Lamar State College – Port Arthur
Allied Health Department
Student LerShoniter Brown
Name:
10
Complete sentences, correct
spelling and grammar throughout.
Correct APA format of references
included
20
Outside Resource: One unique
credible Web site cited as a
resource.
Thorough explanation why site was
chosen, minimum of 3 reasons.
Detailed discussion, a minimum of 5
points, over what was learned from
this site.
Identified at least 5 key teaching
points.
Risk Factors: Thorough and
appropriate discussion of at least 3
risk factors for this patient
Upward Mobility Program
Teaching Plan
Date: 10/3/2010
<10-6
No more than 2-3 errors in complete
sentences, correct spelling and
grammar throughout.
No more than 2 errors in APA format
<20-16
Explanation vague, or 2 points
included over why web site was
chosen or
Information learned from web site is
vague or 4 points learned discussed
or
Key points discussion is vague or
included 4 key teaching points.
Vague, inappropriate discussion or
2 risk factors discussed
Instructo Shirley Mac Neill
r:
<6-0 Points Earned
>3 errors in complete sentences,
correct spelling and grammar
throughout.
>2 errors in APA format
<16-0 Points Earned
Did not choose a unique credible
Web site or used only the textbook
as a resource and/or
Explanation on why web site was
chosen vague or included <2 points
and/or
Points learned discussion <4 points
and/or
Discussion included <4 key points
learned.
Vague, inappropriate discussion
and/or <2 risk factors discussed
Measurable Objectives: Three
appropriate and measurable
objectives for this patient’s learning
identified and properly written;
Includes one safety objective
Teaching: Minimum of 3 teaching
objectives
Thoroughly explain what will be
taught in each objective
Includes a minimum of three
measures for each objective
Must include one prevention
objective to promote safety
Late Penalty:
Late assignments may be penalized
up to 5% for every day late after the
date and time due
Inappropriate measurable objectives
or
2 measurable objectives included or
Objectives are not measurable or
Does not includes one safety objective
Only included 2 teaching objectives or
Vague explanation of what will be
taught in each objective or
Includes a 2 measures for each
objective or
Does not include one prevention
objective to promote safety
Comments:
Inappropriate measurable objectives
and/or
<2 measurable objectives included
and/or
Objectives are not measurable
and/or
Does not includes one safety
objective
Only included 2 teaching objectives
and/or
Vague explanation of what will be
taught in each objective and/or
Includes a 2 measures for each
objective and/or
Does not include one prevention
objective to promote safety
Total Points Earned (maximum of
100)
Late Penalty Deduction
Failure to submit electronically as
an attachment in proper format (MS
Office Word) with grading rubric as
first page of document
Points deduction (maximum of 10
points)
Final Score
Student Name: LerShoniter Brown
Web site and Teaching Points
1. Identify credible web site
2. Explain why you chose this
site (be thorough)
3. Discuss in detail a minimum
of five points you learned
from this site
4. Identify a minimum of five
key teaching points for any
patient
Week: Module 2
Date: Octember 3, 2010
Credible Web Site (Post title,
agency, and link for your website):
Neonate at risk for fluid imbalance, The Merck
Manual of Diagnosis and Therapy
www.merck.com
Reason(s) for choosing site (use
complete sentences; minimum of 3):
1. The website is broken up into
sections categorized along types of
afflictions and causes, followed by
appropriate treatments.
2. This website offers information on
most diagnosis and therapy in the
medical library in alphabetical order
and also provides tools to educate
patients.
3. The hard copy of Merck Manual
has a longstanding tradition as a
tremendously valuable resource to
many professionals that is now
offered on the website.
Points learned (discuss using
complete sentences; minimum of 5):
3. The Merck web site give you specific
guidelines based on fluid management and
on weight in children, because children are
more sensitive to fluid depletion and excess
than adults.
4. When reviewing the information on Merck
website, I learned that neonates are at risk
of dehydration because they unable to
signal thirst effectively and to replace
losses voluntarily.
5. The web site provides patient education
that includes meal plans, children’s health
and general health and also has a portal to
speak to a live representative and how
dehydration usually is due to diarrhea and
remains a major cause of morbidity and
mortality infant but however over
hydration may be as devastating as
dehydration.
6. The Merck sit also discussed how infants
lose more fluid through the kidneys
because immature kidneys are less able to
conserve water.

Risk Factors
1. Discuss a minimum of three
risk factors for this patient
that makes this an
appropriate web site to
facilitate your teaching.
7. The website also discuss the different
parameters assessed for monitoring
electrolyte imbalances (egg; central venous
pressure, serum electrolytes, hemoglobin
and hematocrit) in neonates and factors that
decrease fluid intake and increase fluid
loss.
Key teaching points (discuss using
complete sentences; minimum of 5):
1. Teach the Factors which causes
electrolyte imbalances and
appropriate prevention measures
and also express that dehydration is
the most common fluid imbalance.
2. Explain to the caregiver the
importance of maintaining proper
nutrition and hydration.
3. Discuss with the caregiver about
checking the neonate suck
mechanism and muscle tone and
looking for a soft spot on the skull.
A lack of sweat in the armpits and
groin in neonates are also signs of
dehydration also monitor
temperature.
4. Nurse will teach caregivers how to
check capillary refills and that
delayed capillary refill can result
from low cardiac output.
5. Nurse will discuss the different
factors that decrease fluid intake
and increase fluid loss.
Risk Factors (specific to your
patient; discuss using complete
sentences; minimum of 3)
1. Neonates are at risk of dehydration
because they unable to signal thirst
effectively and to replace losses
voluntarily.
2. Neonates are at risk for altered skin
integrity related to skin contact of
frequent watery stools.
3. Neonates are at risk for electrolyte
imbalance related abnormalities of
laboratory findings.
Measurable Objectives
1. List a minimum of three
measurable objectives for this
patient’s learning
a. One of the objectives
should cover safety
Explanation of Patient Teaching
1. Thoroughly discuss what will
be explained to this patient
2. Include a minimum of three
measures that will allow you
to meet each of your
identified measurable
objectives
Measurable Objectives specific to
your patient’s learning (include
measurable criteria; minimum of 3):
1. Caregiver will identify common
causes of electrolyte imbalances
and how to prevent it.
2. Caregiver will describe three
methods to increase hydration.
3. Neonate caregivers will recognize
fever and signs and symptoms of
infection.(Safety Objective)
Explanation of Patient Teaching that
will meet your patient’s measurable
objectives (discuss using complete
sentences; minimum of 3 measures
per objective):
Objective #1: Caregiver will identify common
causes of electrolyte imbalances related to
dehydration.
1. Nurse will instruct the caregiver on the
danger of diarrhea and if becomes more
frequent or severe the child can become
dehydrated or very sick and the
importance of informing the care
provider. Also instruct that weight loss
and decreased frequency of urination
and fluid intake can indicate
dehydration.
2. Nurse will instruct the caregiver
on the importance of intake and
output, counting diapers and
weighing them to determine the
infant’s accurately output and
closely observes all stools.
Document the number and
character of the stools, as well as
the amount.
3. Nurse will explain to the caregiver the
abnormalities of laboratory findings of
dehydration. For example the serum Na
level may be increase, BUN, a modest
increase in serum glucose, and, if serum
K is low, a depression in the level of
serum CA, but the goal is to decrease
the serum Na level.
 Objective #2: Caregiver will describe three
methods to increase hydration.
1. Nurse will instruct the caregiver that
the infants may resume breastfeeding or
formula as soon as they have been
rehydrated and are not vomiting.
2. Nurse will instruct the caregiver to
force, your child to drink. If you are not
breast-feeding your child, give him or
her special clear liquids with
electrolytes, such as Pedialyte, instead
of formula for the first 12 to 24 hours.
Encourage your child to drink.
Dehydration, no matter what the cause,
needs to be treated by replacing lost
fluids.
3. Nurse will assess the caregivers
understanding of the reasons for
maintaining adequate hydration and
methods for reaching goal of fluid
intake.
Objective #3: Neonate caregivers will
recognize fever and signs and symptoms of
infection.(Safety Objective)
1. Nurse will instruct caregiver on the on
the importance of the child developing
sudden high fever and taking the
temperature with a thermometer that is
used only for that child. Also instruct
the caregiver to verbalize standard
precautions for infection control and no
that the normal temp for an infant is
98.6F to 100F (37C to 37.8C).
2. Nurse will discuss the
observations of skin turgor and
the conditions in color and
temperature with caregiver of the
neonate.
3. Nurse will instruct the caregiver
monitor signs of dry skin and mucous
membranes, increase temp, flush skin,
rapid thread pulse. Increase Hct, Na and
urine specific gravity on clinical
findings.
Reference(s) (APA format):
Dehydration. (2010, September 30). Retrieved from http://www.merck.com

Vomiting. (2010, Septemner 30). Retrieved from http://www.merck.com

http://www.merck.com/mmpe/search.html?qt=vomting+in+neonate+related+to+dehydration

Diarrhea in Children. (2010, September 30). Retrieved from

http://www.merck.com/pubs/podcast/home.html#DiarrheainChildren

Ackley, B. J., & Ludwig, G. B. (2008). Nursing Diagnosis Handbook: A guide to

planning care (8th Ed.). St.

Louis, MO: Mosby Elsevier.