Teaching Plan for Clexane Injection

This project outlines a detailed teaching plan aimed at educating patients on the self-administration of Clexane injections. It includes an introduction to the medication, learning context, evidence of learning needs, learner types, specific learning aims and outcomes, teaching theories and strategies, anticipated strengths and limitations, and an evaluation plan. The focus is on ensuring patients understand the correct dosage, administration techniques, and the importance of self-care in managing blood clots post-surgery. The plan emphasizes culturally competent teaching methods and the use of the teach-back method to confirm patient understanding.

Running head: TEACHING PLAN
Teaching patient to self administer Clexane Injection
Name of the student
Name of the University
Author’s note

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Table of Contents
Introduction......................................................................................................................................2
Learning context setting..................................................................................................................2
Learning needs evidence..................................................................................................................3
Learner type.....................................................................................................................................3
Learning aims and outcomes...........................................................................................................4
Teaching theories and strategies......................................................................................................5
Anticipated strengths and limitations..............................................................................................6
Evaluation plan................................................................................................................................6
Conclusion.......................................................................................................................................7
References........................................................................................................................................8

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Introduction
This teaching plan will highlight on educating a patient with self administration of clexane
injection. The clexane injection is a type of heparin based injection that will be administered to
treat blood clots. The teaching plan will help the patients self-administer the drug that will be
effective in reducing the blood clots. The teaching will be directed to the patient who recently
had valve fitted after surgery. This will help to address the bleeding problems in patient (Kamel,
El-Faissal, Aboulghar, Mansour, Serour, & & Aboulghar, (2016)). The teaching will be done for
the patient by the nurses along with patient being offered on an educational pamphlet.
The teaching plan in nursing practice will play a vital role in monitoring and thus educating
the patients about the safe use of clexane injection. The education style of the nurses depend on
the patient’s learning style. (Peter, Robinson, Jordan, Lawrence, Casey, & Salas-Lopez, 2015).
There will be learning context, learning type, learning aims, and outcomes, teaching strategies,
methods, anticipated strengths and limitations. The teaching plan will also follow an evaluation
plan, summary and conclusion. The main focus will be to teach about appropriate dosage
preparation, drug administration, choosing the site of administration and method of giving the
subcutaneous injection (Ryan, Lara, Porter, & Kaiser, 2016).
Learning context setting
The topic in which the nurses will conduct the teaching is the manual of handling the syring with
correct dose of clexane injection. The teaching program will be made in the small hospital in the
patient room. Face to face teaching will be supported with internet resources and pen and paper
to keep note about the methodology.
The teaching session will take place in the hospital of the rural area. The teaching of self
administration of clexane drug will be very effective there as direct interaction with patient will

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be possible. The direct teaching will help them to clearly understand the technique to
subcutaneous injection and the dosage that is to be used (Richardson, Percy, Hughes, & (2015).,
2015). The health organization will give full support and involvement to making the learning
procedure a success. The teaching will be conducted face to face with the patient by showing the
demo of using the self administration of clexane injection (Krashen, 2014)). The nurses can use
the resource of an internet to give the patient the appropriate context of learning. The learning
should be done face to face that will help them understand more on the procedure. The patient
can even clarify the doubts when required. Such a learning context provides patient centered
positive outcomes.
Learning needs evidence
For patients, having clear knowledge about safe medicine administration is important to
prevent adverse drug event and avoid any complications. The teaching plan will aim to focus on
addressing client’s lack of knowledge in the area of self administration of clexane injection
(Breathnach, Karip, McCoy, Cleary, & Quinlan, 2016). There can be potential harm associated
with self administration of the injection like for example if the correct dose is not given the clots
may not dissolve properly (Eur & Thornhill, 2016). Thus the teaching plan is to be constructed
such that it will teach the patient with correct usage of the syringe. As the blood clots are regular
issues after surgery, the injection of clexane dose is required extensively. The correct use of
intake of a dose is to be taught along with that. The teaching will assure the use of the correct
method of handling the syringe for self administration before and after the surgery (Ciftci &
Avsa, 2017). This skill needs to be taught otherwise the clots will not be treated properly. There
is evidence of the wrong dosage of clexane leading to constriction of blood vessels. Thus correct
dose of cleane should be administered. There are also problems related to the wrong

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administration of injection leading to problems like sites of injections can be itchy and bruised,
hard lumbs that could cause bleeding.
Learner type
The learner in this nursing education is going to be one patient based. The patient belonged to
aboriginal in origin, thus had different socio cultural background. The learning needs are to
considered before the teaching session. The nurses should have to understand beforehand if they
are willing to understand the topics. In this context they must be culturally aware of the beliefs
of the Aboriginal patient and deliver the teaching accordingly. If the patient is not willing to
understand then the nurses can socialize and talk to the relatives and family members. The
teaching plan is going to help the nurses to set up effective goals in managing the clots. The
socio cultural background of the patient is to be considered before the teaching plan. The
learning focuses here mainly on the learner who had undergone heart surgery after a stroke. The
nurses must be well aware of the allergic condition of heparin, presence of bacterial infection.
They are going to guide on the medicaments that cannot be used while taking clexane like
aspirin. The patient needs to be evaluated in the teaching session to see if the patient is able to
fulfill the learning needs. Nurses here will understand the anticipated gaps that can come with
knowledge and skills. The readiness of learning of the patient should be noticed. The technique
that the nurses can use here is the teach-back method (Mahramus, Penoyer, Frewin, Wilson, &
Sole, 2014). In this way the nurses through communication will confirm if the patient understood
what was explained. The teach back method is done in such a way that is to make the patient
repeat what was said.
Learning aims and outcomes

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For the learning outcomes and aims one can set up the SMART goal. The realistic teaching
goals will be made by using the principles of SMART techniques.
Specific- To teach patient centered use of self administration of clexane injection safety.
Measurable- The teaching plan will involve single patient.
Achievable- The aim is achievable as it will be treating the patient with blood clots
Realistic- The self administration of the clexane drugs are going to be useful in the reducing the
blood clots anytime at critical conditions.
Time bound- The teaching goal will be achieved by the end of August.
The learning objectives of this teaching
The learning objective is demonstrating the correct position of subcutaneous site and how to
handle the needle correctly.
The outcome of the learning technique – This will be helpful for the patient to learn the
technique in subcutaneous injection , identifying the correct injection sites, copying with the
need for the correct use of dose and the affective outcome and the psychomotor outcome of the
injection. (Mengiardi, et al., 2014).
Teaching theories and strategies
The learning theory that the nurses can use in the teaching is the behaviorist learning theory
(Moon, 2013). This will be specific learning theory as it is to be done with the ground of
addressing a specific condition of one patient. The teaching theories and strategies will be
dependent on cultural awareness. The nurses before introducing any teaching plan they should
construct the teaching plan based on the observable situation of the patient (Masters, 2015). The
method they can include is showing them computer presentation of the manual of handling the
subcutaneous injection. Such presentation may be useful for trapping the attention of the patient

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and the patient can absorb well. The nurse must fix plan accordingly. For this as mentioned, the
nurse, needs to be must be culturally competent (Alligood, 2014) . The teaching session must be
made interesting so to attract the patient in learning the health conditions and understanding the
usefulness of self administration of clexane when required. The nurses must consider the
weakness, limitations, and strengths while conducting their teaching. They can even include the
family members in this. The teaching plan is going to be made on the basis the following
(Grzegorski, Andrzejewska, & Kaźmierski, 2015):
• Demonstrating the patient with correct technique for using subcutaneous injection
• Regular checking of blood pressure
• Discuss on the possible injection sites
• Using of the patient literature to explain the techniques
• Discuss on the correct disposal of injections
• To teach on the correct storage of the clexane drug.
The overall plan of this teaching session is that the patient is going to gain knowledge and skill in
self administration of the correct dose of clexane injection at the emergency time.
Anticipated strengths and limitations
.There may be challenges faced due to the limited time to have the education discussion with the
patients. The economic resources required in the field may not be found. The major strength for
the nurses will come if the managers in the organization health care support the team with the
teaching plan. The managers must allow for the peer education of the nurses about the clots and
the use of the correct dose of clexane in the situations. The right training of nurses are required
as this is useful to help the nurses to give the correct teaching on easy use of the injection in self
administration. The major strength focuses on the communication and good rapport that will be

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gained with the teaching sessions. The challenges that are faced with the teaching plan can be
resisted by using the alternative resources if available. The nurses must very well study the
backgrounds of group of patients that will be approached.
Evaluation plan
The effective teaching can be ensured with proper evaluation program. The evaluation can be
self centered showing the way nurses themselves are capable for conducting the teaching plans.
The other can be overall evaluation (Keating, 2014). This is done by evaluating the overall
nursing procedures of teaching. According to the evaluation in health care education, by Bastable
2016, we can review about the evaluation procedure. The evaluation process here will depend on
the education process, decision making process (Bastable, 2016). These will follow the
procedure of gathering, summarizing, interpreting and using those data to determine the extent
by which the teaching procedure will require update in action. In this cyclic technique way both
the teaching and learning can be judged. This is effective to judge the interventions that are taken
to teach the patients on the manual of handling the injections with clexane drugs. The effective
evaluation plan done with evidence based study will help them to understand their strength and
weakness in the plan (Shin, Park, & Kim, 2015). Evaluation plan will judge all their
requirements and challenges they are facing in this teaching session (Jeffreys, 2015).
Conclusion
This report has presented the summary of the teaching plan that is related to the self
administration of clexane injection. This teaching plan is conducted for one patient. It will give
the patient the correct idea of handling the subcutaneous injection of clexane drug. This is going
to teach the patients about the right dose of a drug and the time to use it. This will aim to provide
all the requirements of an importance of learner context, learning need evidence, learner type,

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learning aims outcomes, teaching theories, strengths weakness, and the evaluation plan. The
main aim of the teaching session is that it is going to deliver holistic one patient centered
treatment in managing the clots by self administering clexane when the conditions required. The
use of the teaching strategy of the nurses like teach-back method will ensure the nurses if the
patients had understood the teaching that was delivered to them. The learning that is required
here is the behaviorist type followed by the environment that is dependent on the current cultural
belief and condition of the patient.

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