Wednesday, July 17, 2019
Patient Teaching
unhurried role precept Importance of Repositioning Sean Crayton University of Toledo College of Nursing Patient inform Importance of Repositioning sagacity of Patients Learning Needs M. C. is an elderly virile who was admitted and treated for a f every and coxa erupt. He had surgery, is nates ridden unless is concisely to be released. He and his family need puritanical principle on the splendor of change over as to avoid obtaining pressure ulcers during his limitations to grand bed rest and stick outing off of his feet or performing any un unavoidable movements that could case irritation or reinjuring the recently repaired hip.As pass on we are including the family who provide be his radical premeditation compactrs at station and it is necessary that they all learn how to take care of M. C. meetly due to his inability to fitly reposition himself successfully in the advance(prenominal) stages of his release. Priority Nursing Diagnosis familiarity deficit. Pa tient go away need proper positioning instruction. The teaching will bear on to the deliberate placement of the long-suffering or remains part in narrate to promote proper physiological and mental well- cosmos. r/t.Lack proper knowledge cogitate to how position/reposition M. C. to avoid organic evolution of pressure ulcers. AEB. M. C. was admitted with a hip fracture and received surgery. He is soon to be release to go home but is ordered to long term bed rest. Desired Patient Outcome(s) At the finishing of the patient teaching and proper diagnosing care we hope to operate that M. C. and his family adequately know how to position/reposition the remains to reduce the jeopardize of pressure ulcers, at more substantially the critical, but all areas of the body.Time Frame. Being veryistic we are talent M. C. and his family the duration of his projected discharge hebdomad in order to properly and exhaustively learn the reading and techniques required to successfully posi tion/reposition a patient at take chances for pressure ulcers. Interventions Managing patients at risk for pressure ulcers relies on a multitude of different interventions implemented by nurses in a hospital or responsible care takers and family members in the home setting.These interventions include but are not limited to using support surfaces, optimizing nutritional status, moisturizing critical areas and of course, what we are focused on in this particular patient teaching instance, shift the patient (Reddy, Gill & Rochon 2006). rule-governed turning of patients is routinely used seemingly to decrease the risk of pressure ulcers, and is considered a standard of care (Peterson, Schwab, caravan Oostrom, Gravenstein & Caruso 2010). hale from lying or sitting on a particular part of the body results in oxygen red ink to the affect area.This normally results in pain and tenderness which stimulates the individual to move. Failure to reposition will result in ongoing deprivatio n poor wound healing and make head air tissue damage. Patients who roll in the haynot reposition themselves require tending (Moore 2010). To better ensure that this will be handled for M. C. we will be including his family in the teaching. Teaching strategies. In order to teach and electrical relay this process and the importance of patient repositioning to M. C. and his family I will be instruction on the utilization of pictures and materialisation.Teaching will take place throughout the duration of M. C. s projected discharge week. During this teaching there will be a incident for them to return the demonstration to me so that they stick out practice and show they understand onward it is necessary for them to do it in the real setting all the magical spell allowing adequate breaks and time for them to process the information and fill questions if any do arise (remember to stay open to parley with my patient and his family). Rationale. The most(prenominal) important th ing that I purport to remember is that all patients or battalion in general do not learn in the same fashion.You go through your different visual (learn go around when presented with graphs and other(a) illustrations, maps, written material), auditory (learn best when they can listen to a lecture or a fast paced exchange of information) and kinesthetic (learn best when they can just do it and are hands on) learners. Before nerve-wracking to teach your patient or realizable care takers how to perform or ensure proper intervention application you should prototypical figure out the best way to teach them. I chose to provide pictures, try out and allow a return demonstration or practice session with M.C. and his family because from induction and their replies to my questions pertaining to their knowledge strategies they all learn best visual and when performing and practicing themselves. I will be including M. C. s family because they are who he preferred and indicated to ta ke care of him while he is rendered unable at home. incomplete M. C. nor his family have experience dealing with affectionateness for a person at risk for pressure ulcers so it is important that I cover all bases and be particular proposition with information.Knowing that not everyone learns at the same cannonball along or has the same mental potentiality is my reason for breaking it up and allowing for conversation and questioning so that everyone is able to ensnare and understand the information and techniques that are being provided during this teaching session. I dont expect them to learn and understand all this in one day and it is important to break up the session so during the week of M. C. s discharge I will be spacing the learning sessions out. Evaluation of LearningDuring the return demonstration and their responses to my questions I evaluated their understanding to rate their processing of the information and techniques. M. C. and his family understood all the inform ation and seemed soundly prepared to perform the necessary tasks associate to patient repositioning and reducing risk of pressure ulcers at the end of the teaching course. It is important that when documenting I provide the patient teaching including the information covered and the resources I used to demonstrate and infuse the importance of repositioning to M.C. and his family. Reference Moore, Zena. (2010). Systematic polish up of Repositioning for the Treatment of Pressure Ulcers. EWMA Journal, 10(1), 5-12. Peterson, M. , Schwab, W. , Van Oostrom, J. , Gravenstein, N. , Caruso, L. (2010). Effects of turning on skin-bed user interface pressures in healthy adults. Journal of move on Nursing, 66(7), 1556-1564. Reddy, M. , Gill, S. S. , & Rochon, P. A. (2006). Preventing Pressure Ulcers A Systematic Review. JAMA, 296(8), 974-984.
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