Nursing

Chamberlain College of Nursing NR 305 Health Assessment

Discharge Teaching Plan Case Study

Week 2: Sherman “Red” Yoder

Directions

This case study provides information you will need to know to complete the Discharge Teaching Plan Assignment. Please see the guidelines in Doc Sharing for more details and grading rubrics for this assignment. After you read the case study, obtain the Discharge Teaching Plan form from Doc Sharing and document your teaching plan for Mr. Yoder.

Case Study

Continuing our story of Mr. Red Yoder, our elderly diabetic patient:

Two weeks later, Red misses his Monday morning coffee at the local VFW. He has also missed church for the past four Sundays. He usually has a few whiskey sours a day and needs to take something for sleep (Benadryl). Jon (Red’s son) gets “irritated with me over my beer and whiskey habits and yells pretty loud” at times. His friends “worry about him.” “I know it’s only 20 miles to the VFW, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around.”

Red does not like to cook and usually picks up whatever is convenient, such as cake and donuts and some fast food. He also loves bacon! The home health nurse wanted to make sure he didn’t get an infection in that toe and now she is back to change the bandage. Red relates to the home health nurse “I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can my sugar be that high when I’m not eating much? I just took off my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. “

Red requires admission to the hospital for sepsis of the wound.

Admission notes:

Today’s Date: [assume it is today]

Brief Description of Client:

Name: Sherman “Red” Yoder

Gender: Male Age: 80 Race: Caucasian

Weight: 109 kg (240 pounds)

Height: 183cm (72 inches)

Religion: Protestant

Major Support: Jon (son) Phone: 869-555-3452

Allergies: no known allergies

Immunizations: Influenza last fall; tetanus 4 years ago

Attending Physician/Team: Dr. Frank Baker

Past Medical History: Diabetes Type 2 diagnosed June 2 (last year).

History of Present illness:

Patient developed an ulcer on his big toe that was treated at home for 2 weeks. Son brought patient to ER 6 days ago and patient was treated for sepsis with IV antibiotics.

Social History:

Widower; son (Jon) lives nearby

Primary Medical Diagnosis:

Sepsis

Surgeries/Procedures & Dates:

L4-5 laminectomy – 25 years ago;

Transurethral resection of the prostate – 6 years ago

Nursing Diagnoses:

· Impaired Walking;

· Impaired Skin Integrity;

· Ineffective Health Maintenance;

· Ineffective Self Health Management

One week later, Red is being discharged home with home health for wound care. Please prepare a discharge teaching plan for Mr. Yoder and his care takers.

NR305 Discharge Teaching Plan Case Study.docx Revised 12/5/2014 jm 1

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