Mindanao State University - Iligan Institute of Technology

COLLEGE OF HEALTH SCIENCES

HEALTH TEACHING PLAN

Name of Patient: Age: Gender: Date:

Chief Complaints: Attending Physician: Room Number: _
Diagnosis/Impression: _ _ _

Topic: _
Description/ Overview:
_ _
Goal: _ _ _
Specific Objectives: 1. Cognitive

_ _
2. Psychomotor

_ _
3. Affective
_ _

Learner’s Code:
Patient Spouse Father Mother Caregiver Others:
Methods of Education:
Oral Discussion Demonstration Written Video Translator Group
Others:
Barriers to Learning:
Communication Difficulties Physical Impairment Cognitive Impairment Emotional None
Sensory Impairme nt Cultural/Religious Language Others/Complex:

Student’s Name:
 Mindanao State University - Iligan Institute of Technology
COLLEGE OF HEALTH SCIENCES
Materials Needed: 1.
2.
3.

Student’s Name:
 Mindanao State University - Iligan Institute of Technology
COLLEGE OF HEALTH SCIENCES
Learning Content (Outline) Teaching Strategy Time Allotment Evaluation and
(in minutes) Assessment Tool

Student’s Name:
 Mindanao State University - Iligan Institute of Technology
COLLEGE OF HEALTH SCIENCES
Performance Learner Code:
Verbalized Understanding Demonstrate Ability Reinforcement Recommended Did not understand

Evaluation: _
Date/Time Performed: _

REFERENCES:
1.
2.
3.

EVALUATION TOOL: HEALTH TEACHING RUBRIC

UNACCEPTABLE SATISFACTORY EXCEPTIONAL

(30)
Teaching Plan Objectives were not clearly stated.
Teaching methods used were not appropriate for
the type of materials, topics covered and learners
(according to age-group).
(40)
Some objectives were not clearly stated.
Some teaching methods used were not appropriate for
the type of materials, topics covered and learners
(according to age-group).
REMARKS
(50)
Health education plan was well written, and
objectives were clearly stated.
Teaching Methods used were appropriate for the
type of materials, topics covered and learners
(according to age-group).

Presentation Instructional aids and materials were not prepared Some instructional aids and materials were not Instructional aids and materials were prepared and
and used appropriately. prepared and used appropriately. used appropriately.
Exceeded the time allotment of more than 3 Exceeded the time allotment of not more than 3 Engaging, organized, and observed time allotment
minutes minutes
Total /100

Student’s Name: