Study of Older Adults

Teaching Plan 1
Teaching Plan
Submitted to
for course
NFDN-1002-Nursing foundations II

Teaching Plan 2
Introduction
The teaching plan is a valuable resource in the nursing profession, as
it allows the nurses to allow patients to carry out self-care individually. In every healthcare
environment, it is important to provide the patient with information ((Punturieri, 2017)).
Patient care seeks to help patients and their families reach better health benefits. The nurses
must create a training program to provide care to the patient that will include nursing
processes such as (evaluation, preparation, execution, and evaluation). Through the teaching
program planning process, both the instructors and the clients add to the planning cycle
leading to a positive result
Learning Needs
This article is based upon a case study of Mrs. Jackson she is 75 years
of age who has one daughter but she lives far from her and only visits her once a week, Mrs.
Jackson is suffering from arthritis, COPD and hearing problem as well, Mrs. Jackson recently
had a fall and as per her recent visit to the doctor suggested she would require a walker to cop
up with her today activities but she denied to with his suggestion because she believes that
it’s a sign of weakness and she does not need anyone to help her accomplishing her day to
day activities (Brandt, 2012).
 How to explain her the issue: The discussion describes that if Mrs. Jackson does not
wish to take any assistance to finish her day to day tasks she might have to be in the
wheelchair for the rest of her life, at that time the situation can even go worse as it is
now and she’d then require a person to her help her every time.

Teaching Plan 3
 Calm down an anxious patient: Mrs. Jackson suffers from COPD, arthritis, and also
she is hard on hearing and for that she uses hearing aids, she in on oxygen and inhaler
for the same and because of her recent fall she might need to face a lot of difficulties
afterward.
 Explain to her the meaning of COPD: it has to be the initial duty of the nurse to
explain Mrs. Jackson that how serious is her condition and what exactly is COPD?
Once she understands there has to be a positive environment so that she can
understand and agree to the use of a walker. She has to understand that even a single
fall in the future will lead to a huge problem so it is the best option for her to use a
walker and continue her life happily (Salameh, Khayat & Waked, 2012).
Nursing Diagnosis
Diagnosis Planning Intervention Evaluation
Knowledge
deficit related
to insufficient
knowledge
regarding the
COPD and its
repercussions
After 8 hours of the
implementation of the
nursing interventions
will enable the patient
to understand the
problem and the
treatment regimen.
 Assist the patient
in using a walker
 Assist the patient
for being positive
After 8 hours of the
implementation of the
nursing interventions
will enable the patient
to understand the
problem and the
treatment regimen.
Smart Goal

Teaching Plan 4
Specific Mrs. Jackson will start using a walker
Measurable Mrs. Jackson will use a walker and keep a check that she does not lose her
balance and fall again
Action-
oriented
She will follow a healthy diet plan and will follow the advice of a doctor
Reasonable If required she will visit once every week, if any moderations are required in
her role.
Timeline She will evaluate her progress every day and make changes as necessary to
reach the goal in the given time frame.
Learning domain
Cognitive domain: The nurse will help Mrs. Jackson in understanding the meaning
of COPD their sign and symptoms and will teach different interventions to treat the
conditions. The nurse will also teach how all these conditions are correlated with each other.
For the best teaching results, patients are required to interpret the information actively and
create correlations with background knowledge. Therefore, Mrs. Jacson will be able to
recognize the condition and act on it without being irritable. This learning session will enable
Mrs. Jackson to understand which actions should be taken to maintain problems will also get
an idea about her life and the hurdles she will have to face after one hour of the teaching
session.
Psychomotor domain - In this teaching session, the nurse will teach Mrs. Jackson
about the usage of a walker and will guide her on how to use it. The client must again
demonstrate the procedure while being under the observation of the nurse as behavior and

Teaching Plan 5
learning skills encourage critical thinking required for problem-solving and better
comprehension of the skills acquired
Mrs. Jackson will be able to use the walker along with her oxygen pump in an appropriate
manner before and after a meal on her own in the presence of a nurse for 12 hours.
Barriers
 As per the case study, Mrs. Jackson has a hearing problem as well as uses an oxygen
pump. Thus, it can become difficult for her to comprehend what the nurse would teach
her as a difficulty in the hearing will become a big barrier during the learning sessions.
Also, she uses a hearing aid to listen to what someone says. Thus, she needs to depend on
a hearing aid to listen and if she forgets to use it then she would not be able to listen to
what the nurse would teach her.
 As per the case study, Mrs. Jackson also has a problem with the lungs. It's a condition
marked by poor breathing. Thus, this problem of her can also become a barrier to what
she might want to go out and take some fresh air and will interrupt the session.
Teaching Plan
The nurse will teach Mrs. Jackson the meaning of COPD. The nurse will also tell
about the sign and symptoms of the conditions and will teach different interventions to treat
the conditions. The nurse will also teach how all these conditions are correlated with each
other. In this teaching session, the nurse will teach Mrs. Jackson about the use of the walker
will guide her on how to use it. The teaching plan will also include proper counseling so that
Mrs. Jackson agrees on using the walker

Teaching Plan 6
The teaching session will be held in the continuing care center where Mrs. Jackson
has been admitted and the timing would be the lunch hour. The nurse will also try to contact
her family member that is her daughter. A printed guideline will be provided as it will be easy
to learn and remember.
Evaluation of the learning
Cognitive Domain – In this, the nurse would give Mrs. Jackson a questionnaire survey,
where questions will be asked about what she has learned in the teaching session and if seen
that answers are given properly then it would mean that Mrs. Jackson was able to understand
everything in the teaching session (Sproles, 2018).
Psychomotor domain - Here the technical knowledge and skills will be evaluated by
providing her the walker. The nurse will then evaluate whether Mrs. Jackson has the required
amount of minimum skills to handle the machines and can use them without relying on
anybody or not.
Reflection
Patient teaching is highly important in the care of the patient because-
 Patient education enables the patient to have an understanding of his/her health. It
teaches about the side-effects of the health condition and also tells about different
ways through which the patient can treat the condition by self.
 An educated patient can self-manage their conditions and stay motivated to reach
certain healthcare goals.

Teaching Plan 7
Strengths Weakness
The teaching plan helped the patient to
understand about her health condition.
Her major barrier was the hearing problem, thus it is
not sure about how much she was able to understand
during the teaching session.
Teaching plan helped in recognizing the
barriers to the patient and helped in
developing the best possible interventions to
work around those barriers
Family members of the patient were not near, thus
she was lacking family support.
Benefits of the teaching plan
The benefit of developing a teaching plan is that it enables in understanding which
resources were lacking so that next time, those resources can be involved in the teaching
plan. Like in this scenario, the daughter of Mrs. Jackson was not present thus there was a lack
of family support which is a very essential resource. In the future, the patient's family will be
encouraged to participate in the teaching session and provide the necessary support to the
patient.
Conclusion
The teaching plan assists in managing the teaching session of patients in the best
possible way that fulfills the common purpose of both the patient and the nurse. This is one of

Teaching Plan 8
the best approaches to managing time, planning to work on causative factors, preparing and
organizing, and achieving goals in a limited amount of time.

Teaching Plan 9
References
Punturieri, A. (2017). Fighting COPD Together—The COPD National Action Plan. US
Respiratory & Pulmonary Diseases, 12(02), 15. doi: 10.17925/usrpd.2017.12.02.15
Salameh, P., Khayat, & Waked, M. (2012). Could symptoms and risk factors diagnose
COPD? Development of a Diagnosis Score for COPD. Clinical Epidemiology, 247.
doi: 10.2147/clep.s34985
Brandt, C. (2012). Study of Older Adults' Use of Self-Regulation for COPD Self-
Management Informs An Evidence-Based Patient Teaching Plan. Rehabilitation
Nursing, 38(1), 11-23. doi: 10.1002/rnj.56
Sproles, K. (2018). The Emotional Balancing Act of Teaching: A Burnout Recovery
Plan. New Directions For Teaching And Learning, 2018(153), 99-107. doi:
10.1002/tl.20285