1.8 Spotlight Application

This spotlight activity demonstrates how a nurse uses the nursing process and develops a teaching plan for a hospitalized client.

Situation/Background

Juanita Ramirez is a 55-year-old client 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:

Assessment: The nurse performs a learner assessment and assesses the learning environment.

Diagnosis: The nurse establishes the NANDA diagnosis of Readiness for Enhanced Self-management of type 2 diabetes.

Outcome Identification: The nurse establishes learning objectives (as listed in Column 1 of the sample teaching plan in Table 1.8).

Planning: The nurse outlines the content to include during health teaching in the teaching plan (as described in Column 2 of Table 1.8) and the teaching method (as described in Column 3 in Table 1.8).

Implementation: The nurse implements the teaching plan with the client.

Evaluation: The nurse evaluates if the previously learning objectives were met, partially met, or not met and modifies the teaching plan if indicated (as described in Column 4 in Table 1.8).

Table 1.8. Sample Teaching Plan