Client/Family Care Plan & Teaching Project
Complete 1 Nursing Diagnosis for the client(s) seen: (In addition to educational needs)
| Problem (Use NANDA terminology) |
| Risk of Infection of the wound as a result of a decrease in the glucose levels in the body. |
| Etiology R/T decrease in Blood circulation 2° Diabetes Mellitus type 2 (medical dx) |
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| (S) AEB: (Subjective & Objective Signs/Symptoms) |
| Subjective signs and Symptoms of Objective Signs and Symptoms Patients reports: a) Wounds Are taking long to heal The wound is red b) The wound is painful The patient appeared Flushed c) The wound area is tender Skin is white after Blanching test
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| Outcome/Short Term Goal |
| The patient will ensure they clean the wound regularly, as instructed by the Nurse. The patient will monitor his glucose level and regulate it as prescribed. The patient wound will decrease in size and eventually heal. The patient will maintain their blood sugar at the normal prescribed level by the Nurse.
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| Interventions (State 3) |
| The nurse should monitor the wound for any signs of Infection or inflammation of the wound.
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| Check the Glucose and blood pressure of the patient every 3 hours while in the hospital.
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| The nurse will educate the patient on ways the ensure the wound is healed and proper care techniques of the glucose level.
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| Rationale (Cite reference and page number) |
| The wound is checked for inflammation or Infection because the patient might develop a nosocomial infection. Check the glucose level if the patient every 3 hours while in the hospital to ensure blood sugar and glucose levels are maintained at the normal range.
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| Evaluation (How would you determine if the client improved or made progress?) |
| The client’s wound can decrease in size from the previous meeting. The client’s Glucose level is normal If the client has made dietary and lifestyle changes to improve his health. The client complies with taking medication and drugs as prescribed. |
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From your experience, today, select a topic to teach to your
client or family member and complete the following:
| Client’s Medical Diagnosis: Client’s Age: Client’s Initials:
| Diabetes Mellitus Type 2 53 DL |
| Teaching Topic:
| Drug Compliance, RBS Monitoring and Lifestyle changes |
| Use Bloom’s Taxonomy terminology to write 3 objectives for the teaching session: (See Bloom’s Taxonomy handout at the end of packet) | |
| The patient and family member will recall the types of medication and dietary foods to take at the end of the training session.
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| The client and his family member will be able to explain and describe the procedure for cleaning the wound and injecting insulin on the patient. | |
| The patient and his family members will be able to apply and demonstrate the procedures for insulin injection, drug medication, and exercising for the patient.
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| Is the client or family member motivated to learn about this topic?
| YES
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| Are there any factors that would influence client’s or family member’s ability to learn? | Estimated educational level: If the client or family member is unable to read and understand prescriptions on medication.
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| Estimated socioeconomic status:
No
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| Cultural background:
Types of food being eaten by a specific community. Some communities prohibit the use of scientific medication and only use herbal medicine.
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| Does your client/family member have support from others? Who?
| The patient attends a support group for people who have diabetes.
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| What strategies did you use for this topic? Discuss how you could facilitate.
(one on one, group, discussion, written, verbal, demonstration, return demonstration, etc.)
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The strategies I used for the topic included creating a written diet plan for the patients, Physical demonstrations on how to inject themselves with insulin, monitor their body temperature, measure glucose intake and measure blood pressure in the body.
Offering study materials that will facilitate in understanding what the patient is required to do helps to improve his health |
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| Where did the session take place? In hospital
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| What seating was used? Waiting area | |
| How was the lighting? Well lit
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| Was the setting comfortable? (temperature of room, other factors) The room was silent and away from noise distractions. The room had ventilators and air conditioning. The room had comfortable chairs for sitting for the client and his family members.
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| What was the length of the teaching session or sessions?
| One-hour session. |
| What teaching aids did you use? (video, handouts, pamphlets, etc.?)
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Pamphlets, Handouts, and videos for demonstrations. |
| How did you determine if the client/family member learned the information?
| I determined if the client/ Family members have learned the information By using a hypothetical case of a patient who had diabetes. Asking them questions and answers of the care plan to follow, the diet to eat, interval on the intake of medication, and how to administer insulin injections and drugs when needed. |
| References (List 2) using APA format: |
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