The focus of this assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching 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 Doc Sharing for details about how to complete this form. Remember there is a 6 page maximum limit on this assignment.
Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Discharge_Teaching_ Plan_Form_Smith” When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.
Look at the EXAMPLE in the first assessment area. This is NOT an all-inclusive response and you will need to add your responses as well. Please be sure to review your guidelines.
Assessment area
Need(s) identified.
Teaching technique or approach to problem identified.
Describe content.
Rationale for choosing this technique/approach.
Example:
Special/age related needs
These are some ideas, there may be others that you identify.
· Age, lives alone, is non-compliant with diet.
· Expected aging changes such as decreased hearing, visual difficulties.
· Red appears to not understand his glucose numbers and how that relates to his diet and insulin administration.
· Home health nurse to assist Red and family in proper insulin management and administration
· Red reports “difficulty sleeping” which may be related to depression and conditions such as obstructive sleep apnea that commonly affect the elderly
· Slower response time due normal aging process affects new learning
· Age related physical changes may be causing Red to experience incontinence
Ideas for teaching methods/approach based on the scenario and problems noted. You may have identified others.
· Teach importance of diet and insulin management to Red and family and how to better manage his diabetes.
· Use videos, audio and teach back methods. It may even be helpful to assure proper reading of the glucometer and administration of the insulin by Red or his family.
· Collaborate with the physician and pharmacist for their recommendations on sleep aids such as melatonin receptor agonist, and non-benzodiazepine along with behavioral interventions such as a set schedule bed time each night
· Collaborate with the physician regarding the possibility of a sleep study
· Instruct to limit fluid intake before bedtime, daily coffee intake, alcohol abstinence, use of bedside commode
Provide a brief rationale on why you chose these particular technique/approaches.
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