MajorWolverinePerson780
Introduction Mary is a 80-year old woman who is from Latin America….
Introduction
Mary is a 80-year old woman who is from Latin America. Mary was admitted to the emergency department (ED) on November 25 by ambulance. She has a one-year history of Alzheimer’s disease.
The paramedics informed the staff in the ED that they were notified by an anonymous source regarding an older woman who “looked lost” in the neighbourhood. When they arrived, they found bruises and scrapes on Mary’s forehead, the palms of both hands, and the anterior aspects of both knees. She would not tell them her name or where she lived, and she was mildly combative, batting them away from her as they approached. She had no identification.
In the ED, she was disoriented, agitated, and suspicious of attempts to assess her. It was also observed that Mary had poor personal hygiene. She was wearing two different coloured socks, and her shirt was inside out. Her gait was stable with no limb rigidity or flexor posturing. She denied any knowledge of her own health history, exclaiming, “I’m as healthy as a bat, and I can take care of myself!”
An admission assessment was done: Her vital signs are 100/60 – 80 – 18, her oral temperature is 37.1 C, her oxygen saturation was 98% on room air, her colouring was pink, and her chest sounds were clear. There was no peripheral edema.
Mary’s daughter arrived to the ED and wants to take her mother home to live with her when she can, however, she is requesting help to do that. The doctor has decided to keep Mary overnight for observation after experiencing a fall and to connect Mary’s daughter with community supports.
Mary wants to know the signs and symptoms she should be watching for throughout the night and when at home related to head injuries that her mother has experienced or will experience with her risk and history of frequent falls.
Transfer information
Today you are Mary’s nurse and you have received report from the Emergency Department nurse.
You have been asked to provide teaching to Mary and her daughter about signs and symptoms of head injury to watch for and that need to be reported. Mary’s daughter also needs to be connected with an Alzheimers support group.
You will need to develop a teaching plan for Mary and her daughter now to alleviate Mary’s daughter’s anxiety related to her mom’s fall and head injury risks.
Teaching Plan Title: Chris’s Case-Scenario
Patient:
Name: Age: Gender: Reason for nursing care:
(Complete sentences must be used for this section.)
Assessment of Learning Needs:
Developmental stage:
Functional ability:
Self-management:
Family dynamics and support systems:
Spirituality:
Stress and coping:
Cultural considerations:
Motivation:
Readiness:
Literacy/Health Literacy:
Health informatics:
Adult learning principles:
Strengths: Barriers:
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4.
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3.
4.
Nursing Diagnosis:
(You need to write both diagnoses (for practice) and then choose the diagnosis that is the most consistent with your assessment. Highlight your choice below.)
(analysis)
Diagnostic label Related factors (related to) Defining characteristics (as evidenced by)
Strength-based diagnosis:
Risk-based diagnosis:
Purpose:
Overall Health Promotion Goal:
Objectives
SMART with Learning Domain and Rationale
(planning)
Content Outline
(planning)
Method(s) of Teaching
with Rationale
(implementation)
Time Allotted
(implemen-
tation)
Resources
(instructional materials)
(implementation)
Methods of Evaluation
(evaluation)
Following a …
(timing for the “T” in SMART goals)
1.
2.
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4.
5.
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9.
10.
References
