Thecare for a patient is a very important aspect that every medic cannotafford to overlook. Nevertheless, it is worth noting that theestablishment or design as well as execution of a teaching plan forpatient care is just as imperative as care giving itself (Maguire,1997).No one can deny the fact that the nursing domain has over the yearsterrifically expanded thus incorporating quite a number of aspectsrather than just giving care. In this field of nursing, there arequite a number of duties that can be undertaken by nurses. Nurses canplay various roles even as they execute their caregivingresponsibility. According to Potter, et al, nurses can execute theroles of researchers, therapists, patient supporters as well asteachers [ CITATION Pot13 l 1033 ].It is the responsibility of the nurse to ensure that the patient isequipped with all the necessary knowledge concerning their ailment asthis plays a crucial part in shifting the patient form a hospital totheir domicile. For this reason, the patient as well as his or herfamily is supposed to have a knowhow on how to improve the patient’scurrent state or avoid it from worsening. All these solutions aredeeply rooted in patient education. The nurse has to evaluate thepatient’s as well as family’s aptitude to absorb theserequirements. Furthermore, the nurse should gauge the mode and typeof learning that will be appropriate for the patient and the family.Education can be offered either verbally or through any other mode.Assessment to establish whether the learning has been absorbed or notshould be carried out by the nurse. These ways encompass medicationadherence, diet, exercise and other fundamentals [ CITATION Pot13 l 1033 ]. Themain objective of this paper is to analyze a patient’s(A.K Andrews)case study throughdesigning and executing a teaching plan so as tocreate and promote ideal health andwelfare.
Whiletaking her two grandkids for a family walk alongside her daughter,A.K Andrews, a 64 year old womanunexpectedly starts coughingintensively as she tries to wheeze some air. Her left hand is placedon the right side of her chest. From the expression on the A.KAndrews face, her daughter becomes so scared that she feels hermother is going to die the next minute. “I can’t breathe I feela very sharp pain on my right side of the chest. Please help me”A.K Andrews whispered to her daughter wheezed. Her daughter reachedfor her phone and called her husband. From the confusion, she did notremember that she was supposed to call for medical help from 911first. The husband came as soon as possible and they drove her to thenearest health center. A.K Andrews was hurriedly carried by theparamedics an examination room. By this time, she was really gaspingso hard and heavily. Vigorous physical examination immediatelycommenced on A.K Andrews by the main medic. The doctor wassimultaneously asking A.K Andrews’ daughter questions about herfamily as well as lifestyle even as he proceeded with the physicaldiagnosis. “She has been smoking her whole life and my grandmotherwas diagnosed with hypertension and coronary artery disease (CAD),”Said A.K Andrews’ daughter. “What about her diet and lifestyle?”asked the medic.A.K Andrews’ daughter answered, “My mother drinksand eats anything she feels like eating without any consideration toher age. She rarely exercises and in most cases, she is in the livingroom watching TV. She sleeps most of the time as well.” “Do youhappen to be aware of any allergies that A.K Andrews has for anymedication? What about her faith is she a religious person or not?”The doctor asked again. “None that I am aware of, and she is arooted catholic who prays more than thrice in a day.” A.K Andrews’daughter answered. The medic started with a pulmonary function test(PFT). A.K Andrews was put on a forced expiratory volume (FEV) afterbeing given bronchodilator treatment. Imaging of the lungs through anX-ray in the chest (CXR) was as well performed on her. The doctor aswell recommended that A.K Andrews undergoes an arterial blood gasexamination to assess the exchange of oxygen (O2)and carbon dioxide (CO2).HerO2saturation at room air was found to be 100% and had 18 breaths inevery minute.A.K Andrews’ blood pressure was found to be so high(169/93 mm Hg) and her body mass index (BMI) was way beyond the norm(39.5). The main medic then instructs the paramedic to administerbronchodilators. These include albuterol 50 mg in a day andindacaterol30 mg daily. Further, A.K Andrews is administered onaspirin 330 mg on a daily basis, fluticasone 750 micrograms a day,and beclomethasone 1,000 on a daily basis. The physician instructsthe nurse to follow the medical instructions to the later, and incase of any misunderstandings, the nurse can ask the main medic. Thenurse is left to study the information and creäte detailed patienteffect.
Basedon A.K Andrews’ scenario, this patient has a genetic problem aswell as lifestyle disorder. Her diet is poor thus leading to too muchmass fats. Based on A.K Andrews’ mother, she has a genetic problemwith her heart and her lack of exercise does not make things better.Her arteries seem to be rigid and O2intake and CO2exhalation is obstructed thus leading to wheezing. Due to her heavysmoking, her chest seems to be so much congested and her lungs aredilapidated. All these observations and analysis lead to a verysevere emphysema and COPD. A.K Andrews is supposed to adhere to hermedication and supportive therapy (such as oxygen therapy) issupposed to be given as well. As noted by Sommerset al (2002), shemust become active and reduce her fat intake. Exercising is amandatory thing for her. She must be kept on a strict diet to monitorher blood pressure. A.K Andrews must cease smoking. Besides theaforementioned problems and recommendations, there are other nursingsnags that could emanate from A.K Andrews’ condition. Her refusalto exercise and adhere to proper diet will not only lead to physicalproblems but also low self-efficacy. This is a teaching plan based onthe analysis (Glass, 2015).
Thenurse is not supposed to show any biasness or judgement concerningthe patient to facilitate the patient’s learning. The nurse has tostart with self-evaluation and then focus on psychological anddevelopmental aspects that could negatively impact the patient’scare. A number of factors can affect adherence. These include family,sex, age, class and many others [ CITATION Pot13 l 1033 ].The nurse should try as much as he/she can to avoid any form of blameplaced on the patient. The nurse must go slowly on A.K Andrewsconsidering her age.
Thenurse will come up with quantifiable outcomes to observe progress andimpediment in A.K Andrews. A.K Andrews is likely to grasp herailment’s graveness by the fourth day. She will be asked toverbalize and even be shown pictorials of effects of too muchsmoking. She will sign to try and cease smoking completely byenrolling in a support group for heavy smokers. The daughter willhelp with A.K Andrews’ exercising and diet.
A.KAndrews’ ability to grasp and value the info given must beevaluated by the nurse [ CITATION Jac14 l 1033 ].She has to be kept on an exercise that suits her. She is fit to startwith slight exercises and then proceedsto vigorous ones.
Itwas not hard for the nurse to carry out an assessment on A.K Andrewssince there was cooperation from the family and the patient herself.She understood the side-effects of the medications administered toher and the nurse was also able to explain the side-effects if A.KAndrews’ failed to adhere to all the instructions given. Though thepatient still has a problem with the type of diet she needs to take,she has shown positive ways in wanting to adapt a new diet. A.KAndrews’ daughter will have to change most of the food in the houseto help A.K Andrews with her diet. She has already identified asupport group that she anticipates to join to help her curb hersmoking problem. She admits that walking will be a good form ofexercise for her so she will be doing in twice a day for thirtyminutes.
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Maguire, B. (1997). Emphysema: Don`s story through the eyes of the carer. Coolum Beach, Qld: Beverley Maguire.