Question

Teaching and Learning

Ms. Parker is an older woman who was admitted to home health after a hospital stay. She was in the hospital for an exacerbation of congestive heart failure. On assessment, Amy, her home health nurse, obtains a baseline weight on Ms. Parker of 184 lb. Amy also notes that Ms. Parker has 1+ pitting edema to bilateral extremities. She asks Ms. Parker what she had for lunch. Ms. Parker informs her that her new caregiver will not be able to come until tomorrow and that because she just got home from the hospital, it is too hard to prepare a meal, so she heated water and made a dry soup mix that she ate with crackers. Amy goes to the cabinet to find packets of soup. She also finds several frozen dinners in the freezer and a plate of sausage from a local fundraiser that the neighbor brought to Ms. Parker when she found out she was home from the hospital.

Create a teaching plan for Ms. Parker and It should include the following information:

• How you will assess the patient for a teaching need
• The identified teaching need
• Relevant information about the patient requiring accommodation that will guide your teaching
• Information you will need to gather to teach the topic, including references from at least two sources
• Where the teaching will take place
• Props, audiovisuals, or reading material you will need
• How you will prepare the environment to optimize learning
• How much time you will need to teach
• Data that support the patient’s readiness to learn
• Measures you will take to evaluate whether learning has taken place
• Evaluation of the teaching and a self-evaluation of your ability as a teacher

Answer 1

Teaching plan for Ms.Parker on Congestive heart failure:

The teaching need could be assessed by previous knowledge of the client about her condition.

Ms.Parker need teaching on healthy life style habits on nutrition, maintaining weight according to BMI, regular exercise and strategies to prevent the complications of congestive heart failure.

As patient is already at home health setting, a well litted and ventilated room with minimal furniture could be used for teaching and this room could be best for the health teaching to take place.

Topics of health teaching on congestive heart failure could be acessed from healthline.com and uptodate.com

Audiovisual aids could be charts, flashcards and power point presentation.

Environment has to be minimally furnished, well ventilated and free from unwanted noises and other distractions.

Time for teaching could be at least 30 minutes to one hour.

Patient readiness could be assessed by frequent doubt and question clarification by the patient.

Evaluation could be done by asking questions on any concern about this condition and collecting feedback on teaching session.