coaching plan describe three teaching resources identify H e a l t h M e d i c a l
Susan Jones is a 44-year-old African-American female with a past medical history of diabetes mellitus type II, HTN, and GERD. She works in a manufacturing plant in her hometown. While at work, she feels faint and has to sit down. The occupational nurse is contacted to assess her and notes her blood pressure is elevated and her blood sugar is 225. Susan Jones is married and a mother of two teenage children. She has been employed in her current position for six months.
Susan had an exercise stress test six months ago during her pre-employment screening and was evaluated by a cardiologist. She was referred by her primary care provider due to risk factors of stress, obesity, hypertension, smoking, diabetes mellitus and a positive family history of coronary artery disease. Susan had a negative exercise stress test, but has not taken the advice of her physician to incorporate any recommended lifestyle changes to improve her health. Susan has not been taking her prescribed medications every day, especially her lisinopril because she read online that it may be making her cough. She feels overwhelmed with her new job, planning her oldest daughter’s upcoming graduation party, and is arguing with her husband frequently as well as stress-eating her favorite pasta dishes and sweets.
Her prescribed medications are:
ASA 81 mg PO daily, Lisinopril 40 mg PO daily, HCTZ 25 mg PO am, Metformin 875 mg PO BID, Omeprazole 20 mg PO daily
The occupational nurse recommends that Susan see her primary care provider for health clearance before returning to work. During the appointment, Susan’s PCP recommends that Susan stop her lisinopril and begin taking losartan 50mg every day. He continues all other medications and asks you, the nurse, to provide her discharge teaching and information about her new medications and suggested lifestyle changes.
Using the above Case Study Scenario, please answer the following:
- List the goal for this teaching/coaching plan
- Describe three teaching resources
- Identify the teaching strategies that can be used
- List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do
- Identify two factors that may negatively influence adherence to the medication and how they can be overcome
- Describe how to include the family
- Provide information on how and when she should seek support and help