HEALTH TEACHING PLAN

(TOPIC)

Submitted to:

___________________________________
Name of Clinical Instructor

Submitted by:

(Name of Student)
BN 2__

(Date)
I. Topic:

II. Purpose:

III. Venue:

A. Baseline Data

Name:________________________________________ Age: _________ Sex: __________

Address: ___________________________________________________________________

B. Assessment of the Client

IV.
Learning Content Outline Method(s) of Time Evaluation
Objectives Teaching Allotted
(Teaching
Strategies)
After 20 minutes of
health teaching on
_____________,
the client (s) will be
able to:

.
V. Resources (Instructional Materials)

VI. Value Statement (May use a quote or a relevant statement that is related to the health teaching topic)

VII. Content: (Based on the content outline)

VIII. References ( at least 3 textbooks & 2 internet sources only inclusive of the video) APA format

______________________________________ ______________________________________
Printed Name & Signature of Student Nurse Printed Name & Signature of Participant/Client
Date signed: Date signed:

Revised021719bfl