Theories and Principles of Nursing


This case study provides information you will need to know to complete the Discharge Teaching Plan Assignment. Please see the guidelines in Doc Sharing for more details and grading rubrics for this assignment. After you read the case study, obtain the Discharge Teaching Plan form from Doc Sharing and document your teaching plan for Mr. Yoder.

Case Study

Continuing our story of Mr. Red Yoder, our elderly diabetic patient:

Two weeks later, Red misses his Monday morning coffee at the local VFW. He has also missed church for the past four Sundays. He usually has a few whiskey sours a day and needs to take something for sleep (Benadryl). Jon (Red’s son) gets “irritated with me over my beer and whiskey habits and yells pretty loud” at times. His friends “worry about him.” “I know it’s only 20 miles to the VFW, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around.”

Red does not like to cook and usually picks up whatever is convenient, such as cake and donuts and some fast food. He also loves bacon! The home health nurse wanted to make sure he didn’t get an infection in that toe and now she is back to change the bandage. Red relates to the home health nurse “I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can my sugar be that high when I’m not eating much? I just took off my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. “

Red requires admission to the hospital for sepsis of the wound.

Admission notes:
Today’s Date: [assume it is today]

Brief Description of Client:
Name: Sherman “Red” Yoder

Gender: Male Age: 80 Race: Caucasian

Weight: 109 kg (240 pounds)

Height: 183cm (72 inches)

Religion: Protestant

Major Support: Jon (son) Phone: 869-555-3452

Allergies: no known allergies

Immunizations: Influenza last fall; tetanus 4 years ago

Attending Physician/Team: Dr. Frank Baker

Past Medical History: Diabetes Type 2 diagnosed June 2 (last year).

History of Present illness:
Patient developed an ulcer on his big toe that was treated at home for 2 weeks. Son brought patient to ER 6 days ago and patient was treated for sepsis with IV antibiotics.

Social History:
Widower; son (Jon) lives nearby

Primary Medical Diagnosis:

Surgeries/Procedures & Dates:
L4-5 laminectomy – 25 years ago;

Transurethral resection of the prostate – 6 years ago

Nursing Diagnoses:
· Impaired Walking;

· Impaired Skin Integrity;

· Ineffective Health Maintenance;

· Ineffective Self Health Management

One week later, Red is being discharged home with home health for wound care. Please prepare a discharge teaching plan for Mr. Yoder and his care takers.


In addition to the information presented in the week 2 introduction threaded discussion for Red Yoder, our elderly patient male patient, the student will read an assigned case study and write a discharge teaching plan utilizing the information gained from both sources.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO #1: Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO #1)

CO #3: Utilize effective communication when performing a health assessment. (PO #3)

CO #4: Identify teaching/learning needs from the health history of an individual. (PO #2)

CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6)


This assignment is worth a total of 100 points.

Due Date

The completed Discharge Teaching Plan form is to be submitted to the Dropbox by 11:59 p.m. MT Sunday of Week 2. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your assignment to the Dropbox on time may result in a deduction of points.


1. Review the initial information presented regarding Mr. Red Yoder, whom you met in week 2 threaded discussion. Read the Discharge Teaching Plan Case Study located in Doc Sharing. Take notes and highlight important points that are important to consider when developing a discharge teaching plan.

2. Use Microsoft Word 2010 (or later) to fill in the Discharge Teaching Plan form, which is located in Doc Sharing . This assignment is to be completed with a maximum of 6 pages. You may bullet point your responses.

3. Use scholarly writing including correct English grammar, syntax and sentence structure when writing in complete sentences.

4. Submit the assignment to the Discharge Teaching Plan Dropbox by Sunday, 11:59 p.m. MT, by the end of Week 2. Please post questions about this assignment to the weekly Q & A Forums so that the entire class may view the answers.

Grading Criteria

(Bulleted points you will need to address in your responses)

Category Points % Description
Special/ age related needs 10 10% · Are there any special needs regarding Mr. Yoder’s case?

· Does Mr. Yoder’s age present a problem?

· What are the risks of a readmission for Mr. Yoder?

· What measures might be put into place in an attempt to prevent a readmission?

Cognitive issues 12 12% · What is Mr. Yoder’s cognitive status in your opinion?

· What available assessment tool might you use to assess Mr. Yoder’s cognitive ability?

· Does the fact that Mr. Yoder mentioned: “I have not checked the bandage in a few days” concern you?

Physical barriers 10 10% · Why does the fact Mr. Yoder lives in a farmhouse alone, 20 miles from town present as a barrier?

· How is Mr. Yoder’s eyesight a possible barrier for him, given his age? What problems will this present?

Medications 12 12% · What medication teaching does Mr. Yoder need prior to discharge?

· Describe teaching material/techniques to help Mr. Yoder understand his diabetes as it relates to his blood sugar and necessity for insulin injection.

Nutrition 12 12% · What measures are needed to ensure Mr. Yoder follows a diabetic diet?

· Will he be able to prepare his own meals and if not, how will he get the nutrition he needs for wound healing and to keep his blood sugar under control?

Roles and Relationships 8 8% · Who are the closest family members to Mr. Yoder and what is the state of that relationship?

· His friends “worry about him.” Do you believe his friends could be a support system for Mr. Yoder and help him be more compliant in his own care?

Self-concept 8 8% · Given the scenario and Mr. Yoder’s non-compliant behavior, what would you expect his self-concept to be?
Wound care 12 12% · What are some important teaching points to make in regard to Mr. Yoder and his foot wound? Name 3 teaching points.
Resources/ Referrals needed 10 10% · What are some community resources that may be available for Mr. Yoder?

· Will there be challenges because of the location in which he lives?

Clarity writing 6 6% · Content is organized logically and clearly understandable. Writing is free of spelling, grammar and syntax errors.
Total 100 100% A quality paper will meet or exceed all of the above requirements.

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