The focus of this assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process. You will identify the patient needs and provide the technique used for teaching the content to the patient. You must also provide the rationale for the teaching technique. Discharge Teaching Plan Case Study Week 2: Sherman “Red” Yoder Directions This case study provides information you will need to know to complete the Discharge Teaching Plan Assignment. Please see the guidelines in Doc Sharing for more details and grading rubrics for this assignment. After you read the case study, obtain the Discharge Teaching Plan form from Doc Sharing and document your teaching plan for Mr. Yoder. Case Study Continuing our story of Mr. Red Yoder, our elderly diabetic patient: Two weeks later, Red misses his Monday morning coffee at the local VFW. He has also missed church for the past four Sundays. He usually has a few whiskey sours a day and needs to take something for sleep (Benadryl). Jon (Red’s son) gets “irritated with me over my beer and whiskey habits and yells pretty loud” at times. His friends “worry about him.” “I know it’s only 20 miles to the VFW, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around.” Red does not like to cook and usually picks up whatever is convenient, such as cake and donuts and some fast food. He also loves bacon! The home health nurse wanted to make sure he didn’t get an infection in that toe and now she is back to change the bandage. Red relates to the home health nurse “I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can my sugar be that high when I’m not eating much? I just took off my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. “ Red requires admission to the hospital for sepsis of the wound. Admission notes: Today’s Date: [assume it is today] Brief Description of Client: Name: Sherman “Red” Yoder Gender: Male   Age: 80  Race: Caucasian Weight: 109 kg (240 pounds) Height: 183cm (72 inches) Religion: Protestant Major Support: Jon (son)  Phone: 869-555-3452 Allergies: no known allergies Immunizations: Influenza last fall; tetanus 4 years ago Attending Physician/Team: Dr. Frank Baker Past Medical History: Diabetes Type 2 diagnosed June 2 (last year). History of Present illness: Patient developed an ulcer on his big toe that was treated at home for 2 weeks. Son brought patient to ER 6 days ago and patient was treated for sepsis with IV antibiotics. Social History: Widower; son (Jon) lives nearby Primary Medical Diagnosis: Sepsis Surgeries/Procedures & Dates: L4-5 laminectomy – 25 years ago; Transurethral resection of the prostate – 6 years ago Nursing Diagnoses: ·  Impaired Walking; ·  Impaired Skin Integrity; ·  Ineffective Health Maintenance; ·  Ineffective Self Health Management One week later, Red is being discharged home with home health for wound care. Please prepare a discharge teaching plan for Mr. Yoder and his care takers. Purpose: The focus of this assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process. Points: This assignment is worth a total of 100 points. Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form. Remember there is a 6 page maximum limit on this assignment. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Discharge_Teaching_ Plan_Form_Smith” When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q & A Forum or contact your instructor if you have questions about this assignment. Look at the EXAMPLE in the first assessment area. This is NOT an all-inclusive response and you will need to add your responses as well. Please be sure to review your guidelines. Assessment area Need(s) identified. Teaching technique or approach to problem identified. Describe content. Rationale for choosing this technique/approach. Example: Special/ age related needs These are some ideas, there may be others that you identify. ·  Age, lives alone, is non-compliant with diet. ·  Expected aging changes such as decreased hearing, visual difficulties. ·  Red appears to not understand his glucose numbers and how that relates to his diet and insulin administration. ·  Home health nurse to assist Red and family in proper insulin management and administration Ideas for teaching methods/approach based on the scenario and problems noted. You may have identified others. ·  Teach importance of diet and insulin management to Red and family and how to better manage his diabetes. ·  Use videos, audio and teach back methods. It may even be helpful to assure proper reading of the glucometer and administration of the insulin by Red or his family.   Provide a brief rationale on why you chose these particular technique/approaches. For example, Red may have poor eyesight due to the diabetes and needs audio and demonstration with return demonstration. He may not be able to see the lines on the insulin syringe. Cognitive issues Physical barriers Medications Nutrition Roles and Relationships Self-concept Wound care Resources/ referrals needed

Overview 1 First, read chapters 9 and 12 in your textbook, Transcultural Concepts in Nursing Care and chapter 18 Cultural Diversity and Care by Joan C. Engebretson. Then, answer the following questions: Define diversity in your own words.What are some benefits of a diverse health care workforce?What are some barriers to diversity in the nursing profession?Consider your own diverse cultural background. How does it affect the nursing care you provide? References: Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references. Words Limits Initial Post: Minimum 200 words excluding references (approximately one (1) page) Overview 2 This week, you will consider your own diverse cultural and generational background and how it impacts the care you provide to your patients. For this written assessment we will focus on generational diversity in the nursing population. Review table 12.2 on p. 379 of your textbook and address the following: Define and describe the four generations - name, timeframe, and a description of that group’s characteristics.Choose the group to which you belong. Explain how you think that you fit with this assessment of that generation.Select any other group to which you do not belong. Explain how those from your group can learn from that group, and explain how that group could learn from yours. ReferencesMinimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)Number of Pages/WordsUnless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.