TEACHING PAPER EXAMPLE 1

NURS 110 Teaching Plan Scenario EXAMPLE (Enter title here)

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. Developmental Teaching Plan Assignment

Background

She is 5 4 and weighs 92lbs. She has been a Smoker and has a 30 pack ear histor , and currently smokes 15 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. Developmental Teaching Plan Assignment

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 9th grade and has a 5th grade reading level. Developmental Teaching Plan Assignment

Learning Style

Ms. Patricia Patterson stated she prefers to utilize paper format materials to learn and educate herself. She said she usually reads newspapers and pamphlets and enjoys looking at picture demonstrations. She is not technologically savvy, therefore does not own a computer or tablet device. Etc

Readiness of the Learner

Goal Development

TEACHING PAPER EXAMPLE 2

Learning Outcomes

Teaching Content

Instructional Methods

Time and Resources

Evaluation

References

TEACHING PAPER EXAMPLE 3

Total 4-6 pages (including title and reference page)

This document is simply a vague example of your assignment. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Developmental Teaching Plan Assignment

Learners are required to use APA 6th edition style for writing assignments.

Updated Spring II 2017

 TEACHING PLAN 1

John Doe

West Coast University N110

May 15, 2020

TEACHING PLAN 2

Situation

Ms. Maria Ramirez is a 59-year-old female that was admitted to the hospital after found

home unresponsive and unarousable. She was diagnosed with DKA, patient was not aware she

was diabetic and will need extensive education before discharge and follow up with home health

because of a non healing wound to her left foot.

Background

The patient is 5”2” and weights 163 pounds, she lives home with her only son age 36

who works all day and comes home late. She lives in an apartment building in the 3rd floor and

often takes the stairs because the elevators don’t work. She admits that she has not visited a PCP

in the last couple of years due to her economic circumstances. She has a history of HTN and

hyperlipidemia and currently is not compliant with medications. Maria has been unemployed due

to her inability to perform activities for a long period of time. She mentioned she becomes SOB

when performing minimal activity like walking or standing too long. Lives a sedentary lifestyle

and poor nutrition over the last years.

Needs Assessment

Maria is very anxious regarding her current diagnosis and is afraid that if she continues

with her lifestyle, she will develop certain complications. Upon admission to the hospital a

consult with a diabetic specialist, endocrinologist (Levine,2015) and physicians were arranged.

The patient would have to be evaluated with PT in order to better understand the endurance with

physical activity. Social worker has been consulted to assist patient with medical coverage

through a charity program because patient stated monetary problems increased her anxiety.

Patient will also be sent home with home health that would provide wound care to the non-

TEACHING PLAN 3

healing wound due to her diabetes. Maria will ne educated while in the hospital on the severity of

her diagnosis and the importance to learn how to self-administer and measure insulin. Ms.

Ramirez will be educated to check blood glucose levels before each meal (<120) and keep a log

for her provider. Visual demonstrations will be provided for better understanding along with

written instructions that are easy to comprehend. Maria only attended 7th grade and reads at a 3rd

grade level. Maria will also be prompted to include exercise and promote a good diet in order to

modify weight and decrease cholesterol levels<200. Maria has communicated with the nursing

staff that she tends to concentrate better after breakfast. Therefor teaching should be conducted

after morning meal. Patient and son are eager to learn how to cope better with the new diagnosis

and make positive lifestyle changes that can benefit over all condition.

Learning styles

Ms. Ramirez enjoys visual learning as she enjoys doing arts and crafts to ease boredom,

she enjoys reading comic books which tends to read on free times. Maria enjoys hands on

activities such and baking and pottery. The appropriate leaning style would be visual along with

written instructions that are easy to understand.

Goal development

Provide patient with diabetes education on how to measure blood glucose levels (<120)

before meals (Levine,2015). Demonstrate how to self-administer insulin before being discharge

from hospital. Teach patient on proper nutrition to normalize blood sugar levels. Diminish the

intake of carbs to <40% and intake more protein base foods along with vegetables. Provide an

exercise routine to patient and encourage exercise for at least 30 min daily (ODC,2010).

Encourage family to integrate in the care of the patient to allow better compliance.

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TEACHING PLAN 4

Learning outcomes

By following a strict regimen and compliance patient would be able to control blood

sugar levels and normalize readings. Promotion of exercise will help with obesity, HTN, and

high cholesterol levels that were present. Encouraging Maria to promote exercise will benefit

diabetes and insulin resistance. Lower blood glucose levels will help with the non-healing

wound. Evidence based research showed that increased blood glucose levels tend to make

leukocytes rigid and stiff, making these useless to fight any infection (Levine,2015). As well as

tissue perfusion decreases when there is an uncontrolled blood glucose reading.

Teaching content

TEACHING PLAN 5

Instructional methods

1. Check blood sugars daily before eating meals

2. Blood sugar levels targeted are <120

3. If necessary, administer insulin follow regimen table provided. Developmental Teaching Plan Assignment

4. To administer insulin carefully measure insulin units and administer in fatty areas

like abdomen, back of the arm and always rotate sites.

5. Always eat a balanced meal

6. Exercise at least 30 min daily

7. Take medications prescribed

8. Increase activity levels.

9. Follow with PCP in 3 months to re check A1C levels. Target is to be at least 7%.

Time and resources

Maria Ramirez would undergo a strict insulin regimen along with increased activity after

wound heals in order to stabilize glucose levels. Within 3 months Maria A1C levels would be

reevaluated, the social worker would be working with Maria to find places that she can attend as

an outpatient physical therapy center. All this will be under charity and Maria will be encouraged

to find a health insurance that fits her needs and accommodates to her low income. Ms. Ramirez

would have services from a wound care nurse to take care of the wound in her foot to accelerate

proper healing. Resources are available upon request if patient needs further assistance to obtain

goals.

TEACHING PLAN 6

Evaluation

Patient was reevaluated after 3 months; wound has healed properly with no deterioration

of mobility to that extremity. Blood glucose levels have continued to drop and Maria’s A1C is at

8.4% which is not ideal but is great improvement compared to previous readings of 10.4%.

Patient is currently taking medications as ordered, family has become vital part of the

achievements since they encourage patient to eat healthy and take measures on disease process

seriously. Marias weight decreased and is now 148lbs and no longer complains of SOB. Patient

currently taking Lipitor, Novolog, Lantus, Metoprolol (ODC,2010). Developmental Teaching Plan Assignment

TEACHING PLAN 7

References

“Diabetes: Symptoms, Causes, Treatment, Prevention, and More.” Accessed March 19, 2020. https://www.healthline.com/health/diabetes.

Levine, Michelle. Diabetes. Mankato, MN: Amicus High Interest, 2015.

“Organization of Diabetes Care: Diabetes Specialist Nursing, Diabetes Education and General Practice.” Handbook of Diabetes, 2010, 224–28. https://doi.org/10.1002/9781444391374.ch31. Developmental Teaching Plan Assignment

Chief complaint

Low back pain

PATIENT Kay Salisbury DOB 03/30/1983 AGE 34 yrs SEX Female PRN DP278077

FACILITY Northstar Physicians Center T (999) 999-9999 1234 Sunshine Way 100 Minneapolis, MN 99999

ENCOUNTER

NOTE TYPE SOAP Note SEEN BY Nazir Ashaad DATE 04/05/2017 AGE AT DOS

34 yrs

Not signed

Patient identifying details and demographics

FIRST NAME Kay MIDDLE NAME – LAST NAME Salisbury SSN –

SEX Female DATE OF BIRTH 03/30/1983 DATE OF DEATH – PRN DP278077

ETHNICITY – PREF. LANGUAGE

–

RACE White STATUS Active patient

CONTACT INFORMATION

ADDRESS LINE 1 4994 Shady Range

ADDRESS LINE 2 – CITY Ossawinamakee

Beach STATE MS ZIP CODE 39469

CONTACT BY – EMAIL – HOME PHONE (555) 555-5555 MOBILE PHONE (555) 555-5555 OFFICE PHONE – OFFICE EXTENSION

–

FAMILY INFORMATION

NEXT OF KIN – RELATION TO PATIENT – PHONE – ADDRESS –

PATIENT’S MOTHER’S MAIDEN NAME

–

PATIENT NOTES

Prefers that major diagnoses be discussed with her cardiologist Dr. Seifert

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Subjective

The patient is a 34-year-old woman who presents with complaints of back pain. She describes the pain as a “dull ache in my lower back and into my right hip.” She is unable to identify any reason for the onset of pain. The pain does not radiate down legs. The patient states that the pain has been present for 2 weeks and is progressively getting worse. No urinary or fecal incontinence. Patient has not had any imaging studies.

She states that sometimes the pain is worst in the morning and other times it bothers her more during the day. OTC anti-inflammatory medication and ice have provided temporary relief. Medical Terminology Module 2 Course Project. Wk8: Marginalized Women And Childbearing Families

Objective

Encounter – Office Visit Date of service: 04/05/17 Patient: Kay S… https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/…

1 of 2 4/5/17, 4:31 PM

Patient’s blood pressure is 116/78. Patient’s HR is 80 bpm and regular. Pain is rated 5/10 while resting and 7/10 while standing and walking. Lumbar spine ROM is limited to 50 degrees of flexion. All other lumbar ROM tests are WNL. Physical exam indicates bilateral lumbar muscle spasm and hypertrophy.

Assessment

DDX: Lumbar strain with radiculopathy into the right hip and posterior thigh. Possible unilateral vertebral disk herniation or DJD of lumbar spine.

Lumbar strain [847.2]. Lumbar pain [724.2].

Plan

Patient is encouraged to continue OTC anti-inflammatory medication b.i.d. Patient will be referred for lumbar and sacroiliac radiography. Radiographic findings will determine the need for follow-up MRI or physical therapy referral. The patient was given a handout on gentle low back stretches and was encouraged to try several gentle yoga positions at home.The patient should return to the clinic in one week.

Free cloud based EHR

Encounter – Office Visit Date of service: 04/05/17 Patient: Kay S… https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/…

2 of 2 4/5/17, 4:31 PM

Chief complaint

Skin lesion

PATIENT Virginia T Thompson DOB 02/05/1957 AGE 60 yrs SEX Female PRN MO686770

FACILITY Northstar Physicians Center T (999) 999-9999 1234 Sunshine Way 100 Minneapolis, MN 99999

ENCOUNTER

NOTE TYPE SOAP Note SEEN BY Nazir Ashaad DATE 04/05/2017 AGE AT DOS

60 yrs

Not signed

Patient identifying details and demographics

FIRST NAME Virginia MIDDLE NAME T LAST NAME Thompson SSN –

SEX Female DATE OF BIRTH 02/05/1957 DATE OF DEATH – PRN MO686770

ETHNICITY Not Hispanic or Latino

PREF. LANGUAGE

English

RACE Patient declined to specify

STATUS Active patient

CONTACT INFORMATION

ADDRESS LINE 1 5432 Rebrow St ADDRESS LINE 2 – CITY Lakeside STATE NY ZIP CODE 27511

CONTACT BY Home Phone EMAIL virginiat@testpati

ent.com HOME PHONE (555) 555-5555 MOBILE PHONE (555) 555-5555 OFFICE PHONE – OFFICE EXTENSION

–

FAMILY INFORMATION

NEXT OF KIN George Thompson RELATION TO PATIENT Spouse PHONE 5555555555 ADDRESS –

PATIENT’S MOTHER’S MAIDEN NAME

Holske

Subjective

Sixty-year-old female patient presents with a lesion that doesn’t heal on her left shoulder. She describes the lesion as a mole that became itchy and has been getting a darker pigment over time. She states that she first thought it was a “bug bite” that she had been scratching, but the lesion has been present for 4 weeks without healing. No rashes or other skin complaints.

Objective

Patient’s blood pressure is 128/76. Patient’s HR is 78 bpm and regular. Full skin examination reveals several erythematous macules scattered evenly on face and shoulders. Three black, symmetric, well-demarcated papules are present on the upper back measuring 6mm-1cm.

Encounter – Office Visit Date of service: 04/05/17 Patient: Virgi… https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/…

1 of 2 4/5/17, 4:58 PM

Lesion of concern to the patient is located on the left anterolateral shoulder, 2 cm inferior to the acromioclavicular joint. It measures 7 mm in diameter and has an asymmetrical, black/brown/red appearance.

Assessment

Multiple benign nevi found the face, trunk, and upper extremities. Multiple benign papules present across upper back. Left shoulder lesion shows indications of melanoma. Wk8: Marginalized Women And Childbearing Families

DDX: D03.60 Melanoma in situ of unspecified upper limb, including shoulder. C43.60 Malignant melanoma of unspecified upper limb, including shoulder. D03.62 Melanoma in situ of left upper limb, including shoulder.

Plan

Patient will be referred to dermatologist for biopsy of left shoulder lesion. Patient is advised to continue use of sunscreen when outdoors. Follow-up appointments will be scheduled to monitor benign nevi and papules for any suspicious changes. Medical Terminology Module 2 Course Project

Free cloud based EHR

Encounter – Office Visit Date of service: 04/05/17 Patient: Virgi… https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/…

2 of 2 4/5/17, 4:58 PM