PASCO HERNANDO COMMUNITY COLLEGE
MATERNAL/ CHILD NURSING
CLIENT TEACHING PLAN
STUDENT NAME: Kirstin Wright CLIENT'S MEDICAL DX: PIH DATE: 3/28/2011
NURSING DX: Deficient Knowledge: Nature of & complications of Hypertension or management Regimen R/T Lack of Information
CLIENTS INITIALS: SD AGE: 33 years old
Learning Assessment Data Learning Outcomes Content Instructional Methods/ Evaluation of Outcomes
Implementation
Subjective: Pt. complains of 1- Cognitive: Patient will Explained to patient the DASH Methods: Sample low Outcomes were MET:
H/A, SOB, heavy chest, visual verbalize the understanding of diet is high in fruits, sodium menu provided to 1- Patient verbalized the
changes, irritable, epigastric choosing low sodium foods vegetables, and low-fat dairy her understanding of choosing
pain (DASH Diet), monitoring her B/P products and low in total low sodium foods (DASH
q 2hrs, checking her weight saturated fats. Studies report Print out of sample foods Diet), monitoring her B/P q
Objective: regularly at the same time an average reduction in she is able to choose from 2hrs, checking her weight
B/P ranging from 165/92 to every day, and taking her systolic BP of 8-14mm Hg. that are within her diet regularly at the same time
208/103 since 3/23/2011 medication that is prescribed to Dietary sodium contributes to limits every day, and taking her
Proteinuria her for maintenance of the fluid retention and elevated medication that is
Generalized Edema hypertension. BP, although not all patients Discussed/ Verbalized the prescribed to her for
Jitteriness are “salt sensitive” and lower importance of monitoring maintenance of the
Substantial weight gain 2 2- Psychomotor: Patient will blood pressure with sodium her B/P and logging it on a hypertension.
weeks prior to admission demonstrate the correct way to restriction. Patients find it regular basis q 2hrs or when
Decreased urine output take her own B/P and log her difficult to adhere to salt feeling S & S 2- Patient demonstrated the
AST elevation Marked results. reduction. Therefore attention correct way to take her own
needs to be directed to level Implementation: Patient B/P and log her results
3- Affective: Patient will of knowledge about fresh was eager and willing to
verbalize feelings of confidence versus canned foods versus learn 3- The patient verbalized
when choosing correct foods to fast foods, cultural feelings of confidence when
eat that are low in sodium, preferences, and financial Teaching was done in the choosing correct foods to
being able to monitor her own ability to purchase low-salt patients room with no eat that are low in sodium,
B/P, and be able to recognize foods. visitors, TV off, lights being able to monitor her
the signs and symptoms of Instructing the patient to self dimmed own B/P, and be able to
hypertension that will need monitor B/P provides the recognize the signs and
immediate medical attention. patient with a sense of control Teaching session took symptoms of hypertension
and ability to seek prompt approximately 40 minutes that will need immediate
medical attention. Many medical attention.
patients have “white coat”
hypertension in which BP is
elevated during a doctor's
office visit because of
apprehension or pain.
Therefore at least two
elevated measurements are
required to diagnose
hypertension.
Explain to patient the
importance of daily weights to
be performed and log any
fluctuations to her doctor.
Establishment of medication
routine considering daily
activities and sleep habits,
This will minimize the chance
of error and encourage better
compliance with therapy.
Warned the patient of
possible side effects so that
she understands what to do if
they occur. Explain that not all
persons experience side
effects. If they do occur and
are bothersome (pedal
edema, fatigue, hypokalemia,
impotence), discuss them with
the health care provider
before discontinuing
medications. Side effects are
the most common reason for
noncompliance with
medications. Signs and
symptoms to report to health
care provider: chest pain,
shortness of breath, edema,
weight gain greater than 2
pounds per day or 5 pounds per
week, nosebleeds, changes in
vision, headaches, and dizziness
