Teaching Care Plan Scenario And Treatment

Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of

Low literacy affects many individuals within today’s society. The amount of individuals that are unable to comprehend medication labels, medication regimens, and learning points from discharge teaching is shocking and result in further health related injuries (Koh et al., 2012). Nurses must take the important task of recognizing an individual literacy and comprehension ability before planning the individual’s care plan. The nurse must find out the ways an individual can receive information that

Studies show nurses play a very important rule of teaching the patients; especially improve patient’s knowledge about the medications (Bradley et al., 2012). Nurses are responsible to educate the patient about the purpose of every medication and their side effects. It is also necessary to tell them some alterations to the medication list (Bradley et al., 2012). The purpose of teaching the patient is to help them understand how the medications benefit them. In this way, they will become more compliant. In addition, it is important for the patients to know how the medications work. For example, they need to hold the some blood pressure pill if they have low blood pressure. There is another example shows nurses successfully improve patient’s condition through medication education. The study by Van Camp et al. (2012) investigated how nurse-led education and counseling enhance medications adherence in chronic dialysis patients. The medication is called phosphate binder that prevents the patient from absorbing phosphate in the food. The study showed “the mean adherence group increased from 83% to 94%, phosphate values decreased from 4.9 to 4.3 mg/dl and the knowledge of the medications increased by twenty percent” (Van

The patient will continue to meet with the clinical social worker once a week to help her navigate around the stressors in her life

Plan: The primary goal for the nurse is to ensure Caroline is discharged able to administer and monitor her medications as well as recognise the indication, desired effect and potential side effects and adverse reactions for each drug. The nurse must apply health literacy principles, consider verbal and non-verbal communication techniques as well as apply adult learning principles to achieve this goal.

Lastly, support Amanda and Jim to engage in behavior change strategies to optimise their health and wellbeing by encouraging them to be involved on secondary prevention or cardiac rehabilitation programs; providing fact sheet on information and action plan of warning signs of heart attack; giving appropriate psychological management and counselling strategies; and tailoring advice and maintaining motivation and communication to maximise adherence to treatment plan (National Heart Foundation of Australia,

The second intervention is through patient education and outreach. Patients diagnosed with cardiovascular disease should undergo extensive education in regards to their disease and medication. Patients should be educated on self-management strategies and how to incorporate medication into their daily lives. In addition, the families, friends and primary caregivers of patients with cardiovascular disease should be educated on the importance of adherence and side effects on non-adherence. Healthcare providers should educate the patients as well as their families by breaking down the complex medical terminology associated with the treatment and knowledge of cardiovascular disease. Finally, healthcare professionals should directly and indirectly reach out to patients with cardiovascular disease, particularly the elderly. The patients should be provided with medication as well as disease and medication education (Kolandaivelu et al, 2014).

Nurses, dieticians, pharmacists, occupation and physical therapist, are responsible for teaching Mr. P how to manage his condition at home. The pharmacist and nurse should explain his medications, the appropriate dosages and proper periods to take them. Furthermore, they should also explain the food restrictions that he has if he is on blood thinners and the potential side effects he may experience. Based on the past medications Mr. P was taking, medication reconciliation should be done, and Mr. P and his family should be notified which drugs he was taking previously before being admitted to the

The findings were represented in two themes, factors influence patient disengagement and the elements identified in patient engagement process. It was reported that patients were experienced inadequate provision of information in all three essential management approach include diet, physical exercise and medical prescriptions. The doctors were often found to convey information in a superficial context without emphasis in the technical steps and proper guidelines to be referred back at home. This attributed to lack of understanding and misconception thus led to poor compliance as claimed by the patients. Loss of freedom and imprisoned feeling were expressed when compared to other healthy people due to their dependency drugs regimens and restricted

The patient has just been prescribed Lisinopril by their physician. When assessing the patient’s current knowledge, the patient was only able to identify that Lisinopril does something with their blood pressure. They were unable to state what the medication actually does, warnings/precautions, or side effects. This teaching will provide the patient with the missing information regarding Lisinopril (what it does, side effects, warnings/precautions). The patient’s weakness is that they are currently unaware of any information about their medication. The patient’s strength is that the patient is eager to learn about the medication and has basic knowledge that the medication deals with blood pressure. If you miss a dose just take the dose as soon as you can remember. If it is almost time for your next dose go ahead and skip that does and just take the next one at the normal time. Do not take a double dose if you forget.

A significant element in nursing is the need to convey information and educate the patient to facilitate achievement of an optimal health status. This teaching informs the patient and allows them to participate in their own care. Knowledge empowers the patient so they can incorporate it into their lives. Education directs the patient to resources, support and may enhance the patient’s coping skills. Information is a dynamic tool that, if utilized may contribute to better health outcomes.

This was an interesting and important selection to not only student nurses but also nurses in general. To understand and consider how the medication regimen can be a change in lifestyles even though the medications can and will save their life. Until you are truly required to take a medication at a certain time, empty stomach, full stomach, half a pill every other day, only on the weekends, change doses every other day and or self –inject can be a significant life style change. I understood the students were given (candy) pills with instructions to follow. This can be a wakeup call if the students learned anything from the project it should be this is a tough assignment.

In today’s fast paced environment in which we live, it is wise to maintain proper health through exercise, diet, and sleep. Often time that is easier said than done. A healthy heart is paramount to our existence, as it is the organ that pumps blood through the body via the circulatory system, supplying oxygen and nutrients to the tissues and removing carbon dioxide and other wastes. Personally, I take great interest in the health of my heart because it needs regular monitoring on a weekly basis. I am prescribed medications by my physician for a variety of reasons, and these medications must be in balance with my height, weight, and heart rate. In fact, I must meet with my physician monthly.

Baseline data, including literacy level, are collected at enrollment and follow-up surveys are conducted at 1, 6, and 12 months. Literacy is an important patient characteristic that may influence the patient’s ability to benefit from education intervention…Low or inadequate literacy is common (40% of the adult population in the study) and is associated with multiple adverse health outcomes, including heart failure, all-cause hospitalization, and mortality. During both of Dewalt et el. Randomized trials there was a self-management water pill guide http://www.biomedcentral.com/1472-6963/9/99/figure/F3. This guide was used to help low literacy individuals while monitoring their daily weight to adjust the number of pills each dosage. This proved to be a very helpful tool during both studies for increased adherence in the short-term and long-term. Through the use of repetition and

The patient chosen for this essay is a sixty year old man. This patient was one of the palliative care patients that the team of district nurses I was allocated to work with in my community placement care for. The patient has terminal liver cancer. The patient lives with his wife whom is his main carer. The district nurses had to visit him every day of the week. The patient had a syringe driver on situ which needed to be filled with a new dose of medication every 24 hours. Also the extension set needed to be changed to the other side of the patient’s body when the side it was on became sore. The main care needs for the patient were to