Question

Module 10: Clinical case: Coaching and Teaching

Mrs. E. is 69 years old and was admitted for extremely high blood pressure which caused her to be dizzy and fall at home. She sprained her wrist and had multiple bruises and complained of some chest pain. She is a widow and lives with her two dogs. Her children live in the next state and try to visit her often. She does have one sister and brother-in-law who live in the same city. Mrs. E. has been relatively healthy during her life but since her husband passed away from a massive heart attack last year she has not been as active as she had been. She also has found it difficult to make meals only for herself. As a result, she has lost 15 pounds in the last year, she was already quite thin. Mrs. E. is a devout Christian and was born in India and emigrated to the United States when she was married due to her husband's profession. She misses her husband and her children and does not like to visit her doctor hence the untreated hypertension. During her hospital stay amlodipine 2.5 mg/day was prescribed.

Submit an individual assignment. You may use any books or other resources or references to complete this assignment. Use APA Editorial Format for all citations and references.

1.List the goal for this teaching/coaching plan

2.Describe three teaching resources

3.Identify the teaching strategies that can be used

4.List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do

5.Identify two factors that may negatively influence adherence to the medication and how they can be overcome

6.Describe how to include the family

7.Provide information on how and when she should seek support and help

Answer 1

1. List the goal for this teaching/coaching plan

• Mrs. E should understand of hypertension management and its outcomes.
• Mrs. E should follow the hypertension medication to control blood pressure.
• She should able to follow the daily diet plan to meet her nutritious need.
• Mrs. E learns to live independently and to mange of her disease condition at home.

2.Describe three teaching resources

• American Heart Association care of hypertension.
• Webmed's hypertension resources
• National Institute on Aging.

3. Identify the teaching strategies that can be used

• Educate the patient by use of pictures and pamphlets to understand of hypertension medication.
• Use of medication chart and leaflet to teach about hypertension medication, use, side effects, and its interactions.
• Involve her in group learning sessions to interact with a society that makes positive changes in her life.

4. .List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do

• Take the medication at the same time every day without fail.
• Limit the intake of salt.
• Do not take other medication along with amlodipine without doctor's advice.
• Inform the doctor immediately if you find any headache, dizziness, shortness of breath, chest pain, muscle cramps or pain.

5. Identify two factors that may negatively influence adherence to the medication and how they can be overcome

• The liver problem increases the side effects of amlodipine. This can be rectified by taking a minimum dose of medication.
• Amlodipine increases heart risks. So precautions to be followed before taking amlodipine in heart problem patient.