Developing an Educational Plan for Post-Discharge Patient Care

This report presents an educational plan for Mrs. Caroline Morris, a patient discharged after an ileostomy. The plan addresses critical aspects of post-discharge care, including medication management, dietary adjustments, and self-care techniques. Mrs. Morris requires education on administering Enoxaparin, Oxycodone, and Paracetamol, along with morphine injections. The plan emphasizes the importance of understanding drug side effects, such as potential bleeding from anticoagulants and constipation from narcotics, and provides guidance on managing these issues through diet and lifestyle modifications. The report highlights the significance of patient education in preventing complications and promoting safe home care, including detailed instructions on injection techniques, recognizing side effects, and knowing when to seek medical assistance. The educational plan aims to empower Mrs. Morris with the knowledge needed for successful self-care and a smooth transition from clinical to home care, emphasizing the role of a stoma nurse and follow-up phone calls to enhance medical safety.

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EDUCATIONAL PLANNING FOR POST-DISCHARGE
Student by (Name)
Professor’s (Name)
College
Course
Date

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EDUCATIONAL PLANNING FOR POST-DISCHARGE
Mrs. Caroline Morris
Introduction
Elimination of clinical care issues and practical medical dilemmas can be solved through
the application simultaneous medical education. The content of this paper is specific and is
focused towards developing an educational plan for Mrs. Caroline Morris regarding her
discharge medical care. Mrs. Caroline has been in the hospital for five days for intestine
treatment. She has been created for an ileostomy in the lower part of the small intestine. Mrs.
Caroline is yet to be discharged with home care from stoma care since she doesn’t want
community support. Since she has been placed under recovery medicine upon discharge, an
educational plan is required to prevent medical complications in the patient post-discharge.
Education plan for Mrs. Caroline Morris
Relevant adult learning theories can be used by nurses to develop an educational plan as
well as help with simultaneous nursing experience. To develop an educational plan for Mrs.
Caroline Morris, transformation theory of learning is relevant and applicable as it will allow a
nurse to take the most constructive approach to interpreting and solving medical problems.
Creation of an educational plan for Mrs. Caroline Morris is crucial as she must be aware of her
medical condition as she has just had new ileostomy creation (Colwell, Kupsick and McNichol
2016). The educational plan will provide Mrs. Caroline Morris with relevant information on how
she can manage ileostomy and maintain the required dietary best fir her healing.

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The education plan will also inform the patient Mrs. Caroline Morris on how to take her
discharge dosage as she is being transferred form clinical care to home care. Mrs. Caroline
Morris must follow discharge medication to avoid future complications (Grassley and Lambe
2015). Based on the patient sleeping results, Mrs. Caroline is under pain and must follow the
dosage to manage her pain.
She has been given Enoxaparin, Oxycodone, and Paracetamol which she will take at the
same time on a daily basis until the dosage complication. She must maintain Enoxaparin dosage
as she has to be under complete bed rest following bowel reaction with the LLQ ileostomy.
Taking of Enoxaparin is important for patients under complete bed rest for leg blood clot
prevention (Majeed and Schulman 2013). Discharge medication will be placed closer to the
patient to enable her to take her medication without complications. She has also been placed
under morphine injection which she wants to administer on her own since she does not want
community assistance. Mrs. Caroline must, therefore, have a clear knowledge of self-medical
administration. She must be well informed on when is it appropriate to inject herself with the
morphine dosage. The discharge plan aims to inform the patient not only the time to inject the
drug and take her dosage but also how to administer the dosage.
Mrs. Caroline Morris should be aware of the basic procedures before medical
administration. Before administering Enoxaparin in her belly, she must ensure that her hands are
washed with clean water and soap and that she lies in a comfortable position (Marrocco, Kazer
and Neal-Boylan 2014). The patient must also be aware of the position of medical injection
where she must learn to alternately administer the medicine on either left or right side of the
stomach leaving 2 inches below the belly button. The place of injection must be cleaned with

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alcohol and press the needle straight into the skin and remove it the same without folding as well
as ensure that used needles and syringes are well disposed of in a plastic container to avoid
confusion.
Most anti-coagulant drugs have bleeding side problem as a side effect, Mrs. Caroline
must be made aware of drugs side effects and given hospital number which she will call and
report excess bleeding, bloody stool or swollen ankle. By reporting such symptoms, the team
may be able to respond to the side effects and avoid complications and maximize her home
safely. Even though Mrs. Caroline feel nausea, she has been given a dose of oxycodone for pain
relief. Oxycodone contributes to narcotic analgesics which may lead constipation since Mrs.
Caroline low rate of absorption based on ileostomy.
To avoid oxycodone side effects, the patient must follow a specific diet with a lot of fluid
as well as meals with high fiber rate for constipation (Chung 2016). The patient should,
therefore, take a small amount of porridge made from grains with a high rate of fiber and take a
lot of clear fluids. The patient will be educated on a diet and after being informed about various
side effects of the given drugs and solutions which is related to dietary. Mrs. Caroline has also
been given a dosage of Paracetamol which has both wanted and unwanted effects, and she must
be made fully aware. Paracetamol prescribed for Mrs. Caroline has unwanted side effects (Fish et
al. 2017). Paracetamol is composed of acetaminophen which has side effects along with its
positive effects. The patient must, therefore, be aware of acetaminophen side effects such as
tiredness, excess bleeding as well as bloody stool and report to the doctor.
Before leaving for home under the care of a stoma nurse, Mrs. Caroline will be educated
and informed on the side effects of the prescribed drugs and their importance. The education will

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take place in the hospital with phone call follow-ups order to minimize complication and
increase medical safety for Mrs. Caroline Morris. With the medical plan, Mrs. Caroline Morris
will be able to understand safe ways for self-care and the reason behind every piece of
information given by doctors.
References
Chung, K.T., 2016 ‘Intra-Abdominal Hematoma Following Enoxaparin Injection,’ Clinical
Medicine Insights: Case Reports, 9, pp.CCRep-S17881.
Colwell, J.C., Kupsick, P.T. and McNichol, L.L., 2016, ‘Outcome criteria for discharging the
patient with a new ostomy from home health care: A WOCN society consensus
conference,’ Journal of Wound Ostomy & Continence Nursing, 43(3), pp.269-273.
Fish, D.R., Mancuso, C.A., Garcia-Aguilar, J.E., Lee, S.W., Nash, G.M., Sonoda, T., Charlson,
M.E. and Temple, L.K., 2017,’ ‘Readmission After Ileostomy Creation,’ Annals of
surgery, 265(2), pp.379-387.
Grassley, J.S. and Lambe, A., 2015 ‘Easing the transition from clinician to nurse educator: An
integrative literature review,’ Journal of Nursing Education, 54(7), pp.361-366.
Majeed, A. and Schulman, S., 2013, ‘Bleeding and antidotes in new oral anticoagulants,’ Best
Practice & Research Clinical Haematology, 26(2), pp.191-202
Marrocco, G.F., Kazer, M.W. and Neal-Boylan, L., 2014, ‘Transformational learning in graduate
nurse education through podcasting,’ Nursing education perspectives, 35(1), pp.49-53..

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