...Patient Educational Plan Tom Gremling NUR/427 HEALTH AND CHRONIC DISEASE MANAGEMENT April 17, 2011 Sharnee Moore-Jervis Patient Educational Plan Patient Description: Jorge Sanchez Jorge Sanchez is a 53 year old Hispanic male, naturalized citizen from Mexico. He completed high school here in the United States, but struggled as English is his second language. He lives in Mesa, Arizona with his wife, mother, and three children. His wife was born here in the United States and works as a Realtor, she handles much of the family’s finances, health information and scheduling. He works as a concrete finisher and has been for 25 years. His family history includes coronary artery disease and renal problems. His father died at age 79 of an Acute Myocardial Infarction. His mother is living (73) and is currently receiving dialysis and has been for the last two years. His wife has no current health problems to note, nor do his three children ages 20, 17, and 15. He has been recently diagnosed with Benign Prostatic Hypertrophy (BPH) and has been prescribed Avodart 0.5 mg once daily by mouth. Although he has health insurance the drug is still expensive. He has decided to supplement the therapy with the herbal supplement Saw Palmetto; he is taking the Avodart one day, and then the Saw Palmetto on opposite days. He has presented to the Emergency Department with complaints of urinary retention and abdominal pain. He is assessed and is admitted to the Med/Surg Unit for Acute Urinary Retention...
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...Patient Education Plan NUR 427 Sidoney Roache Ulcerative Colitis Patient Education Plan Patient Description Larry Garcia is a 45 year old sales representative with 3 children. He has been married for 18 yrs to Monica, who is 8 yrs. his junior. Mr. Garcia has come to the emergency department reporting abdominal pain, cramping and frequent diarrhea with blood and pus in his stool for the past 2 days. He also has been having difficulty absorbing fluids and nutrients and as a result lost 4 1bs. His symptoms started at age 22 along with lactose intolerance. Larry is Caucasian and of Jewish descent. His regular diet consists of whole-grain breads with eggs for breakfast and for lunch he eats a bagel with cheese and some whole milk. Every Wednesday Larry eats cereal for breakfast and has pasta for lunch. He has a history of abdominal pain for the past 10 years. Mr. Garcia’s preferred learning style is visual as he explained in the initial interview. He learning style is visual because he prefers to read the material independently. He does not absorb verbal information easily. Introduction to the disease process for the Patient Education Plan: The disease process usually begins in the rectosigmoid area and spreads proximally. Pathologic change starts with degeneration of the reticulin fibers beneath the epithelial mucosa. This causes occlusion of the subepithelial capillaries and infiltration of the lamina propria with lymphocytes, leukocytes, eosinophils...
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...Patient education plan for Larry Garcia Hypertension Case Study Hypertension, also known as high blood pressure, affects about 8.1 million Americans, and is one of the leading causes of cardiovascular disease. High blood pressure is dangerous, as it increases the risk for heart attacks and stroke, which is the number one cause of death in the United States. There are typically no warning signs or symptoms associated with high blood pressure. Unfortunately, it is a life time disease once it occurs. Hypertension has multiple risk factors associated with it; middle age men have a higher risk than women, a family history of hypertension, being overweight, not being physically active, tobacco and alcohol use increases ones risk, as well as high levels of stress (Matteucci, Caple, & Pravikoff, 2011). Larry Garcia, a 45 year old Hispanic male, was recently diagnosed with hypertension during a physical exam for work. His risk factors include; being slightly overweight, does not exercise regularly, and his mother has hypertension that is not medically controlled. Larry is married and has four children. He supports his elderly mother and father financially, and his wife provides transportation to appointments and shopping for them. Larry has a high pressure position as a sales representative, which has been his career for 10 years. Larry has an associate’s degree in business, and has thought of returning to school for his bachelors, but his family obligations keep him from pursuing...
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...Patient Education Plan for Larry Garcia Timber L. Keys NURS/427 January 14, 2013 Amy Prichard Patient Education Plan for Larry Garcia An important component of a nurse’s daily responsibilities is to provide the patient with the knowledge base he or she will need to improve their quality of life after the illness. Patient education is a central part of the practice of all health professionals. Patient education services are delivered during direct care given by health care practitioners and are also available in separate programs (Redman, 2007). This patient education plan will identify and determine how to fulfill the gaps in education regarding Larry Garcia’s newly diagnosis of hypertension. Assessment of Larry Garcia Larry Garcia is a 45 year-old male newly diagnosed with hypertension during a physical examination due to the change in his company’s healthcare and wellness policy. He has been married to his wife, Monica, for 18 years; together they have 3 children, a 15 year-old son, Mark; a 12 year-old daughter, Kelly; and another daughter Andrea who is 8 years-old. Mr. Garcia has been employed as a sales representative for the past 10 years with the same company, which is considered a high pressure position that requires meeting a monthly sales quota. In addition to his immediate family responsibilities, Mr. Garcia also claims responsibilities for his parents who are aging and need assistance on a daily basis. Physical assessment reveals a middle-aged male...
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...TAX PLANNING TIPS INCLUDE: Certain expenditures made by individuals by December 31, 2014 will be eligible for 2014 tax deductions or credits including: moving expenses, child care expenses, charitable donations, political contributions, medical expenses, alimony, eligible employment expenses, union, professional, or like dues, carrying charges and interest expenses, certain public transit amounts, and children’s fitness and arts amounts. Ensure you keep all receipts that may relate to these expenses. 2) You have until Monday March 2, 2015 to make tax deductible Registered Retirement Savings Plan (RRSP) contributions for the 2014 year. Consider the higher income earning individual contributing to their spouse's RRSP via a “spousal RRSP” for greater tax savings. 3) The age limit for maturing Registered Pension Plans, RRSP, and Deferred Profit Sharing Plans is 71 years of age. 4) If you own a business or rental property, consider paying a reasonable salary to family members for services rendered. Examples include website maintenance, administrative support, and janitorial services. 5) This publication is a high-level summary of the most recent tax developments applicable to business owners, investors, and high net worth individuals. Enjoy! 1) A senior whose 2014 net income exceeds $71,592 will lose all, or part, of their Old Age Security. Senior citizens will also begin to lose their age credit if their net income exceeds $34,873. ...
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...be submitted as a Microsoft Word document. 1. Define patient compliance and explain its importance in your field. Patient compliance means that patients follow what is directed to them by yielding to their health care professionals treatment plan. Patient compliance is crucial in my field because in order for patients to get better they must follow the treatment plan that is specified. If patients do not comply with the doctors suggested treatment plan then they could potentially become very ill and possibly need more medical attention. This could result in more time taken from the medical professional and higher cost for the patient due to more medical needs. 2. Identify the health care professionals' role in compliance and give examples of ways in which the health care professional may actually contribute to noncompliance. The health care professionals’ role in compliance is to have a good professional-patient relationship. This consist of using collaboration with the patient and other professionals, showing the patient that you care, educating the patient on all aspects of the treatment plan, and creating an open relationship with the patient. The provider may contribute to noncompliance by not realizing the patient’s adherence to the treatment plan, which could be caused by lack of education regarding the severity. Another factor is that health care professionals often have misconceptions regarding their patients who could potentially be at risk for noncompliance. 3...
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...A. Compliance Status When a patient checks into Nightingale Community Hospitals they believe the hospital will put there care first and provide quality medicine. Looking at the recent compliance reports there are areas of patient care this hospital needs to improve in. Reporting critical results within 60 minutes, labeling medication containers and reactions with anticoagulation therap.0y are areas that this hospital needs to improve upon. Improving these areas would be just one step toward increasing patient care and satisfaction at this hospital. There are three areas to focus on that Nightingale Community Hospital is not in compliance with according to the Joint Commission standards. These areas are reporting critical results within 60 minutes, labeling medication containers and relations with anticoagulation therapy. One is in reporting of critical results hospital-wide. The survey results showed the hospital’s average in regards to reporting critical results within 60 minutes was 70% of the time. In the survey there were only three months August, October and December, where the hospital scored in the 80% or higher range. All other months they scored between 56% and 78%. To be in the Joint Commission standards the hospital’s scores should be in the 100% range. The Joint Commission survey results showed that three of the staff nurses that were interviewed indicated the leaders had not effectively communicated to the nursing staff Nightingales reporting policy. (The...
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...effective and safe patient care. Part of effective leadership is setting a goal that is achievable and realistic for the team or group in order to reach a desired outcome. Using a SMART-formatted goal ensures that the desired outcome is achievable, hence the meaning of SMART goal, Specific, Measurable, Attainable, Realistic, and Time bound. To help with my leadership development in the care of my patients, I will focus my SMART goal on improving my leadership skills in patient education particularly with pain management on post-surgical patients since I take care of a lot of post-surgical patients. This goal is in line with one of the Institute of Medicine’s core competencies for health clinicians that states to provide patient-centered care. I will achieve my goal with some help from a team member at work. Nurses and other health care professionals are expected to provide care that is effective, safe, and patient-centered. One of the core competencies that the Institute of Medicine (IOM) set for healthcare professionals is to provide patient-centered care. Providing a care that is patient-centered focuses on including the patients in their plan of care, recognize, and respect their needs, values and preferences. Open communication with the patients and collaborative care is also the focus of patient-centered care, (Finkelman, 2012). As the IOM’s description of patient-centered care core competency (as cited by Finkelman, 2012): Identify, respect, and care about patients’ differences...
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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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...what it is today. It helps to guide how patients are taken care of, how assessments are done and the health education that it is provided to the community and patients (Edelman & Mandle, 2010). Nurses are responsible for viewing patients as a whole rather than as just an illness. Holistic nursing provides a context for the patient’s environment to be included in the plan of care. By including all aspects of a person in an assessment, the nurse is promoting patterns of vigor which, in turn, support beneficial patterns of health behaviors (Edelman & Mandle, 2010). Without the keys of health promotion, nursing would not have the guidelines needed to provide excellent and individualized patient care. Nursing plays a key role in health promotion throughout various health care settings through key assessments and health education (Edelman & Mandle, 2010). As patients come into the hospital, nurses make the initial and continued assessments to ensure an individual’s motivation and attitude towards lifestyle changes and well-being. Assessments made regarding a person’s cultural and religious preferences are discovered by the nurse to make sure the plan of care is tailored individually. As each plan of care is individualized, the patient will be more willing to take part in the plan of care and required lifestyle changes in order to protect the overall well-being. Nurses are also responsible for proper health education to not only patients, but the community as a whole (Edelman &...
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...Patient Education Plan Week 5 Review the Patient History Form for Larry Garcia found on the student web site: Evaluate your patient. • Identify gaps in education about disease • Determine how to fill gaps Create a patient educational plan that incorporates the following: • Describe the disease process • Map the age, ethnic and cultural background, spiritual, and developmental issues to the disease • Describe the effect on quality of life based on the disease • Integrate the educational needs of the patient, and plan on how they can be met • Consider the patient's perceived challenges • Develop the patient plan of care • Review the potential patient outcomes based on the plan of care • Discuss alternative solutions if patient plan of care is not successful • Cite and reference at least five credible sources Note. Grades will be awarded on the quality in which each area is covered Content 14 points possible Points possible Points earned Provides an evaluation of the patient, including gaps in education about disease and ways to fill gaps 2 Describes the disease process 2 Maps the age, ethnic and cultural background, spiritual, and developmental issues to the disease 2 Describes the effect on quality of life based on the disease 1 Integrates the educational needs of the patient, and plan on how they can be met 2 Considers the patient’s perceived challenges 1 Develops the patient plan of care and discusses alternative solutions if patient...
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...Clinical Competencies of the Associate Degree Nurse versus the Baccalaureate Degree Nurses Nursing is one career that has spent decades establishing education requirements and advancements for those in the field to better the population of those licensed to improve patient care and nurse leadership. A registered nurse starts by becoming licensed after completing either a diploma nurse program, a two or three year associate degree program, or a four year baccalaureate program. Nurses may then advance farther into an advanced practice nurse by obtaining a master’s degree in nursing. When deciding on a nursing program, one must consider the difference between an associate degree nurse and a baccalaureate nurse. At the end of the program, all must sit for the same licensing examination known as the NCLEX. The NCLEX however is not valid proof that there are not differences between the degree levels as the test strictly tests for a minimum safe competency for entry into a basic nursing practice (AACN, 2012). It is believed by some that there is no difference between the clinical competencies between associate degree and baccalaureate degree nurses, however research have shown that baccalaureate degree nurses may be better prepared for different circumstances in a patient care setting. Associate degree nursing programs, also referred to as ADN programs emphasize their training on clinical skills rather than the theory component of nursing focusing less on critical thinking and...
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...diabetes 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...
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...factor in Hospital Consumer Assessment of Healthcare Providers Patient Satisfactory Experience (HCAHPS) and is also driving patient safety and quality. Improving patient safety and quality about the use of medications, especially after hospital discharge, is a national concern. The discharge and the period immediately following can be a vulnerable time for patients putting them at increased risk for medication error and non-adherence to their medications. Comprehensive discharge instructions are essential to a smooth transition from the hospital to home. Because, most organizations do not have a standard discharge process there are not adequate safety measures to ensure quality –post discharge care. Therefore, many patients go home without a clear understanding about their discharge instructions especially their medications. Patients with a lack of understanding about their plan of care usually do not buy in to the importance of following that plan or adhering to the medication schedule; therefore, they do not actively participate or manage their health. An essential part to any...
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...by providing different nursing educational roles that will evolve healthcare as we know it. The advanced generalist education role is a clinical nurse leader. The American Association of Colleges of Nursing defines the clinical nurse leader role (CNL) as a leader in the healthcare system that delivers care across different settings within a Microsystems, using assimilation and application of research-based information to design, implement and evaluate the patients plan of care (Thompson, and Lulham, 2007). The Clinical Nurse Leader is further described as designing and implementing, and evaluating client care by coordination, delegation, and supervision of the care provided by the health care team (Thompson and Lulham, 2007). Thompson and Lulham (2007) states that the healthcare team in which supervision care is provided from the CNL include the license nurses, technicians, and other various health care professionals. American Association of Colleges of Nursing (2013) states that clinical nurse leaders are masters prepared nurses that involves risk anticipation for individuals and groups of patients, implementation of evidence based practice initiatives, team leadership, management and collaboration with other health care professional team members, and the use of information system and technologies to improve healthcare. The advance generalist advocates for patients, communities and the health care professional team (AACN, 2013). The advanced generalist has a nursing core that consist...
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