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Louise Diehl, RN, MSN, ND, CCRN, ACNS-BC, NP-C
Nurse Practitioner - Owner
Doctor of Naturopathy
Lehigh Valley Wellness Center
Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program.
Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes).
The Identified Learning Need
Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every year and many are unaware that it requires lifestyle changes, especially in the areas of nutrition and physical activity. Making these lifestyle changes is one of the greatest challenges they will encounter in managing their diabetes. The main goal of the teaching plan is to provide the patient with the knowledge to be able to make self-directed behavioral changes to improve their overall health and manage their diabetes.
The Behavioral Objectives for the Teaching Plan
The patient will be able to describe the diabetic medications that they are on and how to properly take the medications The patient will be able to demonstrate proper skin and foot care. The patient will be able to perform self-monitoring of blood glucose using a blood glucose meter as evidenced by demonstration of the technique to the nurse or nurse practitioner. The patient will be able to describe the benefits of regular exercise and how regular exercise can improve blood glucose control.
The diabetes teaching plan is aimed at helping the patient make educated lifestyle choices and changes that will promote health and promote a stable blood sugar. Each patient needs a comprehensive treatment approach. This includes: (a) an individualized food/meal plan appropriate for his/her lifestyle, (b) education related to diabetes and nutrition therapy, and (c) mutually agreed-upon short term and long term goals for lifestyle changes.
The teaching plan should stress the importance of complying with the prescribed treatment program. This teaching plan should be tailored to the patient’s needs, abilities, and developmental stage. The teaching plan for a patient with diabetes should include: diet, administration, possible adverse effects of medication, exercise, blood glucose monitoring, hygiene, and the prevention and recognition of hypoglycemia and hyperglycemia (McGovern, 2002).
The teaching plan is an education program designed to help patients with newly diagnosed diabetes or patients who need a review of concepts for managing their diabetes. However, diabetes management...