Help with patient teaching topics

[cElliottLPN]

Hi Ladies and Gents, I am currently in my third (and last!!!) trimester of a LPN program. Our program is very fast-paced and I'm really struggling with the patient teaching section of our weekly clinical assessments. I feel like I either a) use the same exact statements on all my similar patients ( "Instructed pt to use call light for assistance with ambulation d/t increased fall risk" or "Instructed pt to thoroughly and slowly chew/swallow food d/t increased risk of aspiration", ect.) or b) have no idea how/what I'm supposed to be teaching (this week my pt is non-verbal and has end-stage Parkinson's and i'm completely clueless as to what I could actually "teach" her). I've tried speaking to my instructor but I feel like she expects me to know/understand all this a little better (or a LOT better), and I'm really starting to panic because my graduation is 2 months away.

Is there a list somewhere of actual pt teachings (like the nursing diagnosis) that need to be worded a specific way, or am I supposed to come up with it on my own, and if so, would someone care to give me some examples? Any and all help would be greatly appreciated :)

[bugya90, ASN, BSN, LVN, RN]

Do you have a nursing diagnosis book? I have a Mosbys and it has interventions and teaching topics in it.

Similar patients may have similar documentation, just make sure you are actually teaching on thief level. Example "instructed patient on call light..." documentation is the same but for an alert middle age adult you may just have to show them the call light and which button X 1 but for a confused elderly patient you may have them actually hit the button to practice and may have to reinforce the teaching multiple times (you would also document teaching of call light reinforced).

For disease process teaching it will depend on what stage of the disease and the patients willingness/ability to learn.

A nursing diagnosis book would really help you.

[cElliottLPN]

Thanks for answering so quick! I don't have a nursing diagnosis textbook but have looked into a couple on Amazon just to become more familiar, so I'll definitely order one now. After re-reading my question above, I feel like I should clarify that the examples I gave are actual things I taught/explained to the pt, it just seems like I use 5-6 pretty regularly on most of my LT care pts and if they don't pertain to the situation, I'm clueless as to what to use.

The problem I'm having with my current patient is she is non-verbal and severe contractures that keep her immobilized and I wasn't sure if her orientation/level of understanding would/should play into which teachings I could use, or how i should word it. Could I still chart that I instructed her to use the call light....ect when she isn't able to use the call light due to her impairment?