TEACHING PLAN

Teaching Plan for Patient with Diverticulosis

Teaching Plan for Patient with Diverticulosis

Overview of Patient and Disease History

This teaching plan if for the Mr. John who is a 65 year old man that was just discharged from the hospital following an episode off Divertlcuiitis. Now that the patient is returning home I need to provide him with a teaching plan to help keep his diverticulosis from becoming diverticulitis again. This patient is obese and the increased intraabdominal pressure can precipitate an attack. Other factors that increase intraabdominal pressure includes straining at stool, bending, lifting and tight restrictive clothing.

Mr. John will be returning to an adult care home upon discharge. His teaching plan will be prepared by the staff at the home. The teaching staff is involved with the planning and management of the patient's diverticulosis problem. The staff can assist the patient in choosing foods and other preventive measures based on the patient's likes and dislikes.

Diverticula can be found in various parts of the digestive tract: esophagus, stomach, small intestine and colon. The colon is the most common site for development. Western populations are more likely, by eating a diet with less waste (dietary fiber).The most common symptom for the Mr. John is pain or cramping at times severe, cramping in the lower quadrants (most often on the left), which persist from hours to several days. The pain tends to be stronger after ingestion; in these episodes the patient may experience constipation, diarrhea, flatulence and dyspepsia.

Over 50% of the populations over sixty suffer from diverticulosis (Sierpina, 2010).  In most cases it is asymptomatic, but you must have a proper diet to prevent complications, which can be fatal. When symptoms begin to give passes to the second state which is the Diverticulitis. cm. Diverticulosis frequency increases with age, it is believed by a gradual decrease of the tensile strength of the intestinal mucosa.

As teaching is performed or repeated during daily interaction with the patient, it should be documented in the nurse's note. If patient has not understood what was taught. This should be documented and all attempts at re-teaching should be noted as well as any reinforcement of previously taught principles. Understanding that the patient may have a low literary level and that this may impact the patients' ability to understand what is being taught will enable the nurse to deliver the essential health related information in a more simple format to ensure understanding. A care plan should be instituted as follows:

Problem/Nursing Diagnosis: knowledge deficit

Intervention: Assess previous knowledge of disease process, institute teaching plan to include areas that patient is unaware of or needs more update information about including disease process, dietary restraints, meal planning, physician notification and follow-up care. Health literary interventions may need to be implemented and followed-up.

Evaluation: Patient was evaluated based on expected outcome criteria. Was able to successful answer questions and was able to ask pertinent questions. Follow-up with health ear professionals was emphasized.

All documentation concerning the teaching process and evaluation should be in the patient's chart and referred to while writing the ...