Teaching Plan for a Patient with Peptic Ulcer Disease Order Instructions: Scenario: The RN is developing a teaching plan for a male patient with a new diagnosis of peptic ulcer disease related to an H. pylori infection.
The patient immigrated to the United States from Vietnam two years ago with his extended family. He denies any current use of alcohol but has smoked one pack of cigarettes per day for the last 20 years. He reports increased fatigue during exercise, uses Chinese medicine to manage frequent muscle pain and has noted an occasional black bowel movement.
Teaching Plan for a Patient with Peptic Ulcer Disease Questions
1-Identify three (3) items related to the medical diagnosis that the RN needs to include in the teaching plan for this patient.
2-How will the RN incorporate cultural considerations into the teaching plan for this patient?
3-Identify one (1) member of the interprofessional health care team that should be included in this education plan. What is the role of this member?
Note APA format.
Base your paper on your readings and research on this topic.
Required Textbooks and chapters to use for this paper:
Pillitteri, A. (2014). Maternal & Child Health Nursing: Care of the childbearing & childrearing family, 7th edition. Philadelphia, PA: Lippincott Williams & Wilkins.
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Textbooks:
Brunner and Suddarth’s textbook of medical-surgical nursing**
• Chapter 3: Critical Thinking, Ethical Decision Making, and the Nursing Process
• Chapter 46: Management of the Patient with Oral and Esophageal Disorders (section on “Gastroesophageal Reflux Disease”)
• Chapter 47: Management of the Patient with Gastric and Duodenal Disorders (section on “Peptic Ulcer Disease”)
• Chapter 48: Management of the Patient with Intestinal and Rectal Disorders (sections on “Diverticular Disease” and “Inflammatory Bowel Disease”)
• Chapter 72: Emergency Nursing (section “Poisoning”)
Pharmacology: A patient-centered nursing process approach**
• Chapter 14: Medications and Calculations
• Chapter 25: Anti-inflammatory Drugs
• Chapter 48: Antiulcer Drugs
• Chapter 50: Drugs for Dermatologic Disorders (section on Burns and Burn Preparations)
• Chapter 59: Adult and Pediatric Emergency Drugs (section on Poisoning)
Maternal & Child Health Nursing**
• Chapter 45: Nursing Care of a Family When a Child has a Gastrointestinal Disorder (sections on Appendicitis and Inflammatory Bowel Disease: Ulcerative Colitis and Crohn Disease)
• Chapter 52: Nursing Care of a Family When a Child Has an Unintentional Injury (sections on “Poisoning” and “Thermal Injuries”)
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Web-based and Other Professional Resources:
• Hospital: 2016 National Patient Safety Goals**
• Hand Hygiene in Healthcare Settings
• Pre-licensure KSAs (2014)**
Teaching Plan for a Patient with Peptic Ulcer Disease Sample Answer
Teaching plan for a patient with peptic ulcer disease
Health education is important in the management of peptic ulcer disease. It is, therefore, necessary to incorporate it in the management plan. The following includes the items that should be included in a teaching plan for a client with peptic ulcer disease. The first item is lifestyle modification. It is important for the patient to note that some lifestyles aggravate symptoms of peptic ulcers while others lead to their development. In addition, there are others which lead to delayed healing of the ulcers (Hinkle & Cheever, 2013). These factors include alcohol intake and smoking. Therefore, it is important for the patient in this case to be encouraged to quit smoking since it delays healing of the peptic ulcers.
Moreover, it is necessary to include a treatment regimen in the teaching plan. The nurse should include a list of all medications, the dosages, time of administration and desired effects to promote patient compliance. The client should be given an opportunity for questions to clarify any misunderstanding. It is also important to include the complications that may arise from the ulcers so that the patient can seek management early (Hinkle & Cheever, 2013).
Dietary modification should also be included in the teaching plan. Some diets are associated with increased acid secretion and increased motility of the gastrointestinal tract. The client should be included the types of foods he should avoid, these include caffeine, meat extracts and other caffeinated drinks (Hinkle & Cheever, 2013). The patient should be encouraged to take several regular meals to help in the neutralization of the acid.
The health care provider should incorporate culture as a risk factor for the development of peptic ulcer disease. Some culture encourage intake of certain foods which may play part in exacerbation of peptic ulcer symptom. Intake of herbal medication may contribute to ulcers.
It is necessary to include a nutritionist in the teaching plan. This is to enhance emphasis to be put on the diet to be included. Some foods are associated with the high acid product which in turn delays the healing of the ulcers (Hinkle & Cheever, 2013). Therefore, the nutritionist will advise the client appropriately.
Teaching Plan for a Patient with Peptic Ulcer Disease Reference
Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth’s textbook of medical-surgical nursing. Lippincott Williams & Wilkins.
