XII.

Health Teaching Plan

Baseline Data:

Name of Patient: S.T.C Diagnosis: Cerebral Concussion, lacerated wound left frontal area secondary to vehicular accident
Age/Sex: 39y.o. Physician’s Name: Dr. Baldivinos
Chief complaints: LOC and lacerated wound left forehead secondary to vehicular accident

Medications Exercise Treatment Hygiene Outpatient Referral Diet

Ranitdine
C *Passive Range of Motion *Complete blood count *Bed bath *Stoma care *Diet as tolerated
• Antacid -the nurse or another person (CBC), also known as full - to promote cleanliness, to
• Prevention of gastric moves each of the client’s blood count (FBC) or full provide comfort and -Daily care of the trach site -This particular diet is only
ulcer formation joints through heir blood exam (FBE) or blood relaxation, to improve the is needed to prevent given when client can now
complete range of panel client’s self-image, to infection and skin tolerate any food he desires
H movement, maximally condition the skin, to breakdown under the that is nutritious, if this will
• Patient states that stretching all muscle groups -is a test panel requested by stimulate peripheral tracheostomy tube and ties. not lead to any
she didn’t have any GI within each plane over each a doctor or other medical circulation of the client. Care should be done at least complications.
discomfort joint professional that gives once a day; more often if
• Patient states that information about the cells needed to prevent odor,
* Physical Care
GI discomfort is relieve *Active-Assistive Range in a patient's blood. irritation and infection.
of Motion Abnormally high or low -Cleanliness of body
E -carried out with client and counts may indicate the *Inform significant others
-Shaving
50 mg IVTT q8h the nurse participating. The presence of many forms of to report signs of pain,
client is encouraged to disease, and hence blood -Washing face heat to site, foul odor, and
C carry out as much of each counts are amongst the fever because it signifies
-Nail Trimming
• Teach patient of movement as possible, most commonly performed infection.
drug adverse reaction within the limitations of blood tests in medicine, as *Washings of hands
and to be alert if any are strength and immobility they can provide an *Follow up Consultation
present overview of a patient's to monitor the changes of
*Temporomandibular Joint general health status. *Oral care the patient’s condition.
K -open mouth

49
• Assess patient’s GI -close mouth *Urinalysis - to maintain the intactness *Instruct the client to
condition before -it involves examining the and health of the oral comply with home
starting therapy and *Shoulder appearance, concentration mucosa, to prevent oral medications and
regularly thereafter to -abduction and content of urine. It is infections, to clean and maintenance drugs in
monitor drug -adduction (anterior & used to detect and assess a moisten the membranes of order to promote and hasten
effectiveness posterior) wide range of disorders, the mouth and lips recovery.
• Be alert for any drug -horizontal flexion and including urinary tract
interaction and drug extension infection, kidney disorders *Tracheostomy care *Encourage client to
adverse reaction -internal & external rotation and diabetes. perform regular exercises
• Don’t use aluminum - cleaning the trach- to and maintain a healthy
base needle when *Cranial CT Scan prevent infection clean the lifestyle.
giving drug parenterally *Elbow -is an imaging method that inner cannula at least 1/day
because drug is -rotation for supination and uses x-rays to create cross- *Continue wound care to
incompatible with pronation sectional pictures of the promote wound healing and
aluminum head, including the skull,
• Don’t confuse ranitidine *Wrist brain, eye sockets, and
with rimantidine -flexion, extension & sinuses.
hyperextension *Suctioning of the
-circumduction tracheostomy tube
Tramadol -radial flexion & ulnar *Chest X-ray, Skull APL
C flexion X-ray, Right Elbow X- - to secrete mucous
• analgesic ray, Cervical Spine X-ray formation
*Hands and Fingers -is an x-ray of the structures
• patient experiencing
- flexion, extension & inside the chest, elbow and
moderate to severe pain
hyperextension the cervical spine. An x-ray
-abduction & adduction is a type of high-energy
H
radiation that can go
• Patient states that he *Foot through the body and onto
is free from pain -internal & external rotation film, making pictures of
areas inside the chest,elbow
E *Ankle and cervical spine which
50 mg IVTT q8h

49
 -plantar flexion & can be used to diagnose
C dorsiflexion disease or deformities.
Teach patient of drug -eversion & inversion
adverse reaction and to be
alert if any are present *Deep breathing exercises *Tracheostomy
-is an operative procedure
K -a relaxation technique that that creates a surgical
• Assess patient’s pain can be self-taught. Deep airway in the cervical
before starting therapy breathing releases tension trachea.
and regularly thereafter from the body and clear the -it is for improving the
to monitor drug’s mind, improving both airway. -it is indicated to
effectiveness physical and mental provide a long-term route
• Monitor cardiovascular wellness. for mechanical ventilation
and respiratory status in cases of respiratory
• Closely monitor patient failure.
at risk for seizures; drug
may reduce seizure *Change in position q2h *Intravenous therapy or
threshold using log roll technique IV therapy
• Monitor patient for drug - Change of position can -is the giving of liquid
dependence. Drug can prevent client in bed rest substances directly into a
produce drug from developing pressure vein.
dependence similar to ulcers -it is the fastest way to
that of codeine or - Log roll technique is use deliver fluids and
dextropropoxyphene to prevent patient medications throughout the
and thus has potential sustaining further damage body.
for abuse in his spinal cord
• Be alert for any drug *Wound dressing
adverse reaction
*Intravenous Therapy
• For better analgesic
-PNSS –isotonic solution
effect, give drug before
good for replacing fluids in
the onset of intense pain

49
• If RR is belo 12 cpm, the body.
withhold drug and notfy
physician *Medications
• Don’t confuse tramadol 1. Ranitidine
and trazodone 2. Tramadol
• Contraindicated to 3. Paracetamol
patients hypersensitive 4. Dexamethasone
to drug or any of its 5. Cefuroxime
components, and those 6. Neural B
with acute intoxication
with alcohol
• Use cautiously in
patient at risk for
seizures and RR
depression: those with
traumatic head injury
and increase
intracranial pressure

Paracetamol
C
• antipyretic,
analgesic
• mild pain or fever

H
• Reports pain relief and
reduction of fever with
drug

49
E
500mg IVTT prn for fever
q4h

C
• Teach patient of drug
adverse reaction and to
be alert if any are
present:
• Teach patient that
drug is contraindicated
to patient
hypersensitive to drug
• Teach to use drug
cautiously if patient has
history of chronic
alcohol abuse
• Tell patient that
long term use of drug
can cause liver damage

K
• Assess patient’s pain or
temperature before and
during therapy
• Be alert for adverse
reaction and drug
interaction
• Don’t use drug if fever

49
 higher than 39.5°C, last
longer than 3 days or
recur
• Drug is for short terms
use contact prescriber
if patient takes drug
longer than 10 days

Dexamethasone
C
• anti-inflammatory,
immunosuppressant
• Cerebral Edema

H
• Patient condition
improves with drug
therapy

E
• 50mg/ tab p.o. stat
• 50mg IVTT stat if on
NPO
• 50mg/tab TID p.o.
• 50mg TID IVTT if on
NPO

C
• Teach patient of drug
adverse reaction and to
be alert if any are

49
 present:
• Tell patient to have a
low Na in the diet. Tell
patient to have high
CHON and K in diet
• Tell patient not to
abruptly stop drug
because this may be fatal
• Teach patient early signs
of adrenal insufficiency
(fatigue, muscle
weakness, joint pain,
fever, anorexia, nausea,
dyspnea, dizziness, and
fainting)
• Warn patient of long
term use about
cushingoid symptoms
and need to notify
prescriber about weight
gain and swelling
• Warn patient about easy
bruising

K
• Obtain history of
patient’s underlying
condition before
therapy
• Monitor patient’s blood

49
 pressure, weight,
glucose level and
electrolyte level
• Look for adverse
reaction and drug
interaction
• Watch for dosage
dependence and
psychotic behavior
• Give with food when
possible
• Always adjust to the
lowest effective dose
• When stopping drug in
long term use.
Gradually reduce the
dosage
• Give low sodium, high
CHON and HIGH K in
the diet.
• If patient has adverse
drug reaction notify
prescriber, treat the
symptoms and provide
supportive therapy
• Don’t confuse
dexamethasone with
desoximetasone

Cefuroxime
C

49
• antibiotic
• prophylactic purposes

H
• Patient is free from any
signs and symptoms of
infection

E
50 mg/cap p.o. BID

C
• Teach patient of drug
adverse reaction and to
be alert if any are
present:
• Tell patient if taking
with diuretics may
increase risk of adverse
renal reaction
• Instruct patient to
take drug exactly as
prescribed, even after
he feels better
• Advise patient to
take oral suspension
with food to enhance
absorption

K
• Assess patient’s

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 infection before starting
therapy
• Before giving first dose,
obtain specimen of
culture and sensitivity
test
• Before giving first dose,
ask patient of
hypersensitivity to
cephalosporins and
penicillin
• Be alert for adverse
drug reaction

Neural B
C
• vitamin supplements
• improvement of nerve
function, acute alcohol
intoxication

H
• Patient regains normal
vitamin B1,6,12 level
• Improvement of nerve
function

E
1 cap OD

49
C
• Teach patient to
take drug exactly as
prescribed
• Drug should be
taken preferably in the
morning

K
• Make sure that paitent
takes drug exactly as
prescribed

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