Advanced Nursing: Community Teaching Plan

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Table of Contents

Introduction
Community Setting
Interview Summary
Teaching Plan: outline
Teaching Plan: patients’ objectives
Teaching Plan: content
Teaching Plan: methods
Conclusions
References

Introduction

patient and community education as nurses’ responsibility;
education includes various forms (e.g., day-to-day care, preventive education, community education, post-rehabilitation, etc.);
aim of the presentation: teaching plan for acute rehabilitation care patients.

Community Setting

Target Population: Stroke Acute Rehabilitation Patients

stroke as a leading cause of death in the US (CDC, 2021);
every 40 seconds, someone in the US has a stroke (CDC, 2021);
stroke causes severe disabilities in terms of mental and physical, and social disabilities, e.g., inability to perform ADLs, depression, dementia, and other cognitive disorders (Pucciarelli et al., 2019).

Types of post-stroke rehabilitation:

physical
behavioral/psychotherapy
neurological
recreational
speech-language
occupational

It is imperative to secure steady rehabilitation after the patient is discharged from the acute rehabilitation facility.

Interview Summary

Interviewee: admission nurse at acute rehabilitation facility

Interview type:
- semi-structured interview;
- total of 10 question;
- held via Zoom;
- duration: ~25 min.
Interview outputs:
- stroke is the most widespread condition among facility patients;
- the most widespread type of therapy: occupational and counseling;
- high rates of readmission.
Question:
- what, in your opinion, is the crucial part of the patient education process in terms of rapid recovery?
Quote:
- …many patients feel positive about their recovery while they are encouraged and supervised. However, once the scenery changes and they are discharged from the facility, they feel lost, insecure to seek help, or feel like they don’t need any rehabiltation once they feel a little better.

Teaching Plan: outline

aim of the intervention:
motivate soon-to-be-discharged patients to continue rehabilitation at home
provide patients with possible at-home rehabilitation and care-giving options
explain the role of patients’ individual responsibility in the overall process of recovery

Teaching Plan: patients’ objectives

At the end of the teaching session, patients will be able:

to name at least three reasons of the importance of rehabilitation at home
to name the risks of rehabilitation abandonment
to acknowledge the need for assistance and psychological support
to name the resources they may address in case they need help with rehabilitation

Teaching Plan: content

PART I. Acknowledgment of one’s health condition
Name of the Activity	Details
Self-actualization assessment	Patients are provided with a questionnaire concerning their current level of health and autonomy. Patients are asked to conduct self-evaluation based on the 1-10 scale (1 is the lowest)
A wish-list activity	Patients are given 5-7 minutes to fill in the list of their objectives in terms of their health and autonomy.
Health Roadmap	Patients are asked to define what steps are required in order to fulfill the activities outlined in the wish-list.

PART II. Providing patients with rehabilitation rationale
Name of the Activity	Details
Mini-lecture	Educator (nurse) provides patients with the general recommendations concerning their first months outside the facility, including nutrition, avoiding unhealthy habits, overload, and stress.
Group Discussion	Patients and nurse participate in a discussion concerning the reasons they need assistance, along with the reasons why they should not be afraid to seek help given the circumstances.
Readmission Risks	Nurse, with the help of patients, defines major behavioral precursors of readmission.

PART III. Providing patients with assitance resources
Name of the Resource	Details
Stroke Support Group at Memorial Sounth	Community for all types of post-stroke support for caregivers and survivors.
Memorial Healthcare System.	Rehabilitation services and support group for caregivers and survivors.
Nursing Plus (Broward Community)	Formal and informal home care for stroke survivors.

Teaching Plan: methods

active listening through dialogue and minimum use of sophisticated lexis;
presence of professionals and caregivers;
pleasant learning environment.

Conclusions

stroke rehabilitation is a complex and multimodal process
lack of discipline, care, and motivation outside the rehabilitation facility leads to higher readmission rates
teaching plan concerns soon-to-be discharged patients who are already able to perform some of their routine tasks and perceive information

References

Centers for Disease Control and Prevention [CDC]. (2021). Stroke. Web.

Pucciarelli, G., Ausili, D., Rebora, P., Arisido, M. W., Simeone, S., Alvaro, R., & Vellone, E. (2019). Formal and informal care after stroke: A longitudinal analysis of survivors’ post rehabilitation hospital discharge. Journal of Advanced Nursing, 75(11), 2495-2505.