1.8 Spotlight Application

Juanita Ramirez is a 55-year-old woman who is hospitalized with a complication resulting from type 2 diabetes. The client works full-time as an office manager and has a busy lifestyle. She is active in the Latino community. The client is concerned about managing her diabetes while balancing work and family responsibilities. She has limited knowledge about diabetes and is motivated to learn how to control her condition effectively to prevent complications. Juanita’s preferred written language is Spanish.

The nurse develops a teaching plan for Juanita using the following steps of the nursing process:

  1. Assessment: The nurse performs a learner assessment and assesses the learning environment.
  2. Diagnosis: The nurse establishes the NANDA diagnosis of Readiness for Enhanced Self-management of Type 2 Diabetes.
  3. Outcome Identification: The nurse establishes learning objectives as listed in the first column of the sample teaching plan below.
  4. Planning: The nurse outlines the content to include during health teaching (Column 2 in teaching plan below) and the teaching method (Column 3 in teaching plan below).
  5. Implementation: The nurse implements the teaching plan with the client.
  6. Evaluation: The nurse evaluates if the previously learning objectives were met, partially met, or not met and modifies the teaching plan if indicated (Column 4 in teaching plan below).

See Table 1.8 for a sample teaching plan.

Table 1.8 Sample Teaching Plan

Learning Objective and Domain of Learning  Content Teaching Method(s) Evaluation
The client will describe three signs of hypoglycemia to nurse by the end of the teaching session with 100% accuracy.(Cognitive Domain)
  • The client will be taught common signs of hypoglycemia, including hunger, trembling, and sweating.
  • One-on-one discussion.
  • Pictures of the signs of hypoglycemia.
  • Printed handout with the signs of hypoglycemia for the client and family.
  • The client listed two of three signs of hypoglycemia with 75% accuracy by the end of the teaching session. The client stated that hunger and sweating were signs of hypoglycemia.
  • Learning outcome was partially met on 9/11/20XX. The nurse will reinforce signs of hypoglycemia at the next teaching session.
The client will express two feelings about this health care issue to the nurse by the end of the teaching session.(Affective Domain)
  • The nurse will inquire about how this illness has affected the client’s life.
  • One-on-one discussion
  • The client verbalized emotions of anxiety and fear related to diagnosis of diabetes to the nurse. The nurse will continue to address these emotions at future teaching sessions.
  • Learning outcome met on 9/11/20XX.
The client will demonstrate how to use glucometer to the nurse by discharge.(Psychomotor  Domain)
  • The nurse will have the client watch a video and have supplies available for the client to use while watching the video.
  • YouTube video of use of glucometer (see below)
  • The client demonstrates with 50% accuracy how to use glucometer. The nurse will continue to teach how to use the glucometer with each bedside blood glucose check, allowing the client to practice each time.
  • Learning outcome partially met on 9/11/20XX.

View a supplementary YouTube video[1] demonstrating the use of a glucometer:

 

  1. RegisteredNurseRN. (2015, August 12). Checking blood sugar (glucose) level | How to use a glucometer (glucose meter) [Video]. YouTube. All rights reserved. Reused with permission. https://youtu.be/MZCf621bRHs?si=VErW48krWxOXpEZm ↵

License

Health Promotion Copyright © by Open Resources for Nursing (Open RN). All Rights Reserved.

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