TEACHING PLAN FOR CHOLECYSTOLITHIASIS DESCRIPTION OF THE LEARNER: The patient, 62 years old, female, who is scheduled for

open cholecystectomy. The patient is physically, emotionally, spiritually and mentally prepared for the operation. Hindi naman ako kinakabahan sa operasyon pero paanong mangyayari after ng operation? as verbalized by the patient. The patient can understand English, Tagalog and Illocano. Through out the discussion, the medium of communication will be Tagalog and English. LEARNING NEED: Expand clients knowledge on Post Operative management after the surgery: Diet LEARNING DIAGNOSIS: Knowledge deficit on post operative management after the surgery: Diet related to lack of knowledge and information. GOAL: The client will be able to understand Post Operative management after the surgery: Diet Learning Content Teaching Strategy/Method Time Allotment and and Activities Resources Needed Method of Evaluation

Definition Bladder

of

Gall

Oneondiscussion

one

2 minutes Pamphlet about the definition of Gall Bladder 3 minutes Pamphlet about Open Cholecystectomy: In the recovery room.

Instant oral feedback: The client will be able to define correctly gall bladder using her own words. Instant oral feedback: The client will be able to correctly enumerate things being done in the recovery room.

In the Recovery Room

Oneondiscussion

one

My diet Oneondiscussion one

Instant oral feedback: 3 minutes The client will correctly Pamphlet about Open Cholecystectomy: My enumerate the diet hours after the surgery. diet

 At home

Oneondiscussion

one

3 minutes Instant oral feedback: The client will correctly Pamphlet about Open Cholecystectomy: At identify the diet she will be having at home. home

LEARNING CONTENT:
What is a Gall bladder? > Your gall bladder is an organ that resides close to your liver. The function of the gall bladder is to store bile that has been made by your liver. Bile is helpful to your body by assisting in the digestion of fatty foods. Your gall bladder will release bile into the duct system that leads to your small intestines in response to foods being ingested by your body. In the Recovery Room You might have a nasogastric tube inserted in your nose when you awake from surgery. This helps to drain fluids and stomach acid from your stomach. You are unable to eat or drink anything until the tube is removed. You will likely be attached to an IV to administer fluids and sugar until any nausea has lifted. My diet Once you begin to feel a little better, you will be given clear liquids. A liquid diet will be moved to solid foods as determined by your doctor. Many patients have an easier time with bland foods such as rice, bananas, toast and soups. At Home Once you return home, you can eat a normal diet. For the first moth or so after your surgery, you may notice that you have trouble digesting fatty foods. Your liver will eventually take over the function of the gall bladder, so add fat to your diet gradually as your body adjusts to the new process. Try your best to avoid constipation after surgery, by eating fiber in the form of fruits and vegetables and drinking 6 to 8 glasses of fluids each day. Avoid lifting anything heavier than 8 to 10 lbs. for two weeks after surgery.

References: Medical- Surgical Nursing : Critical Thinking for Collaborative Care 5th Edition By Ignatavicius and Workman http://www.livestrong.com/article/316317-post-cholecystectomy-diet/

SAINT LOUIS UNIVERSITY SCHOOL OF NURSING

TEACHING PLAN (POST OP MANAGEMENT FOR OPEN CHOLECYSTECTOMY: DIET)

SUBMITTED BY: CHANFING, KRISTEL MAE V. BNS4-I3 SUBMITTED TO: MRS. ELISA LARUAN, RN CLINCAL INSTRUCTOR SLU-OR

JUNE 24, 2011