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Effective communication with patients with chronic conditions
Challenges of goal attainment theory in nursing practice
Fundamentals of nursing/discharge planning/quizlet
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The purpose of this post is to discuss discharge planning for Ms. Jones. I will discuss two learning objectives that I expect Ms. Jones to meet by the end of my discharge instructions, as well as the method I will use to evaluate whether the patient learned the information. On discharge, a former patient is expected to monitor and manage his or her change in health status (McBride & Andrews, 2013). It is important for the nurse to assess what the patient already knows about their condition, what they want to learn more about, and set mutual goals with the patient (Bastable, 2014). It is vital that Ms. Jones receive home health care during her transition to home, especially since she has multiple medical issues to address. Sharing the educational …show more content…
Jones, she verbalized a readiness to self-manage her diabetes. I will conduct one-on-one instruction with Ms. Jones using educational materials written at an eight-grade reading level (Bastable, 2014). The written materials will serve as a reference for the patient after discharge, as well (Bastable, 2014). My first learning objective is that Ms. Jones will verbalize at least three common complications of diabetes. To evaluate her learning, I will ask Ms. Jones to recall as many diabetes complications as she can at the end of our educational session. Ms. Jones will correctly identify common complications of diabetes, such as heart disease, kidney disease, peripheral neuropathy, and stroke.
My second learning objective is that Ms. Jones will complete a return demonstration on how to perform a blood glucose using her glucometer with one hundred percent accuracy. As this tool is not entirely new to her, after demonstrating the proper steps and allowing Ms. Jones to practice the skill, I will ask Ms. Jones to perform a finger-stick glucose on herself. I will discuss any areas of concern with the patient, as well as the home health care provider for follow-up education. Ultimately, I would begin teaching Ms. Jones how to use her glucometer as soon as she voiced an interest in self-managing her
In order to reduce Millie from frequent re-hospitalizations staff need to develop a plan. Millies discharge plan could include home healthcare, through proper collaboration, assessment, education, planning, interventions and evaluation. Home healthcare could provide Millie with companionship, meals, setup her medications, house cleaning, home safety evaluation, nurse assessments, tele-health, and help set her home up with medical adaptive equipment. Staff along with Millie’s daughter should be proactive in advocating for such needs (Hunt,
Constructive discharge, or constructive dismissal, means that the employee resigned from their position as a result of the employer creating an intolerable and difficult environment. Constructive discharge is viewed as the employee being pressured to quit due to the employer making changes to the working conditions or responsibilities, but from a legal position, the employee quit due to forced termination, or fired without good cause. ("TimsLaw.com » Constructive Discharge - Being forced to quit - Tim 's Missouri Employment Law Info Site," n.d.)
Discharge planning and education has been one of the most important component of patients education provided y nurses and other health care providers. According to Bastable (2008) patient education is the process of assisting people to learn health related behavior that can be incorporated into everyday life with the goal of optimal health and independent in health care. She also mentioned that key to learning and changing is the individual cognition, perception, thoughts, memory, and ways of processing and structuring information. The purpose of this discussion is to provide a home discharge planning for Tina Jones on wound care, diabetes and asthma management (Bastable, Susan Bacorn, 2008).
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
When a patient is unable to make care decisions for themselves, it is necessary to involve those closest to them, most often family members. Providing a supporting environment to family members is another way that the best interest of the patient can be maintained. Families and friends can make a huge difference in the life of the patient after discharge. Instructing families in a way that is easy to understand helps eliminate potential barriers to communication. Families should be aware of what things to look for, what would constitute an emergency, and how to safely handle
A critical thinking task that staff on our unit are frequently challenged with is treating low blood glucose levels, which are considered to be a blood glucose level less than 80 mg/dl. The flow chart that follows is what our diabetic educators would like to see being done by nurses to address low blood glucose levels. Although the flow chart is straightforward and easy to follow, nurses often use nursing wisdom, which is based on their knowledge and experience (McGonigle & Mastrian, 2012). For example, rather than giving orange juice or one tube of glucose gel and rechecking a patient’s blood glucose in 15 minutes, nurses may wait for a breakfast tray to arrive and recheck a patient’s blood glucose after breakfast. Possible risks include a patient not eating his or her breakfast and their blood sugar continuing to drop.
Interestingly no significant differences were identified between the experimental and comparison groups in terms of knowledge, adaptation, and program satisfaction. However, diabetes self-care activities significantly improved (p = .02) for the experimental group (p. 316).
The authors, researchers in pediatric hospitals in NC, CO, GA, WA, and CA conducted studies of a large group of pediatric patients from five states in the US, to determine whether diabetic education improved outcomes. They considered family environment, age of patient, and economic status. Since the study results were self-reported by patients, the results may not be totally accurate. The relevance of this study to me is to remind me to take into consideration factors such as educational level, age, and socio-economic status.
...l writer with a master's degree in biology. He is a contributing editor at Consumer Health Interactive, and was the staff writer at Hippocrates, a magazine for physicians. He has also covered science issues for Time Inc. Health, WebMD, and the Chronicle of Higher Education. His reporting on occupational health earned him an award from the northern California Society of Professional Journalists. References Care of children with diabetes in the school and day care setting. (2000). Diabetes Care, 23(1), S100-S103. Gaede, R.A. (1995). Knowledge of diabetes among elementary school teachers. Poster presented at the annual meeting of the American Association of Diabetes Educators, Boston, MA. Lindsay, R., Jarrett, L., & Hillam, K. (1987). Elementary schoolteachers' understanding of diabetes. The Diabetes Educator, 13, 312-314.
Diabetes is a chronic illness that should never, under any circumstances, be taken lightly. If anyone is experiencing any of the signs or symptoms, listed above, they should follow up with their primary doctor. Knowing the signs and symptoms, the testing process, and the management of Diabetes, may help save a person’s life.
Reflecting on my home visit experience, I have realized that although it was not completely intentional and planned, each phase of the nursing process was present as the interviews progressed. The initial visit mainly consisted of the assessment phase because it was the first contact with my client and there was a lot of information to discover. This time allowed me to determine objective and subjective data, which includes the concerns my client had about falls, as well as additional information that was shared. The assessment phase continued into the second home visit in hopes of collecting additional data that would help to develop a nursing diagnosis (Potter, Boxerman, Wolf, Marshall, Grayson, Sledge & Evanoff, 2004). Near the end of the first home visit, my client and I collaborated on a health goal of fall prevention, which can also be referred to as the nursing diagnosis. The next step, which is planning, took place within part of the first home visit. I observed the client and her available resources, coming up with ideas on how this goal could be achieved, such as registering for some exercise classes (see home visit #2 plan in Appendix A for more specific suggestions). The implementation phase began in the second home visit when I provided my client with the fall prevention pamphlets and presented my suggestions (see Appendix C for pamphlets and all health information provided to client). This phase continued into the final home visit as a follow up on subjects she requested to know more about (see home visit #3 plan in Appendix A). I did not get the opportunity to complete the evaluation phase, as we didn’t have the time for a full-length final visit. A hypothetical situation of my final home visit would be to foll...
Before beginning, it is important to have a list of goals and objectives that are formulated by the nurse. The goals for this teaching are for the patient to verbalize understanding how to inject insulin and monitor the patient's blood glucose daily at home by her/him-self. Outcome determination is, therefore, a critical skill for successfully intervening with patients. Two behavioral objectives for the teaching plan. Within 30 minutes of teaching the lesson, the patient will be able to inject insulin properly.
OUTCOME/GOAL STATEMENT: Short Term: Pt will verbalize feelings of concern regarding at home maintenance of self with SO prior to discharge. Long Term: (after discharge) Pt will work with home health care giver to relief frustration and avoid further depression.
Jubeck, Mary E. “Teaching The Elderly”. Nursing, 24 (5), Pg. 70+, Retrieved April 22 from EBSCO Database.
Nazarko, L. (2009). Causes and consequences of diabetes. British Journal of Healthcare Assistants, 3(11), 534-538. Retrieved from EBSCOhost.