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https://studentshare.org/nursing/1662750-patient-teaching-on-postpartum-discharge-instructionscare.
Patient Teaching on Postpartum Discharge Instructions/Care Learning needs Discharge education ensures quality of care (Horwitz et al., 2013). An important consideration in planning for this education is the clients learning needs. The client and the spouse are fluent English speakers and therefore there is no language barrier. However, the husband apparently is not interested in the instructions. This will require initial explanation of the importance of instructions. The family is from a middle-level socioeconomic status.
This implies that they can afford the basic nutrition and health seeking requirements and recommendations. Being a first-time mother, anxiety is expected but with her level of education, teaching will alleviate the anxiety. Assessment data To develop the nursing diagnosis, it will be important to look at the health patterns of nutrition and feeding of the mother and the family. This will include the common diet and the expected changes in postpartum. Secondly, it will be important to consider the family support and the health seeking behavior of the patient and the family to identify how well they can cope with the expectation of postpartum care.
Cultural, social and spiritual beliefs are also an important consideration to assess how well they are compatible with the healthcare requirements. In addition, physical assessment of the patient will help in planning the care. Expected outcomes It is expected that the teaching will alleviate anxiety related to postpartum expectation and self-care as will be evidenced by ability of the client to initiate self-care rationally. It is also expected that through teaching, the client will be able to distinguish between rational health practice and misleading beliefs.
This will be evidenced by rational health choices made by the client. In addition, with teaching and effective self-care, the client and her baby should undergo the postpartum period healthy and free of infections. Teaching Methodologies Considering the client’s needs, one-on-one teaching will be adopted for the education. This will be in the form of a discussion since there is no language barrier. With the importance of education explained to the spouse, the discussion will involve the whole family.
The teaching will be supplemented with brochures and informational charts both in the facility and provided for home use. Evaluation of learning Oral questioning pre and post teaching will be done to evaluate understanding. The responses will be compared before and after the teaching. Return demonstrations for breastfeeding will be expected from the client as well as the care of the infant and infant handling. These will evaluate the learning and if the plan has achieved the expected outcomes (Soler et al., 2010). References Horwitz, L. I., Moriarty, J. P., Chen, C.
, Fogerty, R. L., Brewster, U. C., Kanade, S., … Krumholz, H. M. (2013). Quality of discharge practices and patient understanding at an academic medical center. JAMA Internal Medicine, 173, 1715–22. doi:10.1001/jamainternmed.2013.9318 Soler, R. S., Juvinyà Canal, D., Noguer, C. B., Poch, C. G., Brugada Motge, N., & Del Mar Garcia Gil, M. (2010). Continuity of care and monitoring pain after discharge: Patient perspective. Journal of Advanced Nursing, 66, 40–48. doi:10.1111/j.1365-2648.2009.05136.x
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