...Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes). The Identified Learning Need Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every year and many are...
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...Diabetes Education Community Teaching Due: April 13, 2014 Diabetes Power Point at QCP This diabetes power point was presented at an adult community center in Queens, New York called QCP. This power point highlights the importance of educating yourself on disease and more specifically diabetes. Unlike other diseases that can be managed using only medication, diabetes requires day to day knowledge of the disease including nutrition, exercise and different levels of medication. Type II diabetes can also come on later in life based on diet and exercise or lack thereof. Therefore this power point presentation was important to help people understand how to deal with diabetes and how to prevent diabetes. This teaching plan includes education for both prevention and management of the disease. The power point presentation first describes what type of disease that diabetes is and what exactly the symptoms are. The teaching plan goes on to discuss the three different types of diabetes including Type I, Type II and gestational diabetes. Following along the teaching plan teaches how diabetes is diagnosed and what type of symptoms people have when they have diabetes. This helps people better understand the disease and what their symptoms mean and what causes it. The teaching plan is careful to differentiate between pre-diabetes and diabetes to make sure that people understand the difference before they experience the full blown disease. My teaching plan includes simple learning devices...
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...Teaching plan for a new-onset juvenile diabetic Introduction Diabetes causes chronic health conditions and comorbidities, and if left untreated it has negative health consequences for individuals and also nation’s economy. According to a 2014 report from Centers for Disease Control and Prevention (CDC) conducted in 2012 that diabetes affects more than 29.1 million Americans and of them 8.1 million are undiagnosed (CDC,2014). The estimated cost of Diabetes in the United States in 2012 was 245 billion dollar that includes medical cost, disability, and premature death (CDC, 2014). According to Healthy People 2020, diabetes is the seventh leading cause of mortality, lowers life expectancy by up to 15 years, increase the risk of heart disease, kidney failures, blindness, and so forth (U.S Department of Health and Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage...
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...According to Hall and Ross-Kerr (2006) teaching is an interactive process that promotes learning. Generally, teaching and learning begin when a person identifies a need for knowing or acquiring an ability to do something. A nurse, who embodies the role of a teacher provides information that prompts the client to engage in activities that lead to desired change. Teaching is most effective when it responds to the learner’s needs (Potter, Perry, Ross-Kerry, & Wood, 2006, p. 318). In this paper I will include an assessment of the learner, teacher, and resources with a teaching plan. I will provide evidence of implementation along with discussion of teaching material used in the presentation, including the rationale for its use. The paper will be able to clarify the description of the evaluation strategies as well as process and outcome evaluation. For the health teaching project paper I will interview Mrs. Patel, who is an immigrant from India and lives in Toronto GTA area with her two sons and in-laws. Mrs. Patel, who lost her husband 20 months ago, is 68 years old female diagnosed with diabetes two years ago with a family history of both parents who died from diabetes related complications. Mrs. Patel weighs 190 pounds and five feet three inches tall. Her health history includes high cholesterol and high blood pressure. Mrs. Patel is a physically inactive retired high school teacher, who is fond of eating Indian sweets and smokes one pack of cigarettes a day; she has a pack life...
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...of those outcomes. Bloom’s wrote his first book in 1950 which led to the work , the “Taxonomy of Educational Objectives.” His most distinguished contribution to teaching and learning was developing a theory for teachers to provide correct instruction for their students. The revised Bloom’s Taxonomy is used as a framework for continuing education . The purpose of continuing education is to improve nurses’ skills to provide quality patient care. Nurses need to transfer her knowledge from continuing education to everyday practice. Educators can aid the process or transferring knowledge but not to acquire instructional outline. The revised Bloom’s taxonomy incorporates instructional outline into the taxonomy plan to support transfer of knowledge and helps educators to create correct instruction. The application of the research conducted on Bloom’s taxonomy on nursing education provides guidelines to teach , organize lesson plan, assess the strategies in teaching and to evaluate the strategies of teaching. The application of the research is also used to create learning objectives and instructional outline for written educational materials; for example, when teaching a non-compliance diabetic patient instructional material must outline the purpose of the teaching . Instructional outline also help educators to develop reasoning skills when educator encounter problems in the clinical setting....
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...audiences who may find it daunting to change their lifestyles. In order to provide concrete, practical information and to garner interest, creative elements should be used. One fun method to incorporate would be to have a cooking class, or demonstration. This will give people a chance to see lifestyle change in action, and will be fun to take part in. The American Diabetes Association has published many small brochures that have recipes and tips on how to change one's diet. One of them is called “Latin Flavor in the Kitchen”(“Por tu familia”). Using a recipe from the pamphlet and distributing the pamphlet during the class would be a beneficial asset. Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how. At the end of presentation, participants will name one healthy food choice in each of the five food groups. Cereal in grain groups, an apple is in fruit groups, vegetable juice in vegetable groups, Yogurt in milk groups, cooked lean meat in meat groups. At the end of presentation, participants will have adequate information to prevent or control diabetes by self-management , and lifestyle changes. This will include dietary regimen, and physical activities, making healthy food choices, understanding portion sizes and learning the best times to eat. Participants will gain knowledge about the effect of food on blood glucose, sources of carbohydrates and fat, appropriate meal planning and resources to assist in making food...
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...Diabetes Mellitus is a common chronic disease of the endocrine system, specifically the pancreas, which beta cell destruction leads to insulin deficiency. Type 1 Diabetes Mellitus is an autoimmune disorder triggered by a viral infection in which beta cells are destroyed leading to absolute insulin deficiency and usually diagnosed in childhood. Type 2 Diabetes Mellitus is a progressive disorder in which the pancreas makes less insulin overtime; most cells reduce the ability to respond to insulin, poor control of liver glucose output, decreased beta cell function, and eventually beta cell failure. The specific cause of type 2 diabetes is unknown; however, it usually occurs in adulthood, heredity, obesity and sedentary lifestyle may play a major role in its development. For both types of diabetes the main feature is chronic high blood glucose levels (Ignatavicius & Workman, 2006) This disease process requires lifelong behavioral and lifestyle changes and complications from this disease can cause many devastating health problems. This paper will include an overview of the incidence of diabetes in the United States, typical presenting signs and symptoms, the potential chronic affects of diabetes on the body, teaching with measurable outcomes and the psycho-social challenges a patient may face. Incidence of Diabetes in the United States According to studies performed by the National Institute of Health (NIH), 13% of adults 20 and older in the United States have diabetes. ...
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...has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations (Sheridan, 2012). There is an estimated 15.7 million Americans that are affected by diabetes, with an unknown number of people who have not been properly...
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...Diabetes- Potential Effects as a Chronic Process Diabetes-Potential Effects as a Chronic Process Diabetes is a serious problem in the United States. It is a disease where blood glucose levels are above normal. There are two types of diabetes, Type 1 diabetes (juvenile onset diabetes) and Type 2 diabetes (adult onset diabetes). Both types of diabetes exhibit similar symptoms or no symptoms at all. In this paper, we report the incidence of diabetes, typical signs and effect diabetes has on the body, teaching requirements and psycho-social challenges that go along with the disease. Diabetes mellitus affects about 17 million people, 5.9 million are undiagnosed. In the United States, approximately 800,000 new cases of diabetes are diagnosed yearly (Bare, 2006). Among working adults diabetes is the leading cause of non-traumatic amputations, blindness and end-stage renal disease. Diabetes is the third leading cause of death by disease, primarily because of the high rate of cardiovascular disease (Bare, 2006). Hospitalization rates for people with diabetes are 2.4 times greater for adults and 5.3 times greater for children than for the general population. Among adults in the United States, diagnosed cases of diabetes increased 49% from 1990 to 2000, and similar increases are expected to continue (Bare, 2006). According to the Centers for Disease Control and Prevention, approximately 5% to 10% of people with diabetes have type 1, which the insulin-producing pancreatic beta cells...
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...Diabetes Case Study Granna Clay Diabetes Case Study Charles, age 45, has recently visited his physician with complaints of weight loss, excessive thirst and frequent urination. Review of his record indicates a new diagnosis of diabetes. Charles, a busy CEO, is recently divorced and now living on his own. Due to his busy schedule, he feels he does not have time to worry about himself. Our goal is to discover what Charles already knows about diabetes, dispel any myths or misconceptions he may have, answer questions and help him develop a plan to manage his disease. Education regarding lifestyle changes and proper diabetes management is paramount if Charles is to continue to lead a healthy life. Evaluating the psyco-social aspects of Charles’ life must be done to ensure long-term success in managing his chronic disease. Overview of Diabetes in the United States According to the American Diabetes Association (2008), diabetes rates increased in the United States 13.5% from 2005-2007. Charles is not alone, nearly 8% of the total US population affected with the disease. This number is expected to rise to 12% by 2050 (ADA, 2008). According to the ADA (2008), this increase is attributed to increasing obesity, improved detection, decreased overall mortality, and an increase in the minority population in whom the prevalence of diabetes is increasing. The impact on healthcare expenditures and the overall economic cost of diabetes care is staggering. The ADA...
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...paper is our proposed plan for teaching those of all ages about obesity; its detrimental effects on the body, short and long term, and how to avoid associated problems, using a healthy varied eating plan and incorporating a daily exercise schedule. The health risks of obesity are the same for all people and the interventions for weight loss are also the same. These interventions are basic, eat healthy and be active. But educating communities and enabling them to make these changes are not basic tasks in themselves. It takes knowledge, planning, creativity and time to ensure that this teaching is effective. Proposed Community Teaching What is obesity? “Obesity is defined as an abnormal increase of fat in the subcutaneous connective tissue. This means that there are a lot of fat cells gathered in the tissue under the skin. Eating greater amounts of food than the body can use for energy causes this deposition ("Obesitynursing care," 2012). Why? And what is it related to: • Weight 20% higher than optimum body weight • Observed/reported eating patterns that are dysfunctional, food eaten is more than body requirements • Social/economic status • Psychosocial factors Physical /mental health problems associated with Obesity • Metabolic syndrome, this is a combination of conditions that includes: high cholesterol, high blood glucose levels, high blood pressure, and central obesity. • Coronary heart disease, the risk factors are increased with obesity • Diabetes type 2 was normally...
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...Diabetes Mellitus: Current Concepts Review Ashley Patton Breckinridge School of Nursing NU230 July 9, 2013 Diabetes mellitus also known as simple diabetes is a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria, polydipisia and polyphagia (Ignatavicius &Workman, 2013). There are three main types of diabetes mellitus Type 1 DM, Type 2 DM and gestational diabetes. Type 1 DM results from the body’s failure to produce insulin, and currently requires the person to inject insulin or wear and insulin pump (Ignatavicus & Workman, 2013). Type 2 DM results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency (Ignatavicus & Workman, 2013). Lastly gestational diabetes occurs when pregnant women without a previous diagnosis of diabetes develop a high blood glucose level. It may precede development of Type 2 DM (Ignatavicus & Workman, 2013). This article discusses the different types of diabetes and patient care. Patients with diabetes are needed to do much more than the average individual from preventing blindness to renal failure and preventing other serious complications. Patients with diabetes are asked to follow a meal plan, exercise regularly and also take medication...
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...Diabetes Case Study NUR/427 January 13, 2011 Diabetes Case Study Diabetes mellitus (DM) is a chronic disease that affects millions of people across the nation. According to LeMone and Burke (2008), “Approximately 1.3 million new cases of DM are diagnosed each year in the United States” (pg 563). The Centers for Disease Control and Prevention estimate that 23.6 million people in the United States have DM. Collectively 17.9 million people were diagnosed and 5.7 million people were undiagnosed with DM in the year 2007. Of all the documented cases 90-95 percent have type II DM and the remaining 5-10 percent have type I DM (Centers for Disease Control and Prevention, 2008). In the United States DM is the sixth most leading cause of death by a disease. Deaths are commonly caused by the cardiovascular effects associated with DM that result in coronary artery disease, atherosclerosis, and stroke. People diagnosed with DM are two to four times more likely to have heart disease or have a stroke than people who are not diabetic. DM is the leading cause of end-stage renal disease in the United States. DM is also the most common cause of nontraumatic amputations and newly diagnosed blindness (LeMone & Burke, 2008). Signs and Symptoms Before someone is diagnosed with DM he or she usually experiences common signs and symptoms of the disease that leads him or her to see a physician. In type I DM the signs and symptoms that commonly present are the result of hyperglycemia. According...
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...Laurie Clark Health Prevention of Childhood Obesity June 23, 2015 Specific Purpose: To Inform Parents and children Primary Prevention of Childhood Obesity Introduction I. Obesity has doubled in American children the last three decades a. Increase in inactivity b. Increased in high fat, sugar, and processed foods c. Immediate and long term health effects. II. Increase in inactivity d. Children are watching more television associated with obesity i. 89% of children aged between four and five years spend more than two hours watching TV, Videos or DVDs every day (Kehl, 2006). ii. Food is heavily marketed on the television 1. The more likely they are to eat while watching television 2. The foods they consume are likely the foods advertised on television (YouTube 2015) e. Children walking and biking to school has decreased while car transport has increased iii. Result of changes in community composition iv. Concern for child safety III. Increased in high fat, sugar, and processed foods f. Foods Consumed decades ago were almost void of processed foods g. In today’s family less fruits and vegetables, increased processed, high calorie foods v. Increased cost of healthful foods vi. Decreased cost of junk food vii. Increased variety viii. Increased school vending machines and a la cart foods (YouTube 2015) ...
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...Personal Impact of Diabetes Trisha N427/UOP January 16, 2012 According to the Centers for Disease Control and Prevention (CDC, 2011), there are 25.8 million people affected by Diabetes which is “8.3% of the U.S. population”. Diabetes is the number one “cause of kidney failure, nontraumatic lower-limb amputations, and blindness among adults in the United States”. Also, “it is a major cause of heart disease and stroke” as well as “the seventh leading cause of death in the United States”. Diabetes impacts a person’s life in many ways. This paper describes a patient’s experience and impact of diabetes on her life. One of the patients I had who suffered from this disease was Mrs. D, a 56 y-o Vietnamese female diagnosed with Diabetes Mellitus (DM) type II 10 years ago. Her blood sugar in the last six months ranges from 43 to 352mg/dl. Currently she lives with her husband who is also diagnosed with DM type II and other comorbidities. Due to the severity of the disease, Mrs. D needs Lantus injection 30 units daily and Humulin R in which doses depends on a sliding scale. She often experiences episodes of hypoglycemia in the early morning and hyperglycemia later in the day. She comes to our Adult Day care to have her blood sugar checked, and to have insulin injected daily. Due to the disease process, Mrs. D has poor dexterity to manipulate a glucometer and insulin pen. She also complains of poor vision in both eyes even with bifocal glasses. She was unable to read the small...
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