NURSING
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School
Muranga University College *
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Course
HBT 23203
Subject
Health Science
Date
Nov 24, 2024
Type
docx
Pages
9
Uploaded by kinjomonic
Client Data:
Client Name: George Age: 70 years Medical
Condition: Cerebrovascular Accident (CVA) two weeks ago
Living Situation: George and his wife, Betty, reside in a two-bedroom condo in Maryland.
Previous Lifestyle: Active and independent. George golfed 3-4 times per week and worked part-time at the local YMCA.
Current Mobility: Weakness on the left side, requires a walker for support.
Assistive Devices: Glasses, handrails in the shower.
Support System: Betty is actively involved in George's care and rehabilitation.
Identified Teaching Need: George needs to learn how to use a walker effectively, adapt to changes in his daily life due to the CVA, manage emotional challenges, and improve communication skills. Betty requires knowledge and support in assisting George through the rehabilitation process.
Client Considerations: o
George's physical condition: George is weak on his left side and may tire quickly. o
Emotional state: George may experience frustration and anxiety following the CVA.
Personal preferences: George is initially hesitant about using a walker.
Betty's role: Betty is supportive and actively involved in George's care, which can be leveraged for assistance and support during the teaching process.
Home environment: Modifications are needed in their two-bedroom condo to accommodate George's use of a walker.
1.
Learning
Outcome
2.
Schedule/Sequence
of Teaching
3.
Content to be
Taught
4.
Teaching
Strategy
5.
Evaluation of Teaching
By the end of this teaching plan, George will be able to:
1.
Safely and independently use a walker to improve mobility and stability, demonstrating proper usage techniques.
2.
Identify potential hazards in his home and adapt his
living environment
for walker accessibility, ensuring a safe living space.
3.
Apply effective emotional coping strategies to manage the psychological and emotional effects of the CVA.
4.
Communicate his needs and concerns
clearly and confidently with healthcare providers and family members,
Session 1 : Introduction to Post-
CVA Care and Rehabilitation Date and Time: October 9, 2023, 10:00 AM Location: Maryland Duration: 60 minutes
Session
Understanding the Role of the Walker Date and Time: October 10, 2023, 2:00 PM Location: Maryland Duration: 60 minutes
Session 3: Proper Walker Usage and Mobility Techniques Date and Time: October 12, 2023, 11:30 AM Location: Maryland Duration: 90 minutes
Session 4: Home Safety Adaptations Date and Time: October 14, 2023, 3:00 PM Location: Maryland Duration: 60 minutes
Session 5: Emotional Coping Strategies Date and Time: October 16, 2023, 1:00 PM Session 1: Introduction to Post-CVA Care and Rehabilitation Content:
Explanation of what a Cerebrovascular Accident (CVA) is and its impact on daily life.
Introduction to the rehabilitation process and its importance.
Overview of the emotional and physical challenges that George may face during recovery.
Encouragement for George and Betty to actively participate in the rehabilitation process. Session 2: Understanding the Role of the Walker Content
Discussion on the necessity of using a walker for George's specific situation.
Explanation of the benefits of using a walker for balance and fall prevention. Session 1: Introduction to Post-CVA Care and Rehabilitation Teaching Strategies:
Begin with an empathetic and supportive tone, acknowledging George's situation.
Use simple, jargon-free language to explain the CVA
and its impact.
Provide brochures and visual aids to reinforce key points.
Encourage questions and discussions, ensuring George and Betty actively participate. Session 2: Understanding the Role
of the Walker Teaching
Strategies
Begin with a clear and
Qualitative Evaluation: o
Observation: Observe George's and Betty's progress in using the walker and their overall comfort with the content.
o
Feedback: Encourage George and Betty
to provide feedback after each session. Ask
them to share their understanding, concerns, and any areas they find challenging. o
Open Communication: Maintain open channels of communication with both George
and Betty. Listen
to their questions
and concerns throughout the teaching process.
o
Case Studies:
including his wife Betty.
5.
Demonstrate a willingness to actively participate
in his rehabilitation
and recovery process.
Learning Outcome for Betty:
By the end of this teaching plan, Betty will be able to:
1.
Understand the importance of the walker in George's recovery and actively support him in its usage.
2.
Recognize and address potential hazards in the home to create a safe environment for George.
3.
Provide emotional support and encouragement to help George cope with the emotional aspects of his post-
CVA journey.
4.
Foster open and Location: Maryland Duration: 60 minutes
Session
Communication Skills Date and Time: October 18, 2023, 10:30 AM Location: Maryland Duration: 60 minutes
Session 7: Assessment of Progress and Adjustments Date and Time: October 20, 2023, 2:30 PM Location: Maryland Duration: 45 minutes
Introduction to different types of walkers available and their features.
Discussion on the importance of walker usage for maintaining independence. Session 3: Proper Walker Usage and Mobility Techniques Content
Detailed demonstration of how to adjust the walker's height and handles.
Hands-on practice for George on walking with the walker, including weight shifting and turning.
Evaluation of George's ability to use the walker correctly.
Reiteration of the importance of proper
walker usage for safety. Session 4: Home Safety Adaptations Content: motivating message about the walker's importance.
Use physical demonstrations of different types
of walkers.
Let George touch, adjust, and practice with
a walker.
Share stories or video testimonials of individuals who have benefitted from walker usage. Session 3: Proper Walker Usage and Mobility Techniques Teaching Strategies:
Provide hands-
on, step-by-step instruction with George practicing.
Video demonstrations can illustrate correct techniques. Share case studies of other individuals who have undergone similar rehabilitation processes, highlighting success stories to
motivate George and Betty.
Quantitative Evaluation: o
Assessment of Mobility: Regularly assess George's mobility and independence, quantifying his progress using metrics such as walking distance,
balance, and endurance. o
Emotional Well-
being: Use a standardized tool, such as a well-being questionnaire or emotional health scale, to measure
George's
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effective communication within the family, ensuring that George's needs and
concerns are addressed.
5.
Actively engage in rehabilitation and recovery activities alongside George as needed, reinforcing the importance of teamwork in the process.
Identification of potential hazards in George's home that may pose challenges for walker use.
Guidance on removing obstacles, reorganizing furniture, and making the home environment walker-
accessible.
Discussion on modifications to create a safe living space.
Emphasis on Betty's role in maintaining a
safe home environment. Session 5: Emotional Coping Strategies Content:
Discussion of common emotional reactions to a CVA, such as frustration, anxiety, and sadness.
Introduction to coping strategies, including seeking support from healthcare professionals,
Emphasize the importance of balance and weight shifting.
Ensure George feels comfortable and confident with walker use. Session 4: Home Safety Adaptations Teaching Strategies:
Walk through George's home, identifying hazards together.
Demonstrate home modifications and involve Betty in the discussion.
Provide a checklist or visual aids for creating a walker-
accessible environment.
Encourage active
participation in making the necessary emotional well-
being at different
points in the rehabilitation process. o
Questionnaires: Administer surveys to George and Betty
before and after the teaching sessions to measure their knowledge, confidence, and satisfaction with the educational content.
Self-Evaluation: o
Reflect on Teaching Strategies: Review your teaching strategies and materials after each session. Identify what worked well and what might need improvement. o
Adjustments: Be prepared to make
support groups, and relaxation techniques.
Encouragement of open communication
about emotional experiences and a safe space for expressing feelings.
Betty's role in providing emotional support to George. Session 6: Communication Skills Content:
Teaching effective communication techniques for expressing needs and concerns to healthcare providers and family members.
Encouragement for George and Betty to engage in open and constructive communication.
Role-playing exercises to practice effective communication skills.
Emphasis on the importance of Betty's active participation in discussions and changes. Session 5: Emotional Coping Strategies Teaching Strategies:
Create a safe, non-judgmental environment for open discussions.
Share stories of individuals who have successfully coped with emotional challenges.
Teach relaxation
techniques and encourage their regular practice.
Stress the importance of Betty's emotional support for George. Session 6: Communication Skills Teaching Strategies:
Role-play scenarios where George and Betty practice adjustments to your teaching plan based on feedback and observations. Flexibility is key to effective teaching.
Post-Evaluation: o
Long-Term Follow-Up: Continue to track
George's progress over an extended period, assessing how well he has retained and applied the knowledge and skills learned during the teaching sessions. o
Goal Achievement: Measure the extent to which George and Betty
have achieved the learning outcomes established at the
support. Session 7: Assessment of Progress and Adjustments Content:
Explanation of how George's progress will be monitored and assessed.
Reviewing the goals set in the initial sessions.
Discussing any adjustments or modifications needed in the rehabilitation plan.
Encouragement for George and Betty to share their feedback,
concerns, and any challenges they have
faced during the rehabilitation process.
effective communication.
Provide clear, practical tips for expressing needs
and concerns.
Encourage active
listening and empathy in communication.
Share experiences of other caregivers and patients to illustrate effective communication. Session 7: Assessment of Progress and Adjustments Teaching Strategies:
Review progress
and goals set in previous sessions.
Use a checklist to assess George's mobility and emotional well-
being.
Involve George and Betty in the beginning of the teaching plan. o
Patient Satisfaction: Conduct a final satisfaction survey to gather feedback on the overall teaching experience.
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decision-making process regarding adjustments to the rehabilitation
plan.
Highlight the importance of continued active participation.
Session 1:
Introduction to Post-CVA Care and Rehabilitation
Date and Time: October 9, 2023, 10:00 AM
Location: Maryland Duration: 60 minutes Content:
Introduction to Cerebrovascular Accident (CVA) and its effects on daily life.
Discussion of the importance of rehabilitation.
Overview of emotional and physical challenges post-CVA.
Encouragement for active participation in the rehabilitation process. Observations:
George appeared engaged and asked questions to clarify the impact of the CVA.
Betty was attentive and actively participated in the discussion.
Feedback:
George expressed understanding and a willingness to participate.
Betty mentioned she appreciated the information and felt more prepared. Session 2:
Understanding the Role of the Walker
Date and Time: October 10, 2023, 2:00 PM
Location: Maryland Duration: 60 minutes Content:
Discussion on the necessity of using a walker for George's specific situation.
Explanation of the benefits of using a walker for balance and fall prevention.
Introduction to different types of walkers available and their features.
Discussion on the importance of walker usage for maintaining independence. Observations:
George appeared receptive to the idea of using a walker, although he expressed initial reservations.
Betty asked questions about the types of walkers available. Feedback: o
George stated he was open to trying a walker. o
Betty appreciated the information provided about walker options. Session 3: o
Proper Walker Usage and Mobility Techniques o
Date and Time: October 12, 2023, 11:30 AM o
Location: Maryland Duration: 90 minutes Content: o
Detailed demonstration of how to adjust the walker's height and handles. o
Hands-on practice for George on walking with the walker, including weight shifting and turning. o
Evaluation of George's ability to use the walker correctly. o
Reiteration of the importance of proper walker usage for safety. Observations:
George participated actively in the practical demonstration and showed improved confidence in walker usage.
Betty was engaged in the practice session and offered support to George. Feedback:
George felt more comfortable using the walker after the session.
Betty expressed satisfaction with the practical demonstration.
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