Discharge Teaching Plan Form

Chamberlain College of Nursing NR305 Health Assessment

DischargeTeaching Plan Form

Your

YourInstructor’s

Purpose:The focus of this assignment is identifying patient’s needs andanalysis and synthesis of details within the written client recordand planning an appropriate discharge plan with necessary patientteaching of the disease process.

Points:This assignment is worth a total of 100 points.

Directions:Please refer to the Discharge Teaching Plan Guidelines found in DocSharing for details about how to complete this form.

Typeyour answers on this form. Click “Save as” and save the file withthe assignment name and your last name, e.g.,“NR305_Discharge_Teaching_ Plan_Form_Smith” When you arefinished, submit the form to the Teaching Plan Dropbox by thedeadline indicated in your guidelines. Post questions in the Q&ampAForum or contact your instructor if you have questions about thisassignment.

Assessment area

Need(s) identified.

Teaching technique chosen.

Describe content.

Rationale for choosing this technique.

Special/age related needs

Need for physical activity is pretty much clear. As a result of his age, Mr. Yoder is incapable of checking weight through physical activity. The fact that he leads a sedentary life means that he may not be capable of burning calories, in which case his consumption of fast foods (high in fats and sugars) would increase his weight.

One-to-one education/ demonstration.

This technique would be appropriate since Mr. Yoder may need to talk about personal issues that may be propagating his inactivity.

Cognitive issues

Mr. Yoder seems to be suffering from dementia, which is a generic term that underlines a reduction in the mental capabilities of an individual in a sufficiently severe level to interfere with the individual’s daily life. His sense of judgment is pretty much warped as he has been known to fail to eat and is in the throes of quitting taking his insulin, which would compromise his heath.

Visual aids. The visual aids would primarily entail images on the state of the body both when one does and does not adhere to proper meals and take medications. This is bound to give them an incentive to adhere to the medication regimen.

Visual aids are bound to be more memorable than would be other techniques.

Physical barriers

His failing eye-sight means Mr. Yoder may be incapable of even locating his medication or even find his way around the house. Unfortunately, he lives alone in which case he may not get an insulin shot as fast as he can when necessary.

Demonstration. A demonstration on the manner in which the old man can overcome the physical barriers. He would have to be shown how to use a stick to find his way around the house. Also, the lesson would include the use of technology so as to ensure that the old man can call for help as fast as possible (Timby, 2009).

The demonstration technique is suitable as Mr. Yoder has been experiencing problems with his eyesight. It would be more memorable for teaching life-skills since the patients would find it quite easy to remember techniques that they have observed others doing.

Medications

Nutrition

It has been noted that the patient has been consuming bear and whiskey in quite high amounts as evidenced by the fact that the son is irritated by the habit.

On the same note, the patient has been deficient of appetite for the last few days and his inability to cook has ensured that he consumes pretty unhealthy foods such as donuts, fast foods, cakes and bacon. As much as this may be convenient for him, it may also worsen his diabetes (Aragón-Sanchez, 2011). Fast foods are not off-limit for diabetes patients but considering that it presents challenges with regard to the predisposing or risk factors, it is imperative that their consumption is limited. Scholars have, for instance, acknowledged that type 2 diabetes has overweight and obesity as a top risk factor. When individuals have too much weight particularly in the mid-section, the body cells may become resistant to insulin, which is the hormone that assists the body in moving sugar out of the bloods and into the cells. Since the cells are incapable of proper usage of insulin, the pancreas would mistakenly interpret this as a requirement for insulin in which case it would pump more of the same in the blood. The pancreas would eventually wear out and become incapable of producing sufficient insulin.

Demonstration/ Diet-planning and nutrition

A proper meal plan would enable Mr. Yoder to keep his blood sugar steady. It would entail resisting the urge to skip meals (Timby, 2009). The blood sugar level may drop too low if diabetes medication is taken without eating. A meal plan would involve keeping track of the carbohydrates, consumption of low-fat foods, high fiber foods and less sodium (Timby, 2009).

Roles and Relationships

Mr. Yoder lives with his son, who seems contemptuous as he is often angry with his dad for consuming whiskey and beer. The son is also a caregiver and is, unfortunately, unable of completing this job appropriately as evidenced by the dad has not been obtaining proper nutrition or even having his wounds properly dressed. This would not only injure him physically, but also mentally leading to depression.

Discussions/ group learning- in this regard, it would be imperative that Mr. Yoder and his family members are in the same group where they will be taught on the varied ways in which the ailment can be combated in both the long-term and short-term, as well as how to handle Mr. Yoder.

It is evident that the family has largely neglected Mr. Yoder, which is why he has not been having proper meals or following up on his pills. Having a group learning sessions with the family members will inculcate lessons regarding the management of the ailment and how the family members should handle him (Aragón-Sanchez, 2011).

Self-concept

Mr. Yoder has negative self-concept, and feels hopeless regarding his situation as shown by his amazement that the sugar level would be high even when he has not been eating much. He has also not checked on his wound, and has not been taking his pills.

Group lessons/ discussions. This would involve having Mr. Yoder and other men of his age suffering from similar ailments meeting within the hospital and having discussions that will allow them to open up and share their experiences (Lipsky, 2007).

It is only by sharing their experiences that Mr. Yoder would have the capacity to acknowledge the varied dynamics pertaining to the ailment and, therefore, no lose hope in his progress (Aragón-Sanchez, 2011).

Wound care

The wound has not been receiving proper care and is at risk of becoming septic, which could jeopardize Yoder’s health status.

Demonstration technique for Foot care education. This involves lessons on how to take care of his feet to prevent other ailments or complications.

High sugar levels have the capacity for damaging blood levels and nerves to the extent of losing the feeling of one’s feet (Lipsky, 2007). Foot care education would entail the proper ways of trimming the toe nails, proper cleaning of feet and even checking for sores.

Resources/ referrals needed

As a result of the impaired sight and motor capabilities of the patient, it is imperative that the client obtains homecare services.

References

Aragón-SanchezJ (2011). Seminar review: A review of the basis of surgical treatmentof diabetic foot infections. Int J Low Extrem Wounds 201110:33–65

LipskyBA (2007). Empirical therapy for diabetic foot infections: are thereclinical clues to guide antibiotic selection? Clin MicrobiolInfect13:351–353

Timby,B. K. (2009).&nbspFundamentalnursing skills and concepts.Philadelphia: Wolters Kluwer Health/Lippincott Williams &ampWilkins.

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