Question

Situation: Ms. Patricia Patterson an 89-year-old client was recently diagnosed with Pneumonia and will require a Home Health nurse to provide daily IV antibiotics via her CVAD. She has a PICC in her right upper arm. She will require extensive teaching.

Background:   She is 5”4 and weighs 92lbs. She has been a Smoker; pack a day for 30 years history, and currently smokes 10 cigarettes per day. She has been diagnosed with COPD, Atrial fibrillation, CHF, HTN, and Osteoporosis, CAD and had a Myocardial infarction 5 years ago and had a cardiac stent placed in the RCA. Her Ejection Fraction (EF) is 30%. She has fallen twice in the last 2 years, but has not broken anything. She lives at home in a two-bedroom apartment on second floor with her daughter who is in her 50’s and her granddaughter who is in her 30’s.

Needs Assessment: She will need a significant amount of teaching regarding her pneumonia, SOB, Medications, Breathing treatments via Hand held nebulizer, Postural drainage and breathing exercises, CVAD/PICC line care, Safety in her environment, fall risks, and diet. She is very nervous about her diagnosis and wants to know why this happened and how she can prevent it. She is willing to learn as much as she can and her daughter and granddaughter are also willing to learn and help. She states he has learned best in the past by watching videos, discussions and doing hands on things. She has poor eyesight and wears reading glasses and a hearing aid. She is worried about the “tubes” sticking out of her arm. She really wants to get better and resume her normal lifestyle as quickly as possible. She enjoys Bingo and walks her dog in the morning and evening short distances. She has noticed in the preceding weeks she is SOB after about 20 feet of walking and can barely make it up her 8 stairs. She uses a single cane to help her balance. Ms. Patterson is a widow and completed 9^th grade and has a 5^th grade reading level.

Orders & Medications:

Cardiac Diet

Levaquin 500mg QD IV

Lasix 30mg BID & Potassium Chloride 10 MEQ PO

Metoprolol 20 mg QD PO hold is HR <60

ASA 81mg QD PO

Albuterol 1 packet Q6h via hand held nebulizer (HHN)

Oxygen Therapy 2 Lpm via Nasal Cannula (NC) maintain oxygen sat >90%

Evista 60mg QD PO

Develop a teaching plan based on an assigned scenario or case. Determine what elements you would include in your assessment of the learner. Identify anticipated or expected learner needs. Select and prioritize evidence-based teaching strategies that would best meet the needs of the learner. Describe the resources you would provide to enhance learning. Explain methods that would be used to evaluate learning outcomes. Provide rationales for elements of your teaching plan supported by references from the required course reading assignments. Use the teaching plan format assigned. The competencies contained in the Teaching Plan Rubric will be assessed through this assignment.

Identify learning needs for the patient using the scenario provided and using the cognitive, affective and psychomotor domain.

Answer 1

A>>1)Teach the patient about importance of rest

2)advice to take nutritious rich diet.

3)Advice to take plenty of fluids.

4)Teach about importance of getting free from infections.

5)Ask the patient to take prescribed medications.

6)teach about importance of antibiotics and completionof course

7)check the vitals frequently

8)maintain personal hygiene,.

9)teach to avoid smoking habits

10)check the IV line when the medicine administered

11)make sure the oxygen supply is working properly.

B>>1)health status of the patient.

2)while talking to the patient make sure that the patient's hearing aid is in position.

3)monitor the vitals and oxygen saturation

4)provide comfortable position

5)patient's safety

6)talk about only positive outcomes

7)psychological support and assist mind diverting system

8)encourage the patient to read about health related topics

9)help to doing exercise alone

10)always talk with a smiling face

C>>1)The learner needs a good listening mind.

2)learner should have better health to listen the topic

3)hearing aids and wearing glasses be in a working condition

4)atmosphere should be good to the patient

5)learner should have the self awareness

6)learner should be cooperative

D>>1) isolate the patient from infection

2)hearing aids

3)reading glasses

4)book related to health conditions

5)TV shows related to health

6)meet the people in same situation

E>>1)psychological support

2)provide positive thoughts

3)make a situation to meet people with same condition

4)mind converting

5)encourage to read books

6)speedy recovery with proper medication

7)Importance of personal hygiene

F>>1)reading health related books

2)energetic mind

3)cooperative mind

4)asking doubts rrelated to health issues

5)positive thoughts

6)completing duration of antibiotics course

7)speedy recovery

8)reduce the smoking habits

9)proper rest

10)doing limited self activities alone

G>>1)for the speedy recovery

2)to maintain good health

3)to prevent dehydration and maintain fluid balance in the body

4)to avoid complications

5)to get back to normal life style

6)to gets free from infection

7)to know the patients health status

8)to maintain good life style

9)to maintain health

10)to know the proper on flow of medication

11)to maintain oxygen saturation

H>>1)