The aim of this paper is to present a teaching plan of nursing practice from the perspective of the client. In the following report a teaching plan is suggested for an angina pectoris patients with her case report.
Discussion
Case Report
Magdalena The patient was admitted to hospital for angina pectoris. In addition to the disease cause of admission, has diabetes mellitus type II (DMII) and hypertension pressure (BP), both conditions being treated, and obesity. Must remain at rest absolute medical indication.
Basic Conditioning Factors
Descriptive of the Person
70 years of age.
She lives alone in a house with good living conditions.
Widow for a year, has a daughter.
The family has a high economic and cultural level.
Standard of living
She gets up around 8.00 am and independently carries out its self-care.
Normal sleep (8 hours per day).
Drink between 1,700 and 2,000 cc / day.
Make a normal bowel movement every day.
She has a good appetite.
Health status and factors of health care system, Conditions identified by physician
Medical diagnosis: angina pectoris.
Personal history:
Mixed angina episode in December 2003.
II DM treatment.
Hypertension treatment.
Obesity.
Allergic to iodine and streptomycin.
Physical examination
BP (blood pressure): 130/70 mm Hg. FC
Heart rate: 65
Respiratory: 14 breaths / minute.
Skin and mucous membranes in good condition, good coloration.
Generally has an overall state
Good Health.
Teaching Plan
This plan is on track to meet the demands of self that can occur in these days. Priority is given in this part of the process
General assessment of the capabilities and limitations of Magdalene as AGAC
Cognitive
To maintain attention and vigilance respect to itself the conditions and significant internal and external factors for AC.
Limitations
Currently quite decayed due to the recent death of her husband.
This emotional state may involve limitations in the cognitive area
Value judgments and decision,
To make decisions about their own care.
Limitaitions
Lack of motivation to guide their AC to
goals that are consistent with the
maintenance of life, health and welfare
Assessment of self-care requirements
Requirements for universal AC,
Maintaining a sufficient supply of air;
Airway.
Normal chest and symmetrical.
FR of 14 breaths / minute.
No cough or secretions.
Good skin and mucous membranes.
Conscious and oriented.
PA 130/70 mm Hg.
FC 65 beats / minute
Respiratory Exercise,
Adequate intake air quantity and sufficient quality to each situation: Lung expansion exercises.
Suitable liquid supply accurate, Drink liquids at least 2,000cc / day,
Drink liquids such as juices, milk, tea
Client
It has the capabilities to meet this requirement.
Maintaining a sufficient supply of food
Has scheduled a diabetic diet of 1,500 cal without salt.
Make three meals a day and refers a good appetite. States that need to eat
More than scheduled in the diet and itchy between.
No difficulty in swallowing.
Weighs 70 kg and measured 1.50 cm.
Your BMI is 31% obese.
Symmetrical appearance of the abdomen. Soft without tender point palpation
No nausea or vomiting
Following a diabetic diet than 1,500 lime no salt, adapting the greater possible to their tastes. Client: Lack of knowledge and motivation to carry out the prescribed diet.
Provision of care associated with elimination processes,
Bowel elimination: Make one stool per day.
Good sphincter control.The rest can cause constipation.