs. On the other hand, some learners might have very advanced personal skills or abilities in relation to the minimum core and teachers should be able to ascertain which of their learners would need to feel more challenged during the programme and plan different activities to meet the needs of these learners. Results from initial and diagnostic assessments should be used by teachers to discuss and agree realistic targets with their learners...
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