community paper2

Topics: Health care provider, Health care, Patient Pages: 8 (1664 words) Published: December 14, 2014

Teaching Experience Paper
Katy Wells, RN
Grand Canyon University: NRS 427v-0103
November 22, 2014

Teaching Experience Paper
The multifaceted health care facility located just outside of Richmond VA called Henrico Health Care and Rehabilitation houses both a long term care population and inpatient rehab. Dealing with both the long term care population and rehab patients brings its own health related issues. This group of people can also be called a vulnerable population. A pamphlet was developed to aid not only the patients but the health care providers as well in better understanding some of the important factors surrounding home safety after discharge. Primary home safety tips where included in a tri-fold front and back pamphlet. The information was geared towards ways to make the home safe and ready after rehabilitation discharged. A home that they have not seem possibly for a long time. Due to time constraints with staffing the pamphlet was given to an administrator and reviewed and taught individually. Additional pamphlets were made available to be given out to staff when time allowed and to be in discharge planning packets.

Summary of Teaching Plan
The teaching plan devised gave many more details than the pamphlet could hold. However, completing the teaching plan gave better direction to the cohesiveness of how the pamphlet flowed and how it was laid out. Focusing on home safety after discharge from an inpatient rehab facility, mainly ways to prevent injury, comes under a primary prevention and health promotion category. A nursing diagnosis of: Risk for injury related to new physical limitations as evidenced by recent admission to inpatient rehab facility was used to guide the thought process of both the teaching plan and the pamphlet. Health People 2020 was also utilized to guide the presentation. From the focus areas deemed important by Healthy People 2020 two were chosen. Injury prevention in the older adult takes up two of the Healthy People 2020 objectives and combines them into one common goal. “Falls are the leading cause of death due to unintentional injury among older adults; death and injury can be prevented by addressing risk factors (Older Adults, 2014).” Many of these risk factors are addressed in the pamphlet bringing knowledge and awareness to both health care provider and patient alike. In the teaching plan, four domains/behavioral objectives with content and methods and/or strategies were reviewed and elaborated on even though additional domains were place in the pamphlet. These domains included Remaining injury free while cooking: Persons in wheelchairs should place tilted mirrors at back of stove to see into the pots without tipping them. Remaining injury free in the home setting: Hand grips should be placed in showers and near toilets. Remaining injury free outside/in the yard: Flood lights and/or motion sensor lights can aid in increased visibility when arriving home in the evening hours. Ability to verbalize community resources: organizations such as churches, meals on wheels, fire departments or even Life Alert are available to help when needed.

Epidemiological Rationale for Topic
Home safety after discharge can reduce injuries (in all ages) and help prevent hospital readmissions and return visits to rehab. Readmissions, from potentially avoidable situations, can lead to further complications on top of the initial health issue that landed the patient in rehab. Decreasing falls after discharge from rehab reduces return admissions which in turn decreases rates of pneumonia. Not only are the elderly more prone to falling than other populations but when coupled with a new limitation especially ones that require a rehabilitation stay chances are increased. “Injury is the fifth leading cause of death in elderly patients, and most of these fatal injuries are falls (Fuller, 2014).” Using hand grips placed strategically around the home especially...

References: Fuller, G. F. (2000). Falls in the Elderly. Retrieved from American Family PHysicain:
Kolesnikov, A. V., Fan, J., Crouch, R. K., & Kefalov, V. J. (2010). Age-Related Deterioration of Rod Vision in Mice. The Journal of Neuroscience, 11222–11231.
Older Adults. (2014). Retrieved from
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