Published Aug 14, 2009
sweetpea808
4 Posts
We just got thrown this patient teaching assignment that's due monday, with very little instruction and I'm having a hard time coming up with good answers. Please let me know what you can make of it/point me in the right direction. As you can tell it takes a bit of creativity.
Thanks a lot.. :wink2:
Client Profile:
42 yrs old
Divorced
12 yr old daughter in gr. 6. School 2 blocks from home
Chartered accountant - several small business clients, works out of home
Admitted to a medical unit w/ complaints of intermittent bouts of abdominal pain, diarrhea , and rectal bleeding.
Has had severe diarrhea and weight loss (8 kg over 2 months)
Very pale, tires easily, dehydrated
Dr believes she has Ulcerative Colitis affecting her sigmoid and descending colon.
Dr believes it can be controlled w/ medication. Surgery is not required at this time.
Pt booked for a colonoscopy tomorrow to confirm diagnosis
1-2 days after colonoscopy is to be discharged w/ following meds:
Sulfasalazine, mesalamine, and prednisone
Right now she:
Has an IV of D5NS w KCL meq
Is NPO
To complete the Peg Prep routine for the colonoscopy
Describe what you know/would like to know about the pt that would facilitate your planning
Describe how you would assess the pt's learning needs (what they already know, need to know - demonstrate that you have researched the pt's diagnosis, tests and treatment)
What are the pt's learning needs? Identify ALL of them
Identify 3 priority learning needs and write a nursing diagnosis for each one (3)
Daytonite, BSN, RN
1 Article; 14,604 Posts
no creativity at all here. you must care plan this. a care plan is a determination of the patient's nursing problems and then coming up with strategies (nursing interventions) to do something about the nursing problems. a teaching plan is one of the strategies (nursing interventions). a written teaching plan goes like this and you can see that it follows the similar steps of the nursing process even though it is an intervention:
describe what you know/would like to know about the pt that would facilitate your planning
describe how you would assess the pt's learning needs (what they already know, need to know - demonstrate that you have researched the pt's diagnosis, tests and treatment)
what are the pt's learning needs? identify all of them
identify 3 priority learning needs and write a nursing diagnosis for each one (3)