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Running head: TEACHING PLAN ASSIGNMENT

The Teaching Plan Assignment: Beta Blockers

Annette Ramos and Rachael Mazzante
Cedar Crest College

TEACHING PLAN ASSIGNMENT

NUR 314 Pharmacology Teaching Plan

Student Name: Rachael Mazzante Medication: Metoprolol (Lopressor) 25 mg orally, daily. Therapeutic Class: Antianginals,
and Annette Ramos
Antihypertensives, Pharmacoligical Class: Beta Blockers. Pregnancy Category: C (Non
applicable to this male client) (Vallerand., Sanoski, & Deglin, 2013).

Nursing Diagnosis(s): Knowledge deficit related to Cardiac management as evidenced by noncompliance. Decreased cardiac output
related to altered contractility as evidenced by altered heart rate. Impaired comfort related to disturbed sleep pattern as evidenced by
noise disturbance. Ineffective self-health management related to a complex therapeutic regimen as evidenced failure to include
treatment regimen in daily living. Acute pain related to physiological factors as evidenced by Myocardial Infarction. Disturbed visual
perception related to lack of visual aid as evidenced by complaints (Sparks and Taylor 2011).
.
Assessment of Learner: Asses all of the
following prior to teaching and adapt as
needed, Assess eyesight, willingness and
ability to learn, reading level, visual aids,
memory and orientation, social support,
knowledge of Cardiac history and
Myocardial Infarction, financial resources
and cultural concerns.

Assessment of Environment: Assess

teaching environment prior to teaching and
adapt as needed. Assess lighting,
interruptions and disturbances, noise, time,
and client comfort in the setting.

Learning Resources: Handouts and

enlarged text pamphlets, demonstration
and return demonstration, and community
resources.

Long Term Goal: Client will adhere to medication regimen and will not abruptly stop the medication without consulting the
physician, as long as necessary. Client will monitor pulse and blood pressure daily prior to taking medication. Client will report no
signs and symptoms of the medication by the next physicians visit. Client will demonstrate how to react to adverse reactions of the
medication by the next physicians visit. Client will demonstrate appropriate lifestyle changes within the next six months. Client will
bring visual aids to the next physicians visit (Kee, Hayes, & McCuistion, 2012).

TEACHING PLAN ASSIGNMENT

Short Term Goals:

Nursing Interventions:

Scientific Principles:

Evaluation

Patient will express interest in

Encourage patient to express
learning about cardiac
feelings and confirm what the
management on the day of care. patient knows in order to
determine what the patient
needs to know

Building on known information

leads to successful learning
(Sparks and Taylor 2011).

Evidence of outcome was

completely met when patient
expressed feelings, and interest
in learning how to manage his
cardiovascular disease.

Patients cardiac output will

remain adequate on the day of
care.

Monitor patient at least every 4

hours for any type of
irregularities in the heart such
as: cardiac rate or rhythm,
dyspnea, fatigue, crackles in
lungs, jugular venous
distension or chest pain.

Any or all of these may

indicate some sort of cardiac
failure or complication (Sparks
and Taylor 2011).

Evidence of outcome was

completely met, when
cardiovascular irregularities
were monitored every 4 hours.

Patient will report periods of

restful sleep on the day of care.

Switch patient into a more quiet To encourage rest, and well

and relaxing room. Encourage
being (Sparks and Taylor
exercise.
2011).

Evidence of outcome was

completely met when upon
switching into a quieter room,
the patient expressed being able
to sleep better.

Patient will demonstrate the

ability to learn & manage
health problems on the day of
care.

Monitor patients self efficacy

and use of problem-solving
skills as patient manages own
health.

Evidence of outcome was

completely met when the
patient was able to demonstrate
the proper dose and time for
oral medication. The patient
also expresses ambition toward
a healthier way of eating.

These concepts show a new

example in health management
that shows that patients need
many skills and confidence to
carry out a plan of care (Sparks
and Taylor 2011).

TEACHING PLAN ASSIGNMENT

Patient will identify support

systems on the day of care.

Encourage patient to discuss

support systems, and
coordinate with social services
and colleagues in other
disciplines.

This is to ensure that family,

economic, and social barriers to
optimal self- health
management have been
addressed (Sparks and Taylor
2011).

Evidence of outcome was

completely met when patient
was able to identify his
daughter as a support system.
He was also able to recognize
special services for help, such
as meals on wheels, and other
therapeutic services.

Patient will identify barriers to Teach patient about disease

To ensure active participation
successful self health
states and regimens, and how to in self-health management
management on the day of care. problem solve for self health.
despite any possible setbacks
(Sparks and Taylor 2011).

Evidence of outcome was

completely met when patient
was able to identify the loss of
his wife as being a big reason
for his loss of interest in taking
care of his health.

Patient will rate pain on a scale

of 1 to 10 on the day of care.

Assess patients signs and

symptoms of pain and
administer pain medication, as
prescribed.

This allows for care plan

modification (Sparks and
Taylor 2011).

Evidence of outcome was

completely met when patient
was able to rate discomfort as a
2 on a scale of 1 to 10.

Patient will express importance

in always using visual aid,
especially when taking oral
medication on the day of care.

Teach patient the importance of

using visual aide when taking
medication, and to prevent
environmental accidents.
Modify environment to prevent
any types of accidents.

This allows for better self care

needs by the patient (Sparks
and Taylor 2011).

Evidence of outcome was

partially met. The patient
expressed understanding the
importance of wearing his
glasses, but he is still waiting
for his daughter to bring them
for him to use in the hospital.

Patient will be free of side

effects that can occur with beta

Teach patient the importance in

identifying side effects that can

This allows for better self care, Evidence of outcome was

and allows for any modification completely met. The patient has

TEACHING PLAN ASSIGNMENT

blockers on the day of care.

occur when taking an oral beta

blocker.

in medications if necessary.

not experienced any signs of:

diarrhea, stomach cramps,
nausea, and vomiting. (Ogbru
2009)

TEACHING PLAN ASSIGNMENT

References
Kee, J. L., Hayes, E. R., & McCuistion, L. E. (2012). Pharmacology: A nursing process approach. St. Louis, MO: Elsevier Saunders.
Sparks, S., & Taylor, C. (2011). Nursing Diagnosis Reference Manual. Philadelphia, PA: Lippincott Williams & Wilkins.
Vallerand, A.H., Sanoski, C.A., & Deglin, J.H. (2013). Daviss Drug Guide for Nurses. Philadelphia, PA: F. A. Davis Company.
Ogbru, O. (2009). Beta Blockers. Medicine Net.com, http://www.medicinenet.com/beta_blockers/page2.htm