You are assigned to teach an elderly patient @ the cardiac and diabetic medications that she will be taking @ home. How would you assess this patient's condition and psychosocial situations to determine how best to instruct her @ her medications. How would you modify your teaching plan if the patient was hard of eharing, visually impaired, or unable to read or write?
Tuesday, June 19, 2007
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A diabetic eld patient must accept a major role in the management of her disease.Her education must be amplified,reinforced and updated continually,since diadetes is a lifelong process.The older adult with diabetes has multiple,complex hlt care problem and needs.As mentioned,common problems like visual impairing,difficulty of hearing in the older adult is usually occur that make the management more difficult.
In order to assess well the patient's condition and psychosocial situation,significant others and her family is essential this time especialy to eld patient with problems of hearing,visual,unable to read and write.As a student nurse,i would instruct the patient perse,the fact that she has difficulty of hearing,i will make my voice loud and clear for her,im willing to narrate the instructions i had given all over again if something is not clear to her.I would advice and instruct also her family,to render the eld patient assisstance in terms of giving medications.
In this situation, we have to prevent further complications. Elderly is hard to deal with and to educate so we have to talk them in a nice way.We have to assess them direct observations to their skills and behaviors.Encouraged them to discuss their feelings and fears and let them know that you are their ready to listen.
Together with the family of the patient,ask what are the habits and behaviors to know if the patient need for weight loss,gain or for maintainable.And let them be aware to the preventive measures on foot care and other risk factors management.
On the medications,instruct and educate the patient together with the family,the proper giving of medication especially in insulin injections.
I will first approach the patient at the level of her understanding, and then step by step I will explain the significance of having the medications on time, the possible side effects and other precautionary measures, most especially when having what we called the insulin injection. It is important to approach the patient at the “level of her understanding” for her to understand the things that she needs to know, it is also important to instruct the patient in a precise and nice manner. Given the fact that the patient cant hear normally and has an impaired vision it is but a “must” that we should also teach the significant others or her family members on the proper step by step preparations and administration of the meds, the contraindications, side effects and precautionary measures that they must observe. The family member’s needs to know this basic information’s about what ever treatment or medications their sick family member will be having at home, for them to have enough knowledge regarding this things, and for them to know what to do if a side effect occurs. it is also a big help in the part of the patient if some one can do those things for her, atleast the patient will not have a hard time in "understanding things" that she can't understand because of her current situation.
Honestly speaking teaching a patient with impairments is not an easy work, in this kind of situation we need a little preparation, of course... we also need to ask our selves if we can do the job “right” and if we think we cant, we should not be ashamed to ask for the help of our co workers after all it is for the benefit of our client.
Let us NOT also forget to ask the guidance of the LORD.
published by: Hanz Christian Rafael
giving a medication to a diabetic pt with hearing and visual incapacities is quite hard especially when you do not know the person personally. Inorder to instruct the pt i will sign language as my initial move inorder for us to understand each other. Given the fact that she can't hear clearly, this would help me to instruct her. And for her psycho-social situation, i will also instruct the significant others to give the patient the proper medication. The family would be a big help to recover her illness because they are the ones who can relate to the patient and they know better on how to communicate with her. So, the best thing for me to do is to educate the family for her medication. For her insulin injection, a kind of medication for a diabetic person, the so or the family should be the one to do it. For the patient to medicate herself, i will use codes, for example a color coding for her medicines. given the fact that she can't read and write, i can use black color for her cardiac medicines and red color for diabetes. i think this is another way to communicate and educate the patient about her medicines.
patience is very important to do the task as a nurse for this patient.
It was really hard to handle a patient with this situation because giving instructions would not be that easy just like in other regular patients with no difficulties in hearing, seeing, and literacy problems.
The best way is to improve my teaching skills like talking in a louder and clearer way in order for the patient to understand my instructions and teachings related to his/her condition like proper diet, PROM exercises and safety precautions to avoid injury. I will also approach the patient’s family members or maybe health team in their home to take care of the patient regarding its cardiac & diabetic medications to be able for the patient to comply with therapeutic regimen due of his/her incapability to take the medications by himself/herself only. By doing these things, I can serve elderly patients even they got home from the hospital.
by: Noel R. Padiernos
If i were to assigned to teach an elderly patient, if she has a cardiac and diabetic complication. First i would do action for my patient, I will adviced to my patient on what she's going to do in taking her medication,even though she has a difficulties in hearing,seeing and literacy problem. I tried my best to instruct my patient if what the things she would do better to treat her condition, especially instruct to my patient to take her medecine on time.Also i will going to do better is to instruct the significant others of my patient, that they are needed to assist her because she didn't know how she do it because of her condition.
It’s hard to have a patient that have a problem of hearing and visual impaired and also unable to read and write.
In order to assess him I'll observe him and get her trust I know that it’s hard to get a trust to a person that you don’t know him yet.
In this situation i will do my best to take her medications I'll explain to him will make my voice loud and clear so that she can understand why she need to take her medication.
I also explain to the family to guide her especially when taking the medications.
So as a nurse you have to be more patience because this is my duty and responsibility that I promised to my profession and my self to take care the patients.
Teaching an elderly patient regarding medication is not that easy especially when there's something wrong with her.
Medications of cardiac and diabetic patients are different from any other patient wit different problems.It is more harder and complicated thats why we have to be more careful in teaching and instructing the patient.
In assessing the patient condition on how best to instruct her, I'll try to be more efficient and more patience in teaching her because it is my role as a health care provider.
The family of the patient has a great role in guiding the pateint regarding giving medication. They are also part of the teaching plan for the patient was hard of hearing, visually impaired and unable to read and write.Her family will be her hands and feet in order to take the medications.
Teach or instruct them everything they should know.
Tell them also to give and render care for the patient needs their love,support and understanding for they are the one who will take care of the patient at home.
Renderind care is one way of making the patient feel better.
treatment varies because of changes in lifestyle and physical and emotional status as well as advances in treatment methods threfore, diabetes management involves constant assessment and modification of the treatment. in this condition of the pt. you should know on how to take care of your pt.as a student nurse i will instruct the pt to take her medicine on time with full stomach.eat proper meal.and doing some excercise like walking and sitting,but the pt. is edharing so i will instruct also the members of her family to assist the pt. in taking her medicines and monitor her at all times.
In diabetic pt. the most common complication is that the pt. suferred from blurring of vision. Since the pt. was an elderly she has difficulty in hearing. Her prob. also is she was unable to read and write. In this situation, it will be hard for a student nurse to create a teaching plan but on the other hand a student nurse will make a way to teach an elderly on how to take her medication in order to provide continuity of care. As a student nurse I will instruct the patient by keeping my voice loud and clear in a good manner so she can understand my instruction. I will also instruct other family members in the med'n. regimen of the pt. I will instruct them the proper taking of medications by the patient on time. Also, close monitoring if the pt. takes med'n and assisting her to avoid further complication on the medication maintenance of thye patient at home.
If i were to assigned to teach elderly patient that having cardiac and diabetic medication before she will taking at home, I would assess this kind of patient condition and psychological situation. even she hard to understand thing hard hearing, visually impaired, or even uable to read and write. even she suffered, or all that condition. I will advise of tell first to my patient on what she's going to do in taking her medicine and also the schedule and the time ot taking of it and after that i'll try my best to put in her mind as my job and part of my job i would make this all so that she would become better and after all, giving her all needs, all the advises, i will tell next to those who are the companion in her house just the same i will teach them what are going to do in helping the patient needs. I will give all the instruction, the schedule and the time for taking her medicine and i will advise to write down all my instruction for not to forget all those things.
As a nurse patience is very important traits to posses and exercise it in every simple thing. In this situation im going to know who are the members of the family or person with her in their house. since the patient is hard to hear it means there is still a chance for her to hear, perhaps in a way of a loud voice of speaking, on that chance with the presence of her family member or the person she with inside the house, first i will explain the importance of the patient's medication in the way that all of them can understant by not using medical terms if not necessary, one reason why i will do this is to gain their cooperation for the improvement of the health of the patient. Second thing that im going to do is sit beside the patient i will speak in a loud voice but in a good manner and instruct her in taking her medications one by one together the indications of each for her to imphasize the importance of each medications, if i need to repeat i will repeat, while the significant others are listening for them also to be informed and become aware.
this situation a challenge the capability and efficiency of a good nurse. the assessment are subjective as mention in the impairment and disablity of the patient. The pt. difficulty in hearing, impaired vision and unable to read and write are focus problem in the situation to succeed in goal. My creativity and resourcefulness is at test. established rapport is a must to the pt. and other member or significant others to have their trust because the venue is at home. tender loving care and patience is a behavior toward the pt. and s.o for them to be comfortable or have unease feeling toward me to continue my purpose. action speak louder than words.. while instructing about her medication i will accompy a gesture so she would understand better. and for more clearer understanding, i would provide large printed materials probably drawing (not words because she is unable to read) so the pt would know what im implying her.. in doing so, i would at least make my pt. feel worthy by letting her practice doing her madication herself.
We all know that nursing course has something to do with an art and science. Our basic role as a nurse is to render nursing care to those who are ill patient and to those who need our help. The old one are those who are hard to teach because of impaired senses. As the situation shows, i should first know the level of understanding of my patient so that i will be able to formulate plans in instructing her especially in her medications. In instructing her medications, i should teach her first the rights in taking medications such as right time, right dose and route. I think it isn't a typical experience for me as a nurse to teach those persons who have impaired senses.As a nurse, we should be equiped with special skills and patience to be able to transfer knowledge to our patient.If you will give her an instruction,you should deliver it in a loud voice so that she can hear what you instruct. You can also use a sign language in order for her to understand your instructions.Brail system is also a method use to those who has poor eye sight.After instructing the patient, you can also encourage the patient to demonstrate what you instruct so that you will evaluate your actions. We can also teach the SO, so that the health of the elderly patient will not be neglected.
Patient's condition is considered complicated for a nurse to assess,teach,and give information about the maintenance and improvement of his health status..But this is not a hindrance or reason for not to be an effective nurse,but this is a great challenge to pursue in providing an excellent care to elderly patients.Although, he is visually impaired,hard of hearing,and unable to read and write,as a student nurse, i will explain efficiently and teach my patient about his medications at home by repeating over and over again all the necessary information with a loud,clear,consistent,and understandable way of approach to my elderly patient..It is also helpful to encouraged and assess my patient to do limited PROM exercises to promote good cardiac circulation and discourage my patient to avoid excessive intake of food rich in sugar...And lastly,for the benefit of my patient, it is very helpful to teach also the family or the significant others to have a lot of information regarding the right time and a right way about the administration of patient's home medications...
As the situation shows, it will test our ability in rendering a nursing care.Especially to those who are elderly patient.We all know that it is hard to deal or to give instructions to them.but there are strategies or way on how to instruct an elderly patient. just like at her medication, we can instruct her by means of our power of speech. we will instruct them in nice way, and we should respect them so that we will gain their cooperation.We should also know or test the level of their knowledge, for us to have a baseline.At this situation, we need the help of the significant others or their relative in order for them to understand what we are telling them.We can also teach or to advised them to change their lifestyle, or their vices if they have one.You can also advised them to have a daily exercise, proper nutrition, and proper medication. we all know that some of the elder has impaired senses. we can help them to understand our teachings by means of speaking loud while giving instructions, assisting them on demonstrating what you have been thought.For me, the health of our patient is the most important thing to know.
If I were assigned to handle an elderly patient which have problem in sense of hearing and unable to visually read or write. First step that I will going to do is I will used the non-verbal communication for talking like sign language and eye-to-eye contact. His/her medication at home before I give the medication to my patient, I will instruct simple to take and also I explain the action and side effects of med’s. But the condition and psychosocial situation of my patient is not too easy to have the cardiac and diabetic because this is the one of difficult problem to our body and especially to our health. But I’ll try my best to prove and care the health of my patient. Furthermore, as a nurse, we know to do the best control the diabetic, like the nutritional management, diet, weight control to educate, exercise, monitoring pharmacologic therapy. As health care provider, his/her must know communicate using the non-verbal communication for them
This situation is very difficult and you need your patience since this is not common situation. You need to do your best in instructing the patient in how to take the medicine in the right way and time and its importance. You need an extra effort to treat the patient if she finds hard in hearing. You need a clear and enough loud voice in giving the instructions to the patient. Since the patient is visually impaired, you need to use sign language for an easy and effective way of instructing. To evaluate your patient whether she understood your instructions, you must ask questions to the patient regarding your given instructions. If the old patient, give the positive answers to your questions, then you instructed her well and effectively, which means you give your best shot in treating her towards the wellness of her health. In addition, she needs the help and consent of her family.
If I were to assign to teach an elderly patient at the cardiac and diabetic medication that she will be taking at home and patient was hard of hearing, visually impaired or unable to read and write. It is not easy to take care of a patient with such condition or it is complicated. As a student-nurse, I will do my best and use my knowledge that I have learned and use my skills for the benefit of the patient. The family of the patient should also be taught on giving medication and taking good care of the patient. They will be the guide of her, for she will be medicated at home. They should render care and support for the patient who needs it. Cognizant to this premise, I, as a student-nurse, together with my patient’s family must be working in one force for they will be of great help for me to make the success of the medication possible.
In this situation, I will assess my patient first by observing her and talk to her first if I’ll be able to determine her condition. I will try my best to explain to her clearly and loudly so that she can understand what I said. I will also approach her family for they will be a part of the whole process of the medication. Thus, I alone, as a student nurse could not possibly make the medication process a success because basically in my patient’s case, it is not enough the knowledge and trainings I possessed, I also need the assistance of the family members to easily and possibly succeed the medication. To sum it up, I and the family member must invest a dosage of patience and care for my patience recovery.
interviewing/ interacting with the patient first before the teaching can give you an opurtunity to assess her level of orientation, her physical difficulties & capabilities, & one who would be staying with her. if she hard of hearing, visually impaired, unable to read or write, you could ask her relative who will be staying with her or taking care of her to sit w/ you during your teaching. you could use picture boards that are big enough to see, so both the patient and the relative could understand clearly. after the teaching, you'll ask them to repeat all you have taught them to prevent misunderstanding & mistakes..
----belgene g. gorospe
During assessment an elderly patient experience memory loss, mood swings,depress,helpless,hopeless and powerlessness,lack of self care and home care,incontinence, altered sleep.
In patient with impaired hearing and visualization or unable to read and write and it is an elderly the best plan for this patient it is to insure environmental safety such as removing dangerous objects rearranging furnitures. Provide sensory stimulation to the patient like putting things on same place. And encourage review or repeat and be consistent on giving instructions on medications especially time with the use of a clock with second hands in the patient in bedsides, repeat instructions always with in voice, offer support to the client family and education needed to care for theirloved ones.
We all passed the process of aging. It is normal changes in our lives. As a health care provider, it is a challenge on how to deal elder people despite of their physical and psychosocial changes. It is our responsibility to promote activities that foster their personal fullfillment.
We must consider the condition of the patient. The said patient is visually impaired, hard in hearind and cannot read and write. We must used their common dialect,eye to eye contact, and simple explanation in teaching for us to motivate them in learning. Since the patient is hard in hearing, we must speak loud and use hearing aid if neccessary. In visual impairment, using Braille materials to the patient for the patient to understand. Give them the oppurtunity to ask questions they do not understand. To assess the patient, let the patient, perform the demo regarding the teaching. We must also include the the Significant Others to assist the patient in home meds.
The most important role of a nurse is to take care their patient. They need to give the basic needs of their patient such as health care needs and also emotional support to them.Taking care of an elder patient with diabetes is one of the hardest thing to do especially if these patient has difficulty in hearing,visual impaired,and has a difficulty in reading and writing.We took this course to do the impossible thing. we all know that nursing has something to do with an art and science.So for me as a student nurse, i will deal first to her family members in order to gain the cooperation and trust of the pt and also the family members. if i will be giving instructions, i will deliver it in a loud voice and a nice way. i will also use some pamphlets for those family members so that they will know what they will do especially in administering medications like how to administer insulin. diabetes is a lifetime disease wherein they need to have a lifetime supply of insulin if the disease is INSULIN DEPENDENT.however, we should also teach them the proper lifestyle,diet and exercise so that they will prevent further complication. the best medicine for them are guidance and support of their family members. ---jaysoN Vicente.com
"Gerontologic nursing is provided in acute care, skilled and assisted living community and home settings. It promotes and maintains functional status and HELPS OLDER ADULTS TO IDENTIFY AND USE THEIR STRENGTHS TO ACHIEVE OPTIMAL INDEPENDENCE". In this sense, you can best assess these patients through their ability to accept and comprehend with the instructions, their willingness to cooperate with the treatment plan and their readiness to learn. And you can best instruct those can't hear, see nor speak by demonstrations that best suit their condition. You can so visual demonstrations to those who can't speak but can still see. The best thing to consider with this kinds of situations is to enhance and stress their strength in their learning abilities, propping up the parts that still can adjust, adapt and accept instructions. We must assess the ability of the person to function independently despite a chronic illness. We can also ask some help to the significant others for them to guide in taking those medications. WE MUST NOT DEGRADE THE CAPACITY OF AN ELDERLY PERSON BECAUSE WITH MUCH ENCOURAGEMENT AND DIGNITY FOR THEM, THE QUALITY OF THEIR LIVES IMPROVE.
From the situation given,we can not deny the fact that there are too much barriers that hinder effective communication for proper education of the patient.Therefore,it is not really an easy task to educate an elderly patient with such problems especially in creating/working on the teaching plan concerning her home medications and anticipating the fact that she has a bad condition.
As a student nurse,the first thing I should do is of course to establish rapport with the patient in order for me to gain her trust and cooperation during our interaction.I will do my very best for the patient to comprehend all the important details,instructions,demonstrationsthat i'll be discussing her.I will make my voice loud and clear and make use of sign language if necessary for better understanding.I will advice her to wear optical devices such as eye glasses with magnifying lens so that she can visualize well my instructions,demonstrations and etc...
But to be sure of,I will also teach the significant others/family members of the patient with regards to the patient's home medications.As much as possible,I will demonstrate to them the right techniques or procedures in the administration of her medications such as injecting insulin and others.In this case,they can help or guide the patient in taking her medications and also to prevent further compliations .
"A FAMILY THAT HELPS EACH OTHER STAYS TOGETHER"
Taking care,assessing, instructing, and teaching a patient is a hard job,thus it requires a lot of time and patience, the nurse should be flexible enough to meet his goals and for the patient's satisfaction and safety.
It's hard to work with elderly patient with sensitive conditions, how much more if she is visually, hearing impaired and unable to read and write. Good idea of it is informing patient's relatives about her medications, instructions for patient's safety and improvement and teaching plans for easy recovery. If necessary, discuss and explain one by one the things to remember, needed, to be done and assure your self that you have explained well and the relatives if they understand it precisely. It's important to inform patient's relatives about it but what's best is to enlight the patient itself. If the patient has hearing impairement, use slow, directed, diliberate and loud speech but before that, you should know first the good-hearing-ear of the patient so that you know where you position your self before speaking. Speak slowly with as few words as possible, repeat frequently and use simple explanations and concrete examples with repetition. It is better if you use telecommunication devices for patient's easy audition. Avoiding medical terminology should be implemented for easy understanding. The fact that the patient has visual impairement, using optical devices such as magnifying lens is needed. Using hand gestures and motions, large-print materials is also advisable. Using all senses appropriate can help teaching the patient- touching, smelling and even tasting. Touch to let her feel your presence, you can even let her smell some home meds. to identify it easily, let her touch it to know its shapes and etc., let her taste it if needed for easy detection. Encourage patient to verbalized informations received and in case she didn't understand, it is better to repeat the whole teaching plan.
Handling this kind of patient is real hard but what matters most for me is the experience which can mold my abilities for me to be more competent in my chosen profession. The task is tough but it's very challenging, it can test my skills and my devotion to nursing career.
During assessment, when we encountered this case or situation were having shock,memory loss, fear and anxiety. But in this situation as a student nurse i've assess my patient through the present of her significant other/families, the best way to assess this case is to instruct significant others or families, because he/she they known the attitudeand perception of the patient and if how to approach and assess the patient when she taking her medication and their home..
first i'll assess the educational background of the pt. and the dialect she used to speak so that i know what to do then i'll do physical assessement especially on her sense of hearing and seeing so if the pt. has a hearing problem i'll speak louder and i'll ask her to repeat what i have said a while ago to check if she hear but since she's visually impaired i'll instruct the so about her medication. i'll educate the pt. and the so about how to take her medication the right time dosages and route of administration and i will ask the so to demonstrate or repeat what i had discused and tell her to asked question.
In this situation if i were the one assist that kind a patient i would rather give him or her the best i can by letting the patient behave what ever we know that it this situation were hard to communicate. if the patient is hard of hearing, visually impaired, or unable to read or write so we use verbal and non verbal communication so that the patient were able to undrestand what we are going to do and i want here to take the medication for her to survive.Give the appropriate healing situation if all the characteristic stated has the patient have not well may be yourselves to do the task in teaching the patient activitioes be with her any time as the need arises.
In assessing this deplorable patient condition and psychosocial situation readiness to instructions, who incurred diabetis and cardiac illness and who almost lost his vision and hearing, is an abstuse situation. First try to talk to him, because he had a difficult hearing only, by way of hardly speaking to him and by way of his responding to your questions you can assess his best condtion and readiness to the instruction for his medication. But if he's not ready or he cannot hardly understand the instruction, well, talk to the SO who can lucidly understand well the instruction for the medication of the patient. Instuct to his family the right dose, time, route and drug to be taken by the diabetic patient.
In this situation you must assess the psychocial situation.First thing to do is you have to establish raport to the patient so the will cooperative.teach the patient or instruct how or when to take her medication,and also tell her about the purpose and effect of the medication to her. For the modify teaching plan i think its better to teach the relatives about the situation of the patient that she hard in hearing and visually impaired.Sothat she need very much love, caring and most especialy understanding.
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Aging,the normal process of time-ralated changes,begins with a birth and continues throughout life.Because old age is a normal occurence that encompasses all experiences of life care and concern for the elderly cannot be limited to one discipline but is provided through a cooperative effort.
Assigning to teach an elder with disabilities is a great challenge for me as a HCP.It will challenge my capability,skills,persistence,indefatigability and my individuality as well.
When providing health information to elder with disabilities,the individual needs of the person must be assessed and incorporated into the teaching strategies and techniques.It is important to recognize that just because a person is elderly does not mean that he or she cannot learn.When the family and I work collaboratively to facilitate an elderly person's learning,the chances of success will be maximized.Above all,as a HCP,I must have a passion and dedication on rendering health promotion to the elderly.Because without it,teaching approaches will be futile and nugatory.Since she has disabilities in visual,hearing and learning,my teaching strategy will be comprehensive yet in a simple manner.First,I will choose a part of her home conducive for learning.With proper lighting,minimal noise disturbances,and proper ventilation.I will use slow,directed,distinctive with a normal or lowered pitch speech.I will encourage her family to provide hearing devices so she will able to listen and understand clearly to my instructions.In her visual aspect,I will provide large print pictures and proper contrast of colors on visual aids.If possible,I will encourage her to use optical devices such as magnifying glass.Since she cant read or write,I will explain instructions verbally,repeat and reinforce frequently.I will use both verbal and non-verbal communication to become more effective.While teaching proper administration of medication,I will demand one of her family memebers to be with us in the entire teaching procedures.In that way,there's another person who's knowledgable enough to guide the elder to proper medication.
Lastly,Accdg. to Eric Erickson,they are in Generativity vs. stagnation stage.In this phase in life,elder dont want to feel worthless,hopeless and helpless.In that case,I will choose right and proper words that will boost and augment her self-worth while implementing teaching regimen.
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hi
As an effective nurse i will assess this type of patient and instruct her at her medication through the level of her understanding if the patient has hearing defect, visualy impaired or ynable to read or write the best to instruct her is through the presents of the people who are very much concern to the patient condition. We should gain first their trust and explain the importants of the medication to the patients health.Give same procidures and also instruct them regarding the medicine. Level the medicines,the day and the time will the patient take it.As a good educator give some preventive measures to prevent to prevent this disease through giving reading materials. In this matter we can also give some lectures for more understanding not only to the patient but also to the people who are concrn to the said matter.
Most of the elderly patient was hard of hearing,unable to read and write,and they are sensitive especially when they are not felling well or when they are suffering different illnesses.For me if the patient was unable to read I will instruct the significant others,relatives,or the one who will take care of her about her medication.And I will advice the SO to monitor the patient's condition.So the things that I will instruct or to advice to my patient in soft voice to take her medicine on time assisted by SO,Advice her to have a comlete bed rest,Advice her to do exercise and Instucted her ti verbalize her feelings especially when symptom occur.
Honestly speaking, it is a very hard task for a student nurse to create a teaching plan to the elderly patient because the patient has difficulty in hearing and visually impaired, not only that she was also unable to read and write. As a student nurse, my plan to my patient is to advice the family of the pt. or significant others to their whole participation in the medication of the patient at home. I will advise them to assist the pt. in taking her medicines on time and monitor if the pt. takes her prescribed medicines regularly. The participation of the s.o. is needed in order to continue the treatment of pt. at home.
When instructing an elderly patient about his/her medication and the precaution that he/she needs to learn considering his/her condition. The health care provider should formulate appropriate individualize nursing care plan. To assess the patient readiness for health education, the patient health beliefs and behaviors and physical and psychosocial adaptation the patient needs to make. And also to assess if the patient is ready to learn and what additional information the patient needed. In order to formulate the nursing diagnoses, planning and goals that relate to the patient learning needs. Then up the teaching plan into action, since the patient had hearing and visual problems he/she should be provided a healthy environment; mining the room should be well ventilated, not dark, and there’s no extra noise coming in. And the health care provider should speak and demonstrate the information clearly using the language the patient can understand. Then encourage the patient to give feedback or re-demonstrate what has been instructed, to determine whether the patient understands. And also instruct the patient’s family member for the patient assistance in doing the task. Then evaluate the patient by comparing the expected out-comes and out comes to determine the extent to which the goals were achieve.
By: Alejandro F. Elma jr.
When instructing an elderly patient about his/her medication and the precaution that he/she needs to learn considering his/her condition. The health care provider should formulate appropriate individualize nursing care plan. To assess the patient readiness for health education, the patient health beliefs and behaviors and physical and psychosocial adaptation the patient needs to make. And also to assess if the patient is ready to learn and what additional information the patient needed. In order to formulate the nursing diagnoses, planning and goals that relate to the patient learning needs. Then put the teaching plan into action, since the patient had hearing and visual problems he/she should be provided a healthy environment; mining the room should be well ventilated, not dark, and there’s no extra noise coming in. And the health care provider should speak and demonstrate the information clearly using the language the patient can understand. Then encourage the patient to give feedback or re-demonstrate what has been instructed, to determine whether the patient understands. And also instruct the patient’s family member for the patient assistance in doing the task. Then evaluate the patient by comparing the expected out-comes and out comes to determine the extent to which the goals were achieve.
By: Alejandro F. Elma jr.
As a student nurse we all know that we handle same cases in the hospital but if i handle patient suffering with this condition it is very hard for me to handle this case.But this is our responsibilty as a student nurse or a nuse someday.
the first thing that i can do is to gain trust to the patient and also to her family so that it is easy for me to work with them. As we all know the patient was hard of hearing,visually impaired and unable to read and write the best thing that i can do is to explain to the significant others the proper way of preparing medication ,the exact time that the patient takes the drugs, The importance of proper medication to the patient and also we considered the safety precautions of the patient to avoid injury and the most important is encourage the family member not to lost hope and continue caring the patient and continue to pray to our almighty father to give them enough energy ang strenght to face all obstacles that they incounter.
This is my simple way to care to my patient but this simple way my patient cured through my simple way of care.
First,you must consider the mental status of the patient who had mentally impaired before initiating of any procedures or ways in providing teaching process with the patient.In this situation,also,is a very tough job wherein you can't setaside the incapability of the patient hearing and visualization.So the engagement of the SO is very important at this time for continual support on the patient health.And best way to instruct and teach the SO on how the medication should be taken at home,include all the important guidelines of taking the right medicaton,the frequency,route,dosage and lastly the emergency precaution in case of any failure in the medications.,
We all know that elderly people are highly sensitive to everything, that's why when we are going to handle a person like them we must all be ready, we must be patience in dealing with them. And if I were assign to assist an elderly patient from the cardiac and diabetic areas, I will considered all the factors that can be seen in this area. As a nurse, we all know that a person with diabetes are decreased with their visual and hearing sense, and that is the kind of patient that i'm going to handle. The teaching plan that I must do on this kind of patient is by using my skills by means of demonstrating on how the patient will take her medication through the use of sign languages and drawings. And if my patient if she cannot really follow what i'm discussing to her, I will ask the assistance of her significant others and I will instruct them on what they should goiong to do in giving the medication of the patient. And I will also emphasize to them the importance of the nutrition, diet, and exercise of the patient. And to do this all I must establish first rapport to the patient and significant others.
In this problem, if i will assess the elderly patient my first entervention as a nurse you must allowed the patient to verbalized her feelings about diabetic and its effect on her lifestyle and life expectancy,i make my vioce loud and cleared in order to understand my procedure,the fact that the patient difficulty of hearing, visually impaired and unable to read and write, she need emotionalsuffort from thier family.And free from hazardous environment, they also to monitor the patient diet and her proper hygiene, instruct or advise her family to render medication to the patient and the mediction must be taken as prescribed and not be discontinued abruptly without the doctors advise.
Life patterns changes over the lifetime. Patient suffering from this illness requires lifelong process of treatment thereby my patient will be needing a qualified & consistent education on the management of it wherein my patients primary role is necessary & in order for him to alleviate from the negative feelings of non productivity. In assessing the patient condition & psychosocial situation I should keep an eye on his habits,behaviors,coping skills as well as the severity of his impairment and since he is an elderly patient the role of his family is also vital.
As a student nurse,it is my responsibility to treat my elderly patient with dignity & encouraged him to maintain autonomy. Teaching him on self administration of his medications and to ensure that learning has occured I will be asking him questions or if possible a return demonstrations. I can also inform my patient that cardiovascular health can be promoted by regular exercise,proper diet,weight control,regular BP measurement,stress management & smoking cessation.
In order to cope with the situation I think I should be facing my client & speak in an unhurried & clear voice in explaining the action,side effects & dosage of each medications or recommend him for hearing examination or the use of hearing aid. Another is to provide my patient with large printed materials on the lists & simple written instruction on medications or advising him to use eyeglasses or magnifier can also be helpful. Assuming that family/SO is the primary caregiver in the adult assisted living,I can also advise that they will be writing out & review medication schedule periodically & instruct that if possible destroy or discard unused medications from the patient.
As a health provider, we should be resourceful and creative. In giving instruction to the patient with impaired hearing and visual or an illiterate patient, instruct the patient the way she can easily understand how she can identify her medicines without any help of others. the drug with the same name should be place in a small empty bottle being labeled on what time she need to take it so that it will serve as a simple sign on what kind of drug she will be taken and same with the other medicine. in labeling the bottle may be it is better to place a piece of paper cutted into a number or a letter, like for example "6-A" it means the patient should take her medicines at "6 AM" as well as in the evening which is "6-P" which means she need to take the drug at exacly "6 PM". or if ever the patient has significant others it is better to instruct them directly for the benefit of the patient.
As a student nurse upon assigning to care an elderly patient at the cardiac and diabetic medication,that she will be taking at home as a nurse you apply first your patience by doing your responsibilities as a provider of health you make a process for further good communication to the patient because she carry a problem hard to heard you clear your voice louder so he can able to understand if not effective the better going to do to the patient you anticipate the attention of his family member who instruct them to do not leave alone beside the patient and for to determine the best way of taking medication of the patient that she is already continue to take the medication by ad vicing his fdamily member to get a nurses assisstant by doing the proper medication of the patient.
The situation of a cardiac & diabetic patient is delicate so that there is a need to use reverse phychology in talking to her. Extra care should be observed in the selection of the vocabulary to be uttered to her because she is sensitive. She needs to hear loving words to inspire her to get well.
Being a student nurse, i have to talk secretly, first, to whosoever her attendant to treat the patient with loving,understanding words and full of patience.And also, it should be dedicated to the patient & especially to God, i will make my voice loud and clear to her ears, with much concern to her situation, to obey and cooperate with the assigned attendant in the talking of her medicines so that she will get well soon. And i will advice also with her attendant to avoid talking her too much.And assisted the patient when doing something, Avoid or limit her visitors also in order to the patient have enough rest. Because, giving her more rest, will help to her condition. Then, i will leave to her sweet smile and loving gestures.
Since the patient is elderly and hard of hearing with visually impaired and cannot able to read so you cannot able to provide him or her a health teaching regarding of taking medication,so the best way is to instruct the SO to the caring and assessing of taking medication because elderly always need a assistance in what ever they will do,they are also prone of accidents because elderly has loss their memory status and they6 are weak.
Most of the elderly patient was impaired in hearing,visualization and unable to read and write.So that when giving home medication we need to explained first and demnonstrate how the right way of taking medication.Also we need to explained in a modesty voice to understand by the patient.When taken the patient medication we must need to observe for the improvement of the patient......
Most of the elderly people are prone to cardiovascular problem and need to be guided and provide health care interventions.
My first thing to do with the problem is to keep in touch with the patient and let her feel that she is important regardless of her conditions.After establishing rapport and gaining my patient's trust,it's now easy for me to assess my patient in her level of understanding,visual capabilities and the extent of her knowledge.
The outcome of my assessment gave me ideas on how to manage my patient in her conditions, through this I now know how to teach her and what are the things needed in my teaching plan.In assessing her level of understanding and knowledge,I will provide a questionaire for me to know how she respond in it.About her visual capabilities, I will provide a chart with letters in different sizes and distances to test how far or near she can recognized it.
after proving that she has really hearing impairment and needed a loud voice for her to understand what I am saying,I'll apply it.The test I have given to determine her visual capabilities helped me to know the distance she could recognized a certain thing and by this, I will go in the said distance and there I will start my teaching plan.
While teaching my patient it is needed that her "significant others" is in her side for if ever my patient didn't understand what I have taught they could guide her and even do the things that i have shared...
im cute..........
i love you synthia
Caring an elderly pt. is difficult how much more if she/he was hard of hearing,visually impaired and unable to read and write but despite of this fact caring an elderly is a challenging one,because here you can test the nurses ability to manage situations like this...
in cases like this wat i must do is instruct the pt with an audible gentle voice and ensure that she/he understand me,i will express it in a brief and concise statement that she/he needed to take the medication properly because it was for his/her betterment.
and the best thing also is that instruct the significat others to guide and assist elderly especially for the drug regimen.
By:apriljoy_ricardo
As a nurse, we know that we have a lot of responsibilities to do our task for our patient. We know that some people are risk in this situation, and if I will be the one to handle this cases, I should be ready in all the things regards with the patient who have cardiac and diabetes cases. Some of the patient who have this case are cause hard to hearing and visually impaired. If I'm the nurse who will be the one to teach the patient for his/her medication at home, I will instruct the patient by using my loud voice. If not, I will instruct the significant others to give his/her medication at the right route and at the right time. And if the patient has totally impaired of hearing, I will use the non-verbal communication like sign language and drawings to deal with the patient.
caring for an elderly patient is a very difficult task than in caring or dealing with an adult or children patient, in dealing with this case, first I will establish rapport to my patient together with her significant other to get their trust and cooperation, I will instruct my patient in what to do on her medication, on right time, right procedure, the actions of the drug and other important information in a loud and clear voice or manner, while her significant other is at her side, I also teach her and her significant other to perform some exercises that is suitable for her condition to promote good circulation of her blood and in order for the significant other to know what they are going to do with their relative, I also advised her to limit her sugar intake to prevent further complication. we must show to her that she is still very important, that she is still valuable. and I will encouraged them to pray to our Greatest Doctor in heaven for her fast recovery from her disease.
Upon looking at the patient's condition, we must recognize the uniqueness of the patient. A nurse must look or find something hidden or any abnormalities in a patient from head to toes aside from her present disease. We must include her family relationships and support systems, food preferences, communication styles and health care beliefs. Assessing a patient is an ongoing process. As a nurse we must always render a therapeutic communication and establish rapport to gain trust and confidence of the patient. At this stage of life, we must not forget that they too have worth...we must know and understand the patient's feelings regarding her present condition and things that bothers her; look for more related data to rule in and rule out this possible cause for the problem. Take nonverbal cues from the family. As the nurse, if you talk to the patient and the patient turns to another family member, who then responds for the patient, we might ask whether questions should be directed to that person. We should know the appropriate family member to address. This person makes health care decisions, not the patient.
To effectively meet the health care needs of this patient, practitioners are legally obligated to make accomodations for the patient's inability to hear, visualy impaired, unable to read or write. Providing the services of interpreters or these who can communicate with the patient. Using a visible and understandable graphics or drawings are of great help with patient who are visualy impaired, unable to read or write. Explaining to the patient and the support system things that they should remember through this graphics, recheck if the client and support system understood what you have explained.
A nurse must always be ready to listen, observe, understand and render health care services.
Assessment focus on the signs and symptoms of the illness and on physical,social and emotional factors that may affect the patients ability to learn and perform self-care activities.First the patient is asked to describe symptoms that preceded the diagnosis of Diabetes.If the patient exhibit signs and symptoms of any specific type,nursing care first focuses on the treatment of these complications.Once these complications are resolving,it is one of ways best to educate or instruct the patient because the condition that favors the situation is the motivation to be symptom-free.The patient is assessed for physical factors that may impaire his/her ability to learn or perform self-care skills such as visual,neurologic and motor coordination deficits.As a nurse,it is also essential to evaluate the patient's social situation for factors that may influence the treatment and education plan such as low literacy level,limited financial resources or lack of health insurance,presence of family support and typical daily schedules.The patient's emotional status is also assessed by observing general demeanor(e.g.withdrawn,anxious)and body language(avoids eye contact).The patient is asked about major concerns and fears about the illness; this allows the nurse to assess for any misconceptions regarding diabetes,most specifically on drug regimen.Coping skills are assessed by asking how the patient has dealt with difficult situations in the past.It is indispensable to modify teaching plans for our patient.On the given situation,the patient was hard of hearing,visually impaired and unable to read and write which means that the patient is incapacitated to perform skills efficiently.This scenario would take to mean that there is an ample opportunity of participation of the family members or support groups,under supervision,to help patient in incorporating habits and maintaining adherence to the treatment regimen.
The patient was already assess and we found out that she have abnormalities particularly with the senses of the patient.
She was experiencing difficulty in hearing and visual impairment and unable to read or write, that when we look on the other side of the situation she was seem hopeless but as a student nurse it is my duty to teach her the proper taking of her medications. With her situation it doesn’t mean that she’s not capable of learning. In there age we should consider there feelings of being cared of and importance to this world considering her condition. With her condition I should consider her situation, I must understand her feelings. To start my duty, I have to establish rapport to my patient, by means of using the language she understand for us to have a good communication. But with this I should expect her that my patient could only answer my by means of nodding her head or turn it side to side. And I should only use question answerable by yes or no. I can even use the sense of touch to gain the trust of my patient. With this I could make my teaching easier.
I will tell my patient that she have some medications at home that she have to take, I know she will listen to me because she trust me. I will give to full instruction of her medications to her significant others, to be sure that everything are cleared for all of them and I will give some precautions about the patient condition, the diet of the patient, her extremities must me check time to time if the are wounds or lesions.
My focus is my patient and at the same time her significant others that could give her best care at home.
As a student it is hard to instruct an elderly patient with visual and hearing problem. First, assess the patient readiness for learning. Second by providing a nice and quiet place, conducive for learning. And clearly explain to the patient the information. And the side effect of not taking his/her medication. If the patient not really understands my explanation, my second option is that to instruct his/her family members that he have to take up his/her medicine regarding to his/her condition.
I have to teach her the best that i can,in order for her to easily understand the process of her medication.first instruct her the step by steps one by one, second provide an oral instruction and lastly let one one of her family members assist her too.she really need someone to help her in taking her medication unless nobody in her family is able to read and write....
On that situation, My first nursing consideration was to seperate her medication for proper instruction to the patient with visually impaired or unable to read or write,after that i instructed my patient how to take this medication which are seperated to another medicine,after i instructed it, ask her if she understand or not and i also review her by asking what i have sad and what she will do on that medication, what time the medication she need to take.
If the patient is hard to teach, it is better to instruct the patient's significant others to remind the patient if ever she forgot it because on that stage of aging,usually elderly patient encounter alzhiemer's disease were they forgot something what they are doing. Encourage also the significance other's to perform necessary exercise for the patient like walking.
First check doctors order home medications to be given. identify the brandname, route, time and frequency of the drug to be instruct. Assess the pt if she can understand you by increasing the sound of your voice and if i have made a way on how the pt can understand me then i will introduce to her myself and tell her the reason why i am attending on her. also identify the language or dialect that the pt is capable to communicate and understand, identify also if she is near or far sighted. During interaction ask if she can understand clearly.since the pt is visually impaired i can make a different shapes in different size and the pt can use his or her sense of touch and tell to the pt pt that different drugs has also different kind of shapes and sizes, thouhg there are drugs that are same with colors and size or shape i can add on to those different shapes the bright colors that are easily identified,on this she can identify what kind of drugs and on exact time.specify to the pt on what kind of shape, color and size each drugs matches.then instruct the pt on how he/she will take the drugs. I choose to instruct the elderly pt than the SO bec elderlies are sensitive and they want to show to people and to relatives and to themselves that despite of hard in hearing, visually impaired or unable to read and write they are still usefull and not a "pasanin".That they can still able to help themselves. the pt can use the sense of touch.
In this situation it's hard for me to teach the pt. because the fact that most of elders cant understand easily and considering that she has difficulty in hearing and visually impaired.But as a health provider we must do all the possible resources in order for us to teach the proper medication for the sake of the pt.So in giving the directions,i will try my very best to gain her trust so that our conversation will flow continuously.
I will explain the instructions in a slow but loud and clear voice.I will make it also more detailed.I can also teach her by making use of color coding in her medication so that she can easily determine the differences of her medicines.I will provide demonstration to the pt. along with her family members so that they will also know the proper way of giving the medication to the pt. and last but not the least I will give all the information about the drugs like their contraindications, side effects and others.
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