22nd Edition Teaching Templates


REMEMBER:

If you're stuck and can't think of something to teach your patient about, try these generic teaching templates

REMEMBER: , You MUST document WHAT you taught the patient and WHAT they actually UNDERSTOOD

COMFORT MANAGEMENT

Have you ever heard of the Comfort Verbal Rating Scale? Total Comfort includes physical, psychological, spiritual, and social aspects of comfort, all combined into one score. Comfort is what you perceive it as. Changing positions often, good hygiene, room temperature, family/friends and religious support, massage, heat, cold, relaxation, distraction, swaddle infant, pacifier, and comfort object can help increase comfort. So, tell me what you learned about managing your comfort level?

FLUID MANAGEMENT

Water regulates your body temperature and lubricates your joints. It also helps transport nutrients to give you energy and keep you healthy. If you're not properly hydrated, your body can't perform at its highest level. You may experience fatigue, muscle cramps, dizziness, or more serious symptoms. So, tell me what you learned about the importance of fluids?

FLUID MANAGEMENT - Drainage

What do you know about your drainage device (Foley, Chest tube, NG suction, ostomy). You have a Foley catheter to drain your bladder for accurate output recording or because you are unable to urinate on your own at this point. It is important to keep clean your perineum frequently to prevent any infection in the bladder and to also drink plenty of fluids to keep your urine clear and un-concentrated and flush kidneys and bladder. You have a chest tube inserted in the space between your lungs and chest wall. This helps drain any fluids that are present around the lungs to prevent infection and fluid overload and making it easier to breath. You are on NG suction to keep your stomach free of any gastric juices to allow your stomach to rest/heal. You have an ostomy for many possible different reasons. This allows for passage of stool from the bowel to bypass lower intestines d/t surgery, damage, bowel resection, or for bowel healing.So, tell me what you learned about managing your drainage device?

MEDICATIONS

Do you know what medications you’re taking? This medication is _____ and it is a ______, which will help with your _______. It is important to take your medications properly at the same time each day and for the entire prescribed amount of time. So, tell me what you learned about your medication?

MUSCULOSKELETAL MANAGEMENT

Can you tell me what you know about mobility, walking, safety, or your orthopedic precautions? It is important to follow your weight bearing and orthopedic precautions and wear your braces to allow for proper bone healing and to prevent further injury. Following safety precautions outlined are important in preventing falls which can lead to further injury. Keeping your body in proper alignment is important to promote proper musculoskeletal healing and proper skeletal alignment, as well as preventing joint contractures and pain. CPM is a device that puts your knee joints through passive ROM in order to increase or maintain proper joint mobility and flexibility as well as preventing ligaments from tightening up.So, tell me what you learned about _____?

OXYGEN MANAGEMENT

Tell me what you know about oxygen saturation? It is important to maintain adequate oxygenation in the blood so that the blood can carry oxygen to body cells like the brain. Without oxygen our cells and tissues will die affecting every organ in the body. If we are unable to maintain adequate oxygenation by breathing normal room air then supplemental oxygen is needed like what’s coming from your nasal cannula. Inadequate oxygenation long term can lead to brain damage, stroke, heart attack and death. It is also important to keep an eye on your skin where your oxygen device touches and mucous membranes. So what did you learn about oxygenation?

PERIPHERAL NEUROVASCULAR MANAGEMENT

Tell me what you know about your SCD’s, ted hose, why we elevate your legs, importance of mobility, and circulation. Circulation is blood flow and blood return. It is most difficult for blood to return back to the heart from your hands/fingers, and feet/toes. Certain s/s can indicate how well your blood is circulating like color, temperature, cap refill, sensation and edema. When blood isn’t circulating like it should your distal extremities can become pale, cold, have slow cap refill, numbness, tingling, and even swelling. Without proper circulation you are at risk for tissue damage, nerve damage, impaired wound healing, and skin breakdown. Things you can do to help improve circulation while in the hospital are using warm blankets/warm packs, using your SCD’s, Ted hose, getting OOB and walking, and elevating your legs in bed. So, what did you learn about circulation?

RESPIRATORY MANAGEMENT

Tell me what you know about your lungs and how to keep them clear. During hospitalization your not as mobile and active as your normally are. This causes your lungs to become lazy or not worked as much. When your lungs aren’t worked out they can begin to accumulate secretions and muscle atrophy affecting your ability to exchange oxygen and breathe adequately and comfortably. In order to prevent complications like fluid on the lungs or pneumonia we must do lung exercises like I.S. cough, deep breathing or exercise. By doing this you’re able to expel secretions and expand the lung volume and strengthen intercostal or lung muscles improving oxygenation, proper gas exchange and clear lungs. So, tell me what you learned about managing your respiratory system?

SKIN MANAGEMENT

Can you tell me what you know about your skin and how to prevent breakdown? Your skin has blood flow to it and covers every part of our body. It is important to keep it clean, dry, and intact. When we lay or sit in one position for too long blood flow to the skin around boney areas of our body is slowed or cut off. This can lead to pressure ulcers and skin break down. In order to prevent this we must reposition frequently, perform skin checks, and maintain good hygiene. While you’re in the hospital you are lying in bed more than normal so it can be easy to forget to reposition, especially if parts of your body have impaired sensation. Placing pillows under your heels and arms and turning side to side is a good way that you can prevent skin breakdown. So, can you tell me what you learned about your skin?

WOUND MANAGEMENT

Tell me what you know about your wound and how to help it heal and prevent infection? There are several factors that affect wound healing. Eating an adequate amount of calories and protein are important to facilitate wound healing. Prevent your wound/dressing from getting wet during showers by covering it with aqua-guard and avoid taking baths. Keep wound clean by frequent and proper dressing changes. It is important to change your dressing using aseptic technique regularly so that any drainage doesn’t sit in the wound too long which can lead to infection. Since your skin is open you are at risk for bacteria getting into the wound. If not managed properly the wound may get infected which can lead to a systemic infection in the blood or sepsis. Another important factor r/t wound healing is managing your diabetes properly if you have it. So, can you tell me what you learned about your wound?