Teaching plan help!!!

[kikoricco]

Hello everybody, this is for my first teaching plan but Im not sure were to start. Would apreciate some insight into this one. My patient was alert but non verbal, admitted due to altered mental status rule out CVA but the primary diagnosis was uncontrolled DM. He has history of DM, CHF, A-fib, Aortic stenosis.

He is very weak, cannot even feed himself (has NGT) or bathe himself.

Now, does the uncontrolled DM dx imply that he wasnt taking his insulin? also at the hospital the medex was handwritten and I didnt see (or possibly missed it) insulin on there. Is there anytime a pt with DM wouldnt be on a sliding scale of insulin? The only med I tried to copy (it was badly scribled) that I couldt find in my drug book was Imden 30mg PO daily (now im pretty sure that cant be insulin because it isnt administered PO). What is this? can I do a teaching plan revolving around the Dx Risk for unstable glucose. What about the fact that my patient is very weak and non verbal?

Thanks for any comments

[Daytonite, BSN, RN]

its too bad you didn't open the medicine drawer to see what medications the pharmacy had sent because imden is no medication i ever heard of. my thought is that is was something for his chf.

teaching interventions are part of the nursing interventions that get done for problem solving of all nursing problems anyway. start by assessing the patient. see what nursing problems are revealed and see what teaching needs are generated from them. you posted very little assessment data.

a written teaching plan goes something like this:

1. overview: a synopsis about what is going to be taught
   
2. goal(s): the aim(s) or outcome(s) that you want your learner to achieve as a result of the lesson you plan
   
3. objectives: the more specific information that the learner will come away from the course knowing that will achieve the goal(s) you have determined.
   
4. content: a play-by-play of the specific content that is going to be taught and in the sequence it will happen. your content should address and cover all the objectives. this part of the written lesson plan is presented in an outline format.
   
5. procedures and materials: how all the above will be achieved, i.e. lecture, demonstration, discussion, etc. materials that can be used and resources that can be needed for the lesson to be successful and essential to teaching your lesson plan are listed and may include demonstrations, audio-visuals, handouts, experiments, stories, game playing and any number of other creative items.
   
6. evaluation: determining if you met the goals of the teaching plan. this can be done through a return demonstration, short post test, short question and return answer session with the client to verify they understand the information correctly or a task the participant needs to perform.