Not Breast Stroke, Death Stroke

In Partial Fulfillment of the Project Requirement in

Teaching Strategies in Health Education
2nd Semester 2014

Submitted To
Joyosthie Basco-Orbe
Clinical Instructor
Level ll, AUP College of Nursing
Submitted by:
Danielis Hutabarat
Section:

M, T 8:30-10

Submission Date
March 19, 2014

TABLE OF CONTENTS
1.Demographic Data
2.Assessment of Needs
3.Assessment of Learning Readiness
4.Nurse Patient Interaction
5.Statement of Readiness
6.Lesson Plan
7.References
8.Quiz
9.Teaching Aids
10. Evaluation
11. Recommendations
12. Acknowledgement
13. Pictures

DEMOGRAPHIC DATA
Name: San Pedro, Barry
Age: 28
Gender: Male

Birthday: December 27, 1985

Status: Single
Occupation: Student/Employee
Religion: SDA
Allergies: Shell-Fish
Vital Signs:
BP= 130/100
PR= 80 bpm
RR= 24 brpm
Diagnosis: Hypertension

Assessment of Needs
PRESENTING SYMPTOMPS
What symptoms did your experience?
P: She had hypertension, she had very weak body, and she would always get
dizzy

What did you do when you became aware of these symptoms?

P: We gave her garlic and tea and advise her to rest.
Why do you think you developed these symptoms?
P: Life-style and shes a work-alcoholic.
Health History of the patients/family
Review history documented by physician, including previous hospitalizations,
patient/family health problems, past and present
P: Families have a history of hypertension, and heart related disease.
Knowledge of past illnesses
P: she was a fighter all throughout her sickness.
P: When my grandma got a stroke, she was stubborn at times, but we were able
to take care of her. And when my grandma got a stroke she thought it was the
end of her life. She always felt that she is a burden.
Family history of diseases
Hypertension
Physical Assessment
Patients grandma deceased.
LABORATORY, X-RAY, DIAGNOSTIC TESTS
Only X-RAY
PSHYCHOLOGICAL STATE
P: We went to see many doctors over the course of my grandmothers sickness.
These doctors taught us about how to take care of my grandmother and how to
prevent further harm to my grandmothers health.
EVIDENCE OF PREVIOUS PATIENT EDUCATION
P: We complied with almost everything that the doctors instructed us to do to the
extent of the money we had available. We bought all the medicines prescribed to
my grandma when we could afford it. We would participate in physical therapy
sessions to help recuperate her physical ability.

SOCIOCULTURAL ECONOMICS STATUS

Interview patient relative to-social habits
P: My family and I do not smoke, drink, or do drugs.
P: We do not consume alcohol.
P: My grandmother was a housewife/homemaker. She was just an elementary
graduate. We had Phil health.

FAMILY MEMBERS AND OR SIGNIFICANT OTHERS

Who is most likely to assume responsibility for the patient after discharge?
P: The financial, emotional, and physical support all originated from my mother
and me.
What is the attitude of the family towards the patient condition?
P: My mother and I are the most likely to assume responsibility for the patient
after discharge.
What is the convenient time for family members to be available for teaching?
P: I and my mothers attitude towards the sickness was one of frustration and
sadness. We loved grandma but we did not like her condition. The convenient
time for family members to be available for teaching will be whenever there is
free time available.

ASSESSMENT OF LEARNING READINESS

AWARENESS OF DIAGNOSIS
What has been told about your illness?
P: Doctors have told that the illness that my grandmother has (hypertension) was lifelong and should be closely monitored. Medical professionals have told us thats strokes
have permanent effects on the physical wellbeing of people.
PREVIOUS KNOWLEDGE AND EXPERIENCE
Patient and his family have heard of hypertension and stroke many times. It is quite
common, but never really understood until the time it happened in the patients life.
INTELLECUTAL ABILITY
The patients level of cognitive function is fairly above average. The patient is able to
understand complicated terms and has the willingness to learn. Currently the patient
has sufficient knowledge about hypertension and stroke but desires to learn much more
about the topic.
MOTIVATIONAL LEVEL
The patients attitude towards illness and self-care is one of constant search for
understanding and self-improvement. The patient has a strong willingness to learn
about the subject at hand.
PHYSICAL CONDITIONS
The patient deceases a long time ago. But the grandson I am interviewing patient have
no pain, dyspnea, nausea, and vertigo but he is hungry and sleepy. And the patient is
28 years old. Patients visual, auditory, and expressive problems are all normal.

PSYCHOLOGICAL STATE
The patient seems to be just like any other average human being: prone to fear, worry,
grief, and guilt. The patient has the added factor of having a strong belief in the LORD.
This factor is very significant in that the patient has a stronger spiritual structure. The
patient has told me that he in the power of prayer and that faith in our LORD can move
mountains.
PERCIEVED NEED TO LEARN
The patient is very willing to accept new knowledge. The patient is very teachable. The
patient is willing to accept criticism if needed.
LEARNING ENVIROMENT
The patient is distractible and confesses the need to be helped in focusing. The place to
teach the patient should be quiet and lacking of distractions. The patient is expressive
enough to verify what he needs to say and what he want know. The patient is willing
decide to change if he is convinced enough that there is great benefit in the change and
new knowledge being imparted to him.

Nurse Patient Interaction

Date and time of Interaction: March 12, 2014 at 10 A.M.
SN: Hey bro Barry how are you today?
P: I am great Dan! Thanks for asking. How about yourself Dan?
SN: I am great too bro, can I ask you a question?
P: sure! Go head Dan, what is your question?
SN: Do you have any family member or relative who went
through an illness?
P: Yes I do, my grandmother who had a stroke and died from it.
Why do you ask Dan?
SN: I need to interview someone and I need to teaching them
about health. Is it okay if I interview you about your grandmother?
P: thats fine by me, but we cant do it today, can we do it some
other time?
SN: okay when are you available bro?

P: tomorrow from 7 A.M. to 12 P.M. Ill just text you okay Dan?
SN: okay Barry, just dont forget.

Statement of Readiness
Identified Learning Needs:
Cause the illness
How to prevent it

Focused Learning Topic: Stroke

Teachers Priority Listing
Define stroke
Types of stroke
Signs of stroke
Way to prevent it

REFRENCES
http://www.ric.org/conditions/stroke/what-is-astroke/
http://www.stroke.org/site/PageServer?
pagename=symp
http://www.mayoclinic.org/diseasesconditions/stroke/basics/symptoms/con-20042884
http://www.health.harvard.edu/newsletters/Harvar
d_Womens_Health_Watch/2013/June/things-youcan-do-to-prevent-a-stroke

PICTURES

TEACHING AIDS
PowerPoint
Lecture
Discussion

Evaluation

The patient had been interested from the very start. And he
was very happy because with his busy life and no time in finding
out what really happen to the love one he lost. That his prayer, in
way was answered, when I tell him that I would teach stroke. I
saw his eyes open wide when I was presenting that day. The

patient said, I had some idea and picture of what is a stroke, but
this helps me see in a bigger and in depth about the disease. He
agreed to all that the presentation taught him and he would his
very best in preventing. And He sees how that if hes not applying
it these things will happen in his life. In the end of the
presentation, he was thank you, and grateful in the extra
information of this disease which will help him in the future.

Recommendations
I would like to recommend my patient to share what I
taught him with others and to apply these things in his own life. I
would love to express my idea and feeling about health education
and students for next year class. To not stress out so much on the
project itself, but organize and prepare all require things to make

the teaching. I wouldnt say that I wasnt not stressed, which I

was. Because I didnt know that my patient was really busy with
work and study. So I would like to advice friends, to stay happy
and positive to get a real blessing in helping teaching someone
and also a chance of practical learning of the real, future task to
enjoy it .Teaching a patient is really important and it can change
their lives and their families lives. Also when teaching the patient
the nurse is learning and need to be updated in all future health
information.

Acknowledgement
I would like to acknowledge people who helped me with
this project and I would like to thank you all. First of all I would like

to thank you God for helping me focus and keeping me calm when
things seem hard. Second I would like to say thank you to Maam
Orbe for everything, especially when I told her that I needed
more time because my patient didnt have the time to do
anything. So many things I learned from Maam Orbes class and
the way she teaches. I am really blessed for having Maam Orbe
as my teacher and with all the help, support and time of my
teacher. Third I would like to thank you to the CI lady for the
advice when I was giving the teaching and what I need to improve
and to be better at. She really helps me and gave me a clear and
huge picture on how important it is to know in giving teaching to
patient. Last, but least I want to say thank you to my patient who
help me finish this research teaching project. I know that he didnt
have time at all in doing this but because I was a friend he
wouldnt want to let me down. All-in-all I really appreciate
everything from everyone who I mention, it was a blessing
experience for me, I thank you ALL for helping me and having me
in my life.