HEALTH EDUCATION PLAN

OBJECTIVES:

1. To provide information to the client regarding the specific nutritional diet necessary for stroke clients 2. To promote sense of independence for the client regarding his/her self-care needs 3. To impart knowledge to client regarding the importance of proper hygiene in maintaining good health for stroke clients 4. To teach client regarding proper bowel movement necessary for eliminating bowel incontinence 5. To provide basic knowledge regarding the importance of early ambulation for stroke clients

GENERAL HEALTH TEACHINGS

SPECIFIC HEALTH TEACHINGS

DIET

• • •

Encourage pt. to eat soft foods to chew and swallow it easily. Instruct to eat on the unaffected side of the mouth and hand. Ensure pt. to wear dentures and eyeglasses if needed. Provide pt. appropriate utensils such as drinking straw, food guard, rocking knife, nonskid place mat to aid in self-feeding.

Place patient in optimal position for

feeding, preferably sitting up in a chair; support arms, elbows, and wrists as needed.

If patient has visual problems, instruct the pt. about the placement of the food in the plate.

Place the patient in wheelchair or stationary chair. This assists with support when dressing. Dressing can be fatiguing.

GROOMING

Encourage use of clothing one size larger. This ensures easier dressing and comfort.

Suggest elastic shoelaces or loop and pile closures on shoes. These eliminate tying.

Instruct patient to select bath time when he or she is rested and unhurried. Hurrying may result in accidents and the energy required for these activities may be substantial.

HYGIENE

Provide patient with appropriate assistive devices (e.g., longhandled bath sponge; shower chair; safety mats for floor; grab bars for bath or shower). These aids in bed bathing.

Encourage patient to comb own hair (a one-handed task). Suggest hairstyles that are lowmaintenance. This enables the patient to maintain autonomy.

Encourage patient to perform minimal oral-facial hygiene as soon after rising as possible. Assist with brushing teeth and shaving, as needed.

Assist patient with care of fingernails and toenails as required. These reduce injury.

Offer bedpan or place patient on toilet every 1 to 1½ hours during day and three times during night. This eliminates incontinence. Time intervals can be lengthened as the patient begins to express the need to toilet on demand.

BOWEL MOVEMENT

Encourage patient to use the stronger side (if appropriate) as best as possible.

TRANSFERRING/ AMBULATION

When transferring to wheelchair, always place chair on patient’s stronger side at slight angle to bed

and lock brakes.

Instruct s/o to stand on patient’s weak side and place hand under patient’s weak arm.

Encourage to use ambulation devices such as canes, walkers and crutches.

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