Case Study: Discharge Teaching Plan

Case Study: Discharge Teaching Plan

This case study provides information you will need to know to complete the Discharge Teaching Plan Assignment. Please see the guidelines in Doc Sharing for more details and grading rubrics for this assignment. After you read the case study, obtain the Discharge Teaching Plan form from Doc Sharing and document your teaching plan for Mr. Yoder.

Case Study

Continuing our story of Mr. Red Yoder, our elderly diabetic patient: Case Study: Discharge Teaching Plan

Two weeks later, Red misses his Monday morning coffee at the local VFW. He has also missed church for the past four Sundays. He usually has a few whiskey sours a day and needs to take something for sleep (Benadryl). Jon (Red’s son) gets “irritated with me over my beer and whiskey habits and yells pretty loud” at times. His friends “worry about him.” “I know it’s only 20 miles to the VFW, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around.”

Red does not like to cook and usually picks up whatever is convenient, such as cake and donuts and some fast food. He also loves bacon! The home health nurse wanted to make sure he didn’t get an infection in that toe and now she is back to change the bandage. Red relates to the home health nurse “I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can my sugar be that high when I’m not eating much? I just took off my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. “ Case Study: Discharge Teaching Plan

Red requires admission to the hospital for sepsis of the wound.

Admission notes:

Today’s Date: [assume it is today]

Brief Description of Client:

Name: Sherman “Red” Yoder

Gender: Male Age: 80 Race: Caucasian

Weight: 109 kg (240 pounds) Case Study: Discharge Teaching Plan

Height: 183cm (72 inches)

Religion: Protestant

Major Support: Jon (son) Phone: 869-555-3452

Allergies: no known allergies

Immunizations: Influenza last fall; tetanus 4 years ago

Attending Physician/Team: Dr. Frank Baker

Past Medical History: Diabetes Type 2 diagnosed June 2 (last year).

History of Present illness:

Patient developed an ulcer on his big toe that was treated at home for 2 weeks. Son brought patient to ER 6 days ago and patient was treated for sepsis with IV antibiotics. Case Study: Discharge Teaching Plan

Social History:

Widower; son (Jon) lives nearby

Primary Medical Diagnosis:

Sepsis

Surgeries/Procedures & Dates:

L4-5 laminectomy – 25 years ago;

Transurethral resection of the prostate – 6 years ago

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Nursing Diagnoses:

· Impaired Walking;

· Impaired Skin Integrity;

· Ineffective Health Maintenance;

· Ineffective Self Health Management Case Study: Discharge Teaching Plan

One week later, Red is being discharged home with home health for wound care. Please prepare a discharge teaching plan for Mr. Yoder and his care takers.

NR305 Discharge Teaching Plan Case Study.docx Revised 12/5/2014 jm 1

In addition to the information presented in the week 2 introduction threaded discussion for Red Yoder, our elderly patient male patient, the student will read an assigned case study and write a discharge teaching plan utilizing the information gained from both sources.

Course Outcomes

This assignment enables the student to meet the following course outcomes: Case Study: Discharge Teaching Plan

CO #1: Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO #1)

CO #3: Utilize effective communication when performing a health assessment. (PO #3)

CO #4: Identify teaching/learning needs from the health history of an individual. (PO #2)

CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6) Case Study: Discharge Teaching Plan

Points

This assignment is worth a total of 100 points.

Due Date

The completed Discharge Teaching Plan form is to be submitted to the Dropbox by 11:59 p.m. MT Sunday of Week 2. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your assignment to the Dropbox on time may result in a deduction of points. Case Study: Discharge Teaching Plan

Directions

1. Review the initial information presented regarding Mr. Red Yoder, whom you met in week 2 threaded discussion. Read the Discharge Teaching Plan Case Study located in Doc Sharing. Take notes and highlight important points that are important to consider when developing a discharge teaching plan.

2. Use Microsoft Word 2010 (or later) to fill in the Discharge Teaching Plan form, which is located in Doc Sharing . This assignment is to be completed with a maximum of 6 pages. You may bullet point your responses.

3. Use scholarly writing including correct English grammar, syntax and sentence structure when writing in complete sentences. Case Study: Discharge Teaching Plan

4. Submit the assignment to the Discharge Teaching Plan Dropbox by Sunday, 11:59 p.m. MT, by the end of Week 2. Please post questions about this assignment to the weekly Q & A Forums so that the entire class may view the answers

Purpose: The focus of this assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process.

Points: This assignment is worth a total of 100 points. Case Study: Discharge Teaching Plan

Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form. Remember there is a 6 page maximum limit on this assignment.

Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Discharge_Teaching_ Plan_Form_Smith” When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q & A Forum or contact your instructor if you have questions about this assignment Case Study: Discharge Teaching Plan

Also check: Knee pain assignment

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