Teaching Care Plan help!

Daytonite, BSN, RN · Feb 12, 2007

have you checked out the threads and resources on this allnurses forum https://allnurses.com/forums/f63/?

VickyRN, MSN, DNP, RN · Feb 15, 2007

hi mcknis and welcome to allnurses! :balloons:

i echo daytonite’s advice. in addition to consulting your textbook, another great strategy is to find a reputable patient teaching site concerning the topic at hand.

for instance, you are assigned a 12-year-old patient in a pediatric outpatient clinic who is newly diagnosed with acute lymphoblastic leukemia (all) and starting chemotherapy. you formulate the high-priority nursing diagnosis of "deficient knowledge (client/ parent): ways to prevent infection while on chemotherapy r/t unfamiliarity and lack of exposure aeb parent states, 'what can we do to reduce the chances of my son getting an infection while he is receiving chemotherapy?'"

a suitable goal would be: “parent/ client will verbalize three ways to prevent infection and four signs/ symptoms of infection to report to healthcare provider before end of clinic visit on ______”

for interventions, you could use this link. it provides excellent patient-teaching information on s/s infection to report to healthcare provider while on chemotherapy and neutropenia:

http://www.oncolink.upenn.edu/treatment/article.cfm?c=2&s=13&id=68

interventions might include:

student nurse/ nurse will assess client/ parent education level, reading level, developmental level, and preferred learning style.

student nurse/ nurse will teach correct handwashing technique to client/ parent and have them return demonstrate. see this link on patient teaching for handwashing: http://nursing.about.com/od/patienteducation/a/handwashing.htm

student nurse/nurse teach client/ parent the s/s of infection (such as redness, warmth or fever) and instruct them to promptly report these to the healthcare provider.

student nurse/nurse will teach client/ parent the correct method of taking an oral temperature and to promptly report temp greater than 100.5.

student nurse/nurse will teach client/ parent to have client follow a balanced diet, get adequate rest, and avoid unnecessary stress.

student nurse/ nurse will teach client/ parent that client should stay away from crowds, people with infections, people recently vaccinated, and don’t use public transportation.

student nurse/ nurse will teach client/ parent the importance of client being up-to-date on immunizations, including influenza and pneumonia; no live vaccines

student nurse/ nurse will teach client/ parent to monitor absolute neutrophil count (anc) and to avoid fresh fruits, vegetables, condiments, fresh flowers or plants, enemas/ rectal temps, when anc drops to 1000 or below.

this is just an example. hope this helps :)