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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
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.
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).
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
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.
With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some
Specific purpose: To inform my audience about what diabetes is, what causes this condition and its health effects.
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.
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.
...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.
My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.
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...
Diabetes is a common disease, which can be a serious, life-long illness caused by high levels of glucose in the blood. This condition is when the body cannot produce insulin or lack of insulin production from the beta cells in the islet of Langerhans in the pancreas. Diabetes can cause other health problems over time. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complications, the purposes of teaching a plan for diabetes patients are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.
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.