VISUAL TEACHING

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PatientTeachingPlan-RevisedAssignment.docx

Patient Teaching Plan

Student’s Name

Institutional Name

Patient Teaching Plan

During clinical rotation, nurses usually come into contact with patients from diverse cultural backgrounds presenting different disease processes. One of the core-competencies emphasized by the American Association of the Colleges of Nursing revolves around the ability of a nursing student to formulate an effective patient teaching plan that can induce behavioral change. This can be attributed to the fact that well-informed patients are likely to cooperate if they understand the nature of their disease, and as such, aid in inducing behavior change. The aim of the following paper is to present steps that can be adopted in formulating a patient teaching plan for patients suffering from substance abuse, in this case excessive alcohol consumption.

SCENARIO

DESCRIPTION OF THE LEARNER : The client is Mr. Fernandez Octavo, a 25-year-old male that has battled with addiction, particularly alcohol addiction for the past 11 years. Furthermore, the client is a high-school dropout citing that the reason for dropping out was to take care of the sickly parents and siblings. The client verbalizes that he lacks in-depth knowledge on substance abuse and proper management. Besides, Mr. Octavo has no hearing or visual challenges that may interfere with the learning process. English and Spanish are cited by the client as the preferred media of instruction.

LEARNING NEED: Overview of substance abuse as well as the management and significance of undergoing rehabilitation.

LEARNING DIAGNOSIS: Health seeking behavior and deficient knowledge: treatment and management of addiction, related to the lack of application as manifested by forgetting easily the information he acquires in the Alcoholic Anonymous meeting he attends.

Outcomes:

· The learner will stay compliant with be able to identify some of the most common abused substances.

· The learner will be able to identify/recognize some of the common indicators, signs, and symptoms of substance abuse.

· The learner should be able to anticipate favourable treatment outcomes when it comes to substance abuse.

· The learner should be able to analyze the concepts of use, abuse, misuse, dependence, withdrawal, and toxicity/overdose.

Learning Objectives

Learning Content

Strategy/ Methodology

Resources

Evaluation

After the patient education, the patient:

1. Should be able to differentiate the concepts of use, abuse, misuse, withdrawal, and toxicity.

2. Should be able to highlight the effects of excessive alcohol consumption.

3. Should be able to enumerate the health complications or risks associated with excessive consumption of alcohol

Substance use: Is when an individual consumes alcohol or drugs. Substance abuse does not always culminate in addiction; however, it comes with the risk of addiction (Van Wormer & Davis,2016).

Substance abuse: Is when an individual consumes alcohol or drugs on a regular basis regardless of the fact that it causes issues in their personal or professional drugs.

Substance misuse: Refers to the harmful use of substance such as alcohol and drugs for purposes that are not medical (Van Wormer & Davis,2016).

Withdrawal: Refers to the physical and emotional symptoms that usually occur after an individual ceases or reduces the intake of a substance (Van Wormer & Davis,2016).

Toxicity: Refers to the degree in which a substance can damage organ(s) of an individual.

Negative Effect of Alcohol

Alcohol consumption is associated with the loss of inhibition along with mild euphoria as it impairs the regions of the brain that are responsible for regulating emotion and behavior. Furthermore, excessive alcohol consumption impairs concentration, co-ordination, memory, as well as inducing emotional outbursts and mood swings.

Effect of Alcohol on the Brain

Alcohol functions as a sedative on the Central Nervous System, thereby depressing the nerve cells in the brain. Consequently, this results in the ability of the brain to respond. Furthermore, excessive doses of alcohol also result in anesthesia, coma, death, and respiratory failure (Thayer, Hagerty, Sabbineni, Claus, Hutchison, & Weiland, 2016).

Organ Complications Associated with Alcohol Addiction

Alcohol addiction results in the permanent damage of different organs of the body. The following are some of the organs associated with alcohol addiction:

Ears: Alcohol addiction diminishes the ability of the ears to differentiate sounds as well as perceive their direction.

Eyes: Alcohol addiction resulted in the distortion of vision as well as the inability of the eyes to adjust to lights. Other complications that may arise include the reddening of the eyes and the pinpointing of the pupils (Connor, Haber, & Hall, 2016)..

Mouth: Alcohol addiction leads to the dulling of the sense of taste and smell thereby significantly reducing the desire to eat.

Throat: Irritation and damaging of the esophagus lining, pain and difficulty in swallowing, induction of severe vomiting, hemorrhaging, and in worst-case-scenario throat cancer (Connor, Haber, & Hall, 2016). Lungs: High dosages of alcohol results in breathing challenges, lowers resistance of chest infection, and may result in death.

Liver: Excessive consumption of alcohol results in hepatitis (inflammation and damaging of liver cells) along with liver cirrhosis (the irreversible scarring, lesions, and damaging of the cells of liver). Additionally, alcohol may also impair the ability of the liver to eliminate yellow pigments resulting in jaundice. Ultimately, the damage in the liver may result in fluid retention in the extremities (Edema) (Connor, Haber, & Hall, 2016).

Heart: Excessive alcohol consumption weakens the heart muscle thereby resulting in the inability of the heart to pump blood (cardiomyopathy). Besides, excessive alcohol consumption may result in the enlargement of the heart, irregular heartbeat, and the risk of heart attack and stroke (Whitman, Agarwal, Nah, Dukes, Vittinghoff, Dewland, & Marcus, 2017).

Pancreas: Excessive alcohol consumption exposes an individual to pancreatic as well as the chronic inflammation of the pancreas.

Stomach and Intestines: Stomach lining irritation, exposure to peptic ulcers, bleeding, lesions, inflammation, and stomach cancer.

Reproductive organs: Impairment of sexual functioning resulting in infertility and impotence.

Explanation of the five concepts. This will be achieved through the use of printed handouts as well as video.

Explanation and discussion: The negative implications of alcohol consumption.

Simple strategies to reduce drinking.

Strategy Rationale:

Combination of teaching strategies including explanation and discussion is the most appropriate strategy for learning to take place (Overgaard, 2017).

Besides, supplying knowledge by discussion facilitates active involvement of the client to learn strategies that can aid him cease alcohol consumption.

Material resources: visual aids as well as materials that are required to differentiate the concepts.

Material resources: visual aids as well as materials that are required to highlight the effects of alcohol consumption.

Time as well as effort of the nurse along with family.

Expenses related to transportation of the nurse to the client’s location.

Miscellaneous expenses including stationery.

The use of Pre-test and Post-test.

Evaluation on the harmful effect of alcohol shall be undertaken through:

Pre-test: A pre-test shall be issued to gauge the level of knowledge the client possesses on some of the harmful effects of excessive consumption (Hebda, Czar, & Mascara, 2019). The score shall be ranked based on fail, average, and pass. For fail the patient should score between 0-30%, average 31-60%, and pass 61-100%.

A post-test: A post-test shall be issued to measure the knowledge that the client has been able to acquire after the patient education. Like the pre-test, the score shall be ranked based on fail, average, and pass. For fail the patient should score between 0-30%, average 31-60%, and pass 61-100%.

1. The client should be able to enumerate on how to minimize alcohol abuse.

2. The client should be to state some of the benefits that come with lessening of alcohol consumption.

3. The client should be able to select action in reducing alcohol consumption.

In this step, it is crucial to advise the patient on some of the strategies that can be used in reducing alcohol consumption. Some of the examples that can be highlighted in the patient education include:

Initiating the first positive step: Encourage the client to list down on paper some of the factors that are making him want to cut down or quit alcohol consumption. You can provide insights that can guide the patient to make the list, such as strained relationships, urge for better health, and the avoidance of the negative health implications associated with excessive alcohol consumption (Van Wormer, & Davis, 2016). Besides, it is crucial to encourage the client to record all these reasons and examine the list on a regular basis.

Keeping a journal: It is crucial to encourage the client to set a goal for themselves and write it down. After formulating the goals, it is crucial to encourage the patient to keep track of his alcohol consumption. This can be achieved by telling the client to record the number of drinks he consumes on a daily basis using a day planner. As such, this will enable him to review his progress towards the achievement of his goal (Van Wormer, & Davis, 2016).

Cleaning out alcohol from the cabinets: It is also crucial to encourage the client not to keep alcohol within reach i.e., in the house. This will play an instrumental role in ensuring that the client is able to quit drinking as well as he does not go beyond the limits that he has set.

Establishment of network support: Highlight to the patient the essence of seeking support of both the family and friends in the pursuit of the goal. Besides, support can also come from networks such as Alcoholic Anonymous.

Encouraging the client to also take small breaks from drinking at least twice every week will also play a pivotal role in ensuring that the client is able to refrain from excessive consumption.

Encourage the client to keep track of his saving e.g. if for instance he spends a total of $20 on alcohol each night, encourage him to record it.

Ultimately, it is also crucial to encourage the client to reward himself for any milestone that he achieves.

Explanation and discussion: The negative implications of alcohol consumption.

Simple strategies to reduce drinking.

Strategy Rationale:

Combination of teaching strategies including explanation and discussion is the most appropriate strategy for learning to take place.

Besides, supplying knowledge by discussion facilitates active involvement of the client to learn strategies that can aid him cease alcohol consumption (Overgaard, 2017).

Material resources: visual aids as well as materials that are required to highlight the effects of alcohol consumption.

Time as well as effort of the nurse along with family.

Expenses related to transportation of the nurse to the client’s location.

Miscellaneous expenses including stationery.

Simple strategies to reduce alcohol consumption shall encompass oral discussions and explanations(Hebda, Czar, & Mascara, 2019).

Simple strategies to reduce alcohol consumption shall encompass oral discussions and explanations.

4. The client should be able to explain some of the short-terms effects accompanied with the reduction in alcohol consumption

It is crucial to explain to the client that alcohol withdrawal is usually accompanied by physical and psychological symptoms. Some of the examples of psychological symptoms that usually accompany alcohol withdrawal include: depression, fatigue, shakiness or body tremors, nightmare, emotional changes, anxiety, and challenges in thinking clearly (Van Wormer, & Davis, 2016).

On physical symptoms, some of the common symptoms that tend to accompany alcohol withdrawal include nausea, insomnia, headache, enlarged pupils, clammy skin, sweating, and increased heart rate.

Explanation and discussion: The negative implications of alcohol consumption.

Simple strategies to reduce drinking.

Strategy Rationale:

Combination of teaching strategies including explanation and discussion is the most appropriate strategy for learning to take place.

Besides, supplying knowledge by discussion facilitates active involvement of the client to learn strategies that can aid him cease alcohol consumption.

Material resources: visual aids as well as materials that are required to highlight the effects of alcohol consumption.

Time as well as effort of the nurse along with family.

Expenses related to transportation of the nurse to the client’s location.

Miscellaneous expenses including stationery.

Instant oral feedback: the patient should be able to give feedback on what he has learnt throughout the patient education through oral discussions and explanations.

Running head: PATIENT TEACHING PLAN 1

PATIENT TEACHING PLAN 3

References

Connor, J. P., Haber, P. S., & Hall, W. D. (2016). Alcohol use disorders. The Lancet387(10022), 988-998.

Hebda, T., Czar, P., & Mascara, C. (2019).  Handbook of informatics for nurses and health care professionals (6th ed.). New York, NY: Pearson.

Overgaard, P. M. (2017). Patient teaching in five easy steps. Nursing made Incredibly Easy, 7(3), 56.

Thayer, R. E., Hagerty, S. L., Sabbineni, A., Claus, E. D., Hutchison, K. E., & Weiland, B. J. (2016). Negative and interactive effects of sex, aging, and alcohol abuse on gray matter morphometry. Human brain mapping37(6), 2276-2292.

Van Wormer, K., & Davis, D. R. (2016). Addiction treatment. Cengage Learning.

Whitman, I. R., Agarwal, V., Nah, G., Dukes, J. W., Vittinghoff, E., Dewland, T. A., & Marcus, G. M. (2017). Alcohol abuse and cardiac disease. Journal of the American College of Cardiology69(1), 13-24.