Published Jan 31, 2009
Laura77598
80 Posts
Hello all nurses,
I am supposed to develop a nurses teaching plan for my client (patient) a 66 year old man who is married who has COPD-emphysema and an Abdominal Aortic Aneurysm 4 cm in diameter. My patient has seen a doctor about his aneurysm, and the surgeon said that he wants to employ watchful waiting and wait to see if the aneurysm increases to 5.5 cm. Then he said he would operate. With my patient's COPD-emphysema, he doesn't want to put him under anesthesia and hope he comes out of it. He even told the patient that if he did operate, he would probably have to cut a trache toensure that he could get enough oxygen to survive the surgery.
Now I need to develop a TEACHING PLAN for this patient.
How in the WORLD do I begin????
Please help me:cry: My teaching plan is due on Feb. 20th.
Thank you ALL in advance:bowingpur
Laura
Daytonite, BSN, RN
1 Article; 14,604 Posts
you begin as you begin with all problems. . .assess the situation. what teaching needs does the patient have. what does he know? what does he need to know? what does he need to know more about? what doesn't he know anything about? does the patient know what an abdominal aortic aneurysm is? does he know what a tracheostomy is? has he ever had surgery? there are so many consumer websites with information on all 3 of those subjects. see https://allnurses.com/nursing-student-assistance/medical-disease-information-258109.html - medical disease information/treatment/procedures/test reference websites where there is a encyclopedia of surgery and links to several online hospital libraries with patient information. everything you ever wanted to know about trachs is on http://www.tracheostomy.com/ - aaron's tracheostomy page.
a written teaching plan goes something like this:
if you look at it, it has some of the elements of a care plan (goals, interventions, execution and evaluation). what is different is that you actually lay out how a list of how you are going to do the teaching, kind of like a nursing procedure is laid out step-by-step for you. you may want to insert the teaching plan as an intervention with a nursing diagnosis (such as with deficient knowledge, abdominal aortic aneurysm).
best wishes.