Education Plan Patient Caroline Morris

Question: Discuss about theEducation Planfor Patient Caroline Morris. Answer: Patient Assessment Patient Caroline Morris is a postoperative patient recovering and has ulcers condition. The patient is admitted at the GI ward and is schedule for discharge in less than a week. The education plan will adopt health belief model. The model has seven components which all will aid in providing appropriate education guide. Severity of the stoma to the patient will be discussed, the susceptibility of the condition to develop other medical conditions. Patient Morris will be guided through the benefits of adhering to proper care in managing the stoma. Expected barriers will be discussed with Morris and how to overcome them. On cues to action, the patient is advised in case of nay complication to returns to hospital for check up with the doctor. The patient will be motivated on how she can manage this and take care of her condition while at home. Condition Patient is recovering from ileostomy, this is a medical condition which part of the small intestine is brought outside and brings about an opening. This opening creates a pouch like bag which collects its content and can be emptied form to time. The hole created is referred to as a stoma. The stoma collects stool and it empties to the pouch. More modified advances have been devised in which and a pouch which dont permit odour is placed on the skin. Ileostomy have been utilised in medical conditions which part of the rectum or whole is needed to be removed or creation of an outside extension. Activities to Engage on Light work should be done as the patient stills feels weak and not able to do heavy work patient Morris should be able to continue with her social life with minimal interference but to stick on bed rest at home. Miss Morris should be in a position to be changing her pouch upon demonstration while at the hospital facility. Wearing of clothes at this stage is not prohibited. Clothes serve as protective measure and hide the pouch from being noticed outside. While or during showering, there is no adjustments made as the pouch remain in its place. Usually you are given an adhesive material or tape, to protect water from entering inside, normal procedure is usually followed for placing the tape inside. The skin is dried with a warm material which is water free. In most cases a hair drier is used, it should be held 6 inches away from the body surface. The duration of usage should not exceed 5 minutes. However the condition of the sore or stoma determines its application, red like stoma sores should not be treated with the heat. If you are a fun of swimming, the stoma pouch is not used, the only procedure done is to empty or being removed before entering the water as the water dont affect the stoma. Minimal sporting activities should be engaged to allow the stoma to recuperate well. Avoidance of driving is recommended for 3 weeks and heavy lifting of heavy materials or equipment which might strain the stoma sore. Medicine Prescribed medicines will be absorbed in the intestines, though all may not be absorbed you may still encounter some difficulty and pains, when you experience this feelings notify your doctors immediately for further advice. As for the personal injection the nurse guides the patient on how to personally inject herself through the right way. Enaprin drug should not be used if on an active ulcerative disorder, symptoms need to monitored and encase of any discomfort clarify with the doctor, however there is need to notify the doctor on the history of ulcers with patient Morris. This drug should not be mixed with others which have anticoagulant effects, and inhibit platelets like aspirin, sulfypyrazone. Adverse reactions may include bleeding due to interference platelet inhibitors, diarrhoea, nausea, fever, edema, pneumonia among others . Any discomfort need to be consulted with the doctor. oxycodone drug is used for pain management to ease the pain. Patient Morries needs to observe respiratory behaviour upon consumption within the 72 hours of usage. This is in line with paracetamol which patient Morris needs not to worry as it eases pain from stoma. General Dietary Guidelines Ileostomy patients are required to follow strict dietary guidelines as prescribed upon before and immediately after surgery. However as the patients progress on diet changes from liquid foods to bland diets and then foods rich in low fibre and residue so as not be complicated and harm the healing wound. It might be noticed that the contents of the pouch might contain fiber which is not digested, dietary care should be followed on low fiber diet to avoid this. Patient Morris is advised to consume food moderately and drink good amounts of liquid. This is essential especially in how climate as body losses a lot of fluids and the resection of the intestines reduces its ability to reabsorbed liquid consumed in the diet. General dietary recommendation for the patient is to consume a balanced diet and eating meals at the right time, as missing of food increases flatulences and development of gases and eventually diarrhoea which causes loss of water in the body. Summary for the Patient Education Plan: Patient Morris presented in the GI Ward, after post operative procedure and received treatment. An assessment of family and medical history was reviewed and appropriate method of education was adopted the patient was taken trough the disease condition. The kind of life the patient has been living was assessed, and this brought about her quality of life, as this needed to assist in the recovery plan of the patient. Educational needs were then determined and Patient Morris was given resources that were needed in guiding her throughout the recovery, which included leaflets and bronchures on general guidelines for recovery. After being discharged, a nurse will pay her a visit and review progress; his education plan done at the hospital set up and given doctors appointment for a visit. References Burch J (2014) Stoma care in the community. British Journal of Community Nursing Aug 19(8): 396,398,400 Rust J (2009)Understanding the complexities of the clinical nurse specialist: A focus on stoma siting.Gastrointestinal Nursing 7(4): 18-25 Stephen-Haynes J (2008) Skin integrity and silicone: Appeel 'no-sting' medical adhesive remover. Br J Nurs 17 (12): 792-5 Breckman B (2005) Stoma care and rehabilitation. Oxford, Elsevier Churchill Livingstone Ghorob A. Health coaching: teaching patients how to fish. Fam Pract Manag. 2013(3):40-42. PMID: 23939739 www.ncbi.nlm.nih.gov/pubmed/23939739. Faldo DR. Communicating effectively in patient teaching: enhancing patient adherence. In: Falvo DR, ed. Effective Patient Education: A Guide to Increased Adherence. 4th ed. Sudbury, MA: Jones and Bartlett; 2011:chap 8.