This education plan is aimed at wound care for diabetic pat patients who have foot ulcers. This can occur to any diabetic patient, however it is not usually an issue until they’re in their early 30s. This patient population can include a variety of education and experience backgrounds, however it is important that all patients are able to understand it so it will be presented in congruence with a fifth grade literacy level. They also have a variety of levels of support, however the patient that this plan was created was homeless. Therefore, this plan was created for a patient who has minimal access to healthcare and resources. The most appropriate patient to teach is a patient who is alert, oriented, aware of his surroundings, not in pain, has recently eaten and is motivated to learn the material you are teaching. I will be teaching this to a patient that is currently in the hospital, so there are many barriers that I will have to face. One important barrier is time. There is many people going in and out of patients room while they are in the hospital, so as a nursing student it is hard to find quality, undistracted time with the patient. Another barrier will be the patients desire to learn. In order for this education to be successful, the patient will need to listen intently to the information and ask questions to clarify understanding. When scripting a teaching plan, it is important to begin with objectives that you plan to meet (McNeill 2012). The objectives that I
Mrs. Lawrence: When planning a lesson, I start with the objective. What is it I am supposed to be cover. Once I know, I start with a hook. I access their prior knowledge then I move on with either an example or model. All along I ask questions to make sure the students
Pressure ulcers are a good way for the BSN prepared nurse to teach and educate RNs with an associate degree or diploma and other healthcare staff involved in patient care. This can be accomplished by introducing evidence-based practice information to them. They can be taught how to use to the Braden Scale effectively. They can teach others how to correctly stage and document pressure ulcers. Another important factor is stressing the importance of positioning, pressure-relieving devices, skin care and protection, and nutrition (Agency for Healthcare, 2009).
In order to create the lesson plan, the objectives had to be planned first. As per the requirements for the course, I based my learning objectives off of Bloom’s taxonomy with my learning objectives falling under the categories of remembering, understanding,
The main priority of the Veterans Affairs system is getting zero pressure ulcers. To achieve this goal, staff must be knowledgeable of the basic principles of skin disease, preventions, and treatments when providing care for the elderly patients. They provide education and training on the current evidenced-base practice on pressure ulcer preventions. The approach that has been effectively used is the care bundle (AHRQ, 2014). We
The overall goal of the project is to improve patient understanding of his or her wound care discharge education, discharge instructions and follow-up comprehension at St. Joseph Health Network. In 1873, St. Joseph hospital opened its door to resident of Reading, Pennsylvania (PA). Throughout the years the hospital has had several challenges, new management, and relocated to a new state-of-the-art building in 1996. In 2015, the hospital become known as the Penn State Health St. Joseph under the management of a larger health care system known as Penn State Health. The health care network has a predominant inpatient wound care department and an outpatient wound care clinic.
Roughly 25% of diabetic patients experience Diabetic foot ulcer infection during their lifetime due to poor blood glucose control. Diabetes mellitus is a major non-communicable diseases and public health problem [1]. According to the International diabetes federation, approximately 69.2 million people affected nationwide and worldwide 415 million people having diabetes [2]. The risk factors of foot ulcer are 10 times more predominant in diabetic patients as compared to without having diabetes [3]. Foot ulcer infection in patients with one or more of this risk factor which help to the development of wounds that can be poor to heal and predispose to other infection. Diabetes is the complex disease in which various factors such as
Wound care is a tough field to specialize in nursing for so many reasons. One, you cannot do treatments alone. So today, together with Apsara, the wound care nurse, we assisted the doctor while he was doing debridement to patients. The doctor explained the importance of wound debridement to remove necrotic tissue and allow the wound to heal and granulate. The doctor further explained to the nurses that to attain proper healing of the wounds, adequate circulation should be present and the right nutrition should be given. To do this, patients should be turned, their feet should be off loaded and they should be assisted during feeding to encourage good nutrition. These are the things I learned today that would help me as a nurse to be care for
After identification of a patient teaching need the next step in the teaching process is establishing a measurable goal. “Teaching goals are broad in scope and set down what is expected as the final outcome of the teaching and learning process” (Wilkinson & Van Leuven, 2007, p. 538). In order to achieve a high level of standard, teaching goals need to be specific, measurable, attainable, realistic and timely. For our example, the teaching goal for J.L. and his diabetic foot care is as follows: Client is able to state five things he can do to prevent diabetic foot complications by the end of the teaching session implemented on Sunday January 24, 2012. Specifically, the five items J.L. will identify are to monitor and manage his diabetes, inspect feet daily, wash feet with warm water while drying between toes and apply moisturizing cream to feet daily (not between toes), avoid walking barefoot or with unfitted shoes, and calling the doctor should he notice any changes in his feet.
The management of diabetic foot ulcers remains a major therapeutic challenge, which implies an urgent need to review strategies and treatments in order to achieve the goals and reduce the burden of care in an efficient and cost-effective way. Questions remain as to which types of intervention, technology, and dressing are suitable to promote healing, and whether all therapies are necessary and cost-effective as adjunctive therapies. Prevention of diabetic foot ulceration is critical in order to reduce the associated high morbidity and mortality rates, and the danger of amputation. It is essential to identify the “foot at risk,” through careful inspection and physical examination of the foot followed by neuropathy and vascular tests. Regular
The discussion revealed that diabetic mellitus and diabetic foot ulcer affects the people with increasing age, sex, occupation, type of food consumption, economic condition, hereditary factors, history of diabetes etc. The economic burden on the patient with DFU needs to be eliminated. There is urgent need for alternative management of diabetes and DFU with herbal formulation.
Background: Wound healing in diabetes mellitus is a complex multi-stage process that requires proper function of multiple systems. The mechanisms of impaired wounds healing of diabetic wounds are still poorly understood. Therefore, various interventions are being used for wound management without great success. Bee products have various properties that make them an important addition to the diabetic wound management.
The diabetic foot should be inspected carefully on regular basis is one of the easiest, least expensive and most effective activities that prevent the foot problems. The patients with high risk of getting DFU should be identified and assess the neurological and vascular deficits. The heal care personnel must carry out careful physical examination and foot examination and appropriate history collection to avoid unnecessary amputations. (Armstrong, 2000).
The purpose of a teaching plan is to educate a patient about treatment, medications, diet, or any procedure that pertains to their care. If the client is educated then there is a better chance that they will be compliant with the instructions for their care. The nurse gathers subjective and objective information about the patient utilizing patient assessment. The nurse then uses this information to assess if there are any limitations to learning. The learning objectives are taught using affective, cognitive,
It is common in diabetic patients because they are more susceptible to the risk factors that makes it more likely for a foot ulcer to occur. The risk factors include having diabetic neuropathy which is nerve damage or degeneration especially of the nerves that are for pain and sensation in the lower leg and feet. This can occur because of having uncontrolled levels of blood glucose which is something that Mr DM has. It makes it less likely to realise if damage has occurred on the feet due to not having any pain or sensations occurring. So if harm does occur, diabetic patients do not realise and overtime that can gradually become worser and lead to more severe problems which is what has happened with Mr DM. this is why it is important to advise
he foot of a diabetic patient has the potential risk of developing complications such as infection, ulceration, and/or destruction of deep tissues associated with neurologic abnormalities, various degrees of peripheral vascular disease, and/or metabolic complications of diabetes in the lower limb. The lifetime risk of a diabetic individual having a foot ulcer could be as high as 25%. As indicated by the International Diabetic Federation in 2005, 85% of diabetes-related amputations in the lower extremity are preceded by a foot ulcer. Diabetic foot ulcers result from the simultaneous action of various contributing causes. The main causes are said to be peripheral neuropathy and ischemia from peripheral vascular disease. The gold standard for