Teaching Role Play Project

[fostersgirl69]

I am a first year nursing student. I have to do a teaching project on a patient I had in clinical last week. We have to do a teaching project with a visual prop. I was just wondering if someone out there may have some ideas on some good teaching topics on the following pt.

A 65 year old woman who has had aspiration pneumonia 12 times and has had a feeding tube for the past 8 years.

What would a good teaching topic be for this pt?

Thanks for any comments.

[EricJRN, MSN, RN]

Sounds like there's a bigtime learning opportunity for the patient staring right at you. Hint: It seems to have been missed or ineffectively addressed twelve times. :)

[Isabelle49]

Sounds like there's a bigtime learning opportunity for the patient staring right at you. Hint: It seems to have been missed or ineffectively addressed twelve times. :)

Agreed!

[fostersgirl69]

Yeah i realize that she has had aspiration pneumonia 12 times, but I asked my teacher if I could do a teaching project on the risks and causes of aspiration pneumonia. The teacher stated that the patient no longer requires the teaching of "risks" of pneumonia because the patient already knows what has caused it leading to the placement of the peg tube. So that kind of threw me off on what I was thinking. What am i missing here?

[Double-Helix, BSN, RN]

You can still have aspiration with a PEG tube. Is the patient taking anything at all by mouth? Sips of water, etc?

Your teacher is right that you don't need to teach about the risks of aspiration, because those are clearly known. But you can definately teach prevention of aspiration pneumonia (proper positioning, preparation of food, feeding techniques, etc) as well as correct use/cleaning/care of the PEG tube.

[fostersgirl69]

The patient has been NPO for the past 8 years. Everytime she puts anything into her mouth, she chokes. Yeah, this was the way I was heading (sorta) in the beginning, the teacher just sort of made me think I was heading in the wrong direction.

[dmw2489]

a big one that i would cover would be positioning... b/c obviously if she has had aspiration pneumonia 12 times teaching wasnt effective the first 12 times eeekkkk..... i would also teach the basics of caring for the peg, and feedings (are they getting bolus, continuous...) with the care giver... and also going over semi fowlers position/high fowlers position to prevent future episodes to me would be a must... but also what is your pts level of learning? are they alert and oriented, can they follow commands. This is where a care giver comes in and teaching family is a must if they will be taking care of the pt.