Health Teaching Plan
CASE SENARIO: A 48-year-old woman who has had diabetes mellitus for 6 years presents to the outpatient clinic complaining of her blood sugar
levels have been rising for the past week.
Both her parents had diabetes, and at the time of her diagnosis she weighed 278 pounds, all of which supported a diagnosis of type 2 diabetes
mellitus. Her disease was initially managed with diet, exercise, and metformin (Glucophage). Four months later, with weight loss and exercise,
her blood sugar levels were consistently under 100 mg/dL, and metformin was discontinued. She did well until 1 week ago, when she noted
polyuria, polydipsia, and rising fingerstick glucose values, higher than 200 mg/dL. She has been eating well, with no nausea, vomiting, or
symptoms of dehydration. She denies having any fever, chills, cough, nasal congestion, chest pain, abdominal pain, or dysuria.
In addition to her type 2 diabetes, she has hypertension, for which she takes losartan (Cozaar); hyperlipidemia, for which she takes atorvastatin
(Lipitor); and gout, for which she takes allopurinol (Zyloprim). The client wants to deal with her deficient knowledge regarding disease process,
treatment, and individual care needs
Her blood pressure is 148/70 mm Hg, pulse 100, and weight 273 pounds, and she is afebrile. On examination, her skin, head, eyes, ears, nose,
throat, lungs, heart, and abdomen are normal. Urinalysis in the clinic shows large amounts of glucose and ketones.
LEARNING NEEDS READINESS TO LEARN LEARNING STYLE
SUBJECTIVE CUES: Complaining of her blood sugar
levels have been rising for the past week. she noted
P-48 years old (Female) no Auditory and visual.
polyuria, polydipsia, and rising fingerstick glucose
physical disorientation.
values, higher than 200 mg/dL. She denies having any
fever, chills, cough, nasal congestion, chest pain,
abdominal pain, or dysuria.
E-Shows interest in learning. She feels
OBJECTIVE CUES: Both her parents had diabetes, happy and excited to learn new
and at the time of her diagnosis she weighed 278 knowledge. Shows interest to deal with
pounds. Four months later, with weight loss and her deficient knowledge regarding disease
exercise, her blood sugar levels were consistently process, treatment, and individual care
under 100 mg/dL, and metformin was discontinued. needs. Exhibit readiness to learn.
She did well until 1 week ago. She has been eating
well, with no nausea, vomiting, or symptoms of
dehydration. she has hypertension, for which she takes
E- Has previews encounters and
losartan (Cozaar); hyperlipidemia, for which she takes
interaction with heath teaching due to
atorvastatin (Lipitor); and gout, for which she takes
health history difficulties.
allopurinol (Zyloprim). Her blood pressure is 148/70
mm Hg, pulse 100, and weight 273 pounds, and she is
afebrile. On examination, her skin, head, eyes, ears,
nose, throat, lungs, heart, and abdomen are normal. K-Understands and speaks different
Urinalysis in the clinic shows large amounts of glucose languages, Filipino, English and
and ketones Chavacano.
LEARNING DIAGNOSIS: Deficient knowledge about
Diabetes Mellitus Type 2 and related to unfamiliarity
with information related to it. After 8 hours of nurse-
patient-significant others interaction. The patient-
significant others will be able to acquire knowledge,
skills and attitude in the care of patient with Diabetes
Mellitus Type II.
LEARNING CONTENT OUTLINE METHODS OF TIME ALLOTMENT RESOURCES/ METHODS OF
OBJECTIVES TEACHING INSTRUCTIONAL EVALUATION
MATERIALS
At the end of 45 minutes in teaching session, the client should be able to answer the following
1.Define Diabetes Definition of Diabetes Mellitus Type II: Diabetes -informal 5 Minutes -leaflets After 45 minutes of
Mellitus Type II. Mellitus Type II is a chronic disorder of discussion -visual aids nurse-patient
carbohydrate protein and fat metabolism -manila paper interaction, the patient
resulting from insufficient production of insulin or was able to:
from inadequate utilization of this hormone by
the body cells. It is characterized by high blood -define Diabetes
glucose in the context of insulin resistance and Mellitus Type II.
relative insulin deficiency. It is also called adult
onset type.
- enumerate some
2.enumerate some Manifestations of Diabetes Mellitus Type II: 5 Minutes -lecture manifestations Diabetes
manifestations -polyuria (excessive urination) -leaflets Mellitus Type II
Diabetes Mellitus Type -polydipsia (excessive thirst) -flash cards
II -polyphagia (excessive hunger) -images
-recurrent blurred vision(develops as the lens and
retina are exposed to hyperosmolar fluids)
-Paraesthesia (that reflect a temporary
dysfunction of peripheral sensory nerves)
-Skin infections (cause by the growth of yeast
microorganisms.
3.identify the risk
factors of Diabetes Risk factors of diabetes mellitus include: - identify the risk factors
Mellitus Type -genetic predisposition or history of diabetes in -formal discussion 10 Minutes -peer sharing of Diabetes Mellitus
parents or siblings. -leaflets Type II.
-obesity -images
-physical inactivity
-race/ ethnicity
-Hypertension
II.4.demonstrate -demonstrate beginning
beginning skills of Nail Steps in Nail and Foot care for diabetic patients: 20 Minutes -demonstration skills of Nail and Foot
and Foot Care for 1.Perform hand hygiene. Arrange equipment on and return Care for diabetic
diabetic patients over bed table. demonstration patients.
2.Pull curtain around bed or close room door (if -leaflets
desired). -images
3.Assist ambulatory client to sit in bedside chair.
Help bedfast client to supine position with head
of the bed elevated. Place disposable mat on the
floor under the clients feet or place towel on
mattress.
4.Adjust over bed table to low position and place
it over the client’s lap.
5.Fill emesis basin with warm water. Test the
temperature. Place basin on paper towels on the
over bed table.
6.Instruct patient to place fingers in emesis basin
and place arms in comfortable position. Never
soak hands of diabetic clients.
7.Clean gently under fingernails with orange stick.
Remove emesis basin and dry fingers thoroughly.
8.With nail clippers, clip fingernails straight
across and even with tops of fingers. Shape nails
with emery board or file.
9.Move over bed table away from client.
10.Fill washbasin with warm water. Test the
temperature.
11.Place basin on bath mat or towel and help
Client place feet in basin. Never soak feet of
diabetic clients.
12.Apply disposable gloves and scrub callused
areas of feet with washcloth.
13.Clean gently under nails with orange stick.
Remove feet from basin and dry thoroughly.
5.show awareness of 14.Clean and trim toenails using procedures - show awareness of the
the disease condition. instep 8. Don’t file corners of toenails. 5 Minutes disease condition.
15.Apply lotion to feet and hands and assist client
back to bed and into comfortable position.
16.Remove disposable gloves and place in
receptacle. Clean and return the equipment and
supplies to proper place dispose soiled linen in
hamper. Perform hand hygiene.
