DESCRIPTION OF THE LEARNER: Client is a 79 years old male who was diagnosed with Community Acquired Pneumonia.

He was admitted last November 17, 2011, due to persistent cough. He is a retired civil engineer and is currently residing at General Luna, Baguio City, wherein air pollution is very evident. Lately, he has difficulty of expectorating phlegm, and there is presence of crackles audible even without the aid of stethoscope. Upon auscultation also, rales are heard on both lung fields particularly at the base of the lungs. The client underwent certain medical and nursing interventions, which contributed on the recovery and improvement of the client. Upon asking the patient, he claimed that sinabi naman ng Doctor ko kung hindi bukas eh sa isang araw mkakauwi na din ako, ang hirap ng ganitong naoospital, sana naman eh gumaling na ako at din a ulit magkasakit ng ganito , as verbalized. The client is about to discharge and he needs some tips on how to prevent the recurrence of community acquired pneumonia. The client is conversant and is attentive to listen whenever you talk with him. He is able to understand Tagalog, and English. There is also no hearing or visual problems that may affect the client s learning. Learning need: Treatment and prevention for recurrence of pneumonia Learning diagnosis: Knowledge deficit on how to prevent pneumonia Time allotted: 10 minutes discussion

OBJECTIVE

LEARNING CONTENT

TEACHING STRATEGY

After 20 minutes of discussion, client will be able to :

1. Ways on how to facilitate removal of respiratory secretions y chest percussion therapy

Discussion, provide pamphlete, demonstration

Physical Therapy A technique called coupage is helpful at mobilizing respiratory secretions. 1. Identify ways on how to facilitate removal of respiratory secretions The therapist s hand is cupped and gently but rapidly taps the patient s chest wall repeatedly. This loosens some of the deeper secretions and helps them move into airways. Material in the airway generates coughing which removes these materials from the body. Coupage should be performed at least four times daily and should be continued at home as long as the patient has a cough. y y y Proper positioning Increasing oral fluid intake Antibiotic therapy Antibiotics are given to kill the bacteria that causes inflammation of the lungs.

2. Identify home care tips for the treatment of

2. Home care
y

Do not allow prolonged exposure to extreme cold or wet weather. Keep your pet primarily indoors.

pneumonia

y y

Consider use of a vaporizer Perform coupage at least 4 times daily and allow light exercise to promote the cough.

Do not try to suppress the cough with over-the-counter cough suppressants. We want the infected material in the chest to be coughed up.

y y

Use the antibiotics as directed. Expect several weeks to be required. Know what you should return for re-check radiographs.

3. Enumerate personal ways on how to avoid

Personal methods to avoid pneumonia 1. Prevent pneumonia by taking measures to avoid the organisms that cause respiratory infections, including colds and flu. 2. Always wash hands before eating and after going outside. 3. Eat a daily diet that includes foods rich in antioxidants, such as fresh, dark-colored fruits and vegetables and other nutrients. 4. Do not smoke. 5. Cold warm to prevent the cold flu 6. Keep the premises clean ventilation, improving indoor environmental health, to keep the air fresh. 7. Cover up coughs, use your elbow or with a throw away tissue. Do not use your hands. 8. Some forms of bacterial pneumonia can be prevented with a vaccine (pneumococcal vaccine): Talk to your doctor about it

pneumonia

When to Contact a Medical Professional 4. Enumerate conditions that Call your doctor if you have: are necessary to know A cough that brings up bloody or rust-colored mucus when to contact physician Breathing (respiratory) symptoms that get worse Chest pain that gets worse when you cough or breathe in Fast or painful breathing Night sweats or unexplained weight loss Shortness of breath, shaking chills, or persistent fevers Signs of pneumonia and a weak immune system

Teaching Plan
Submitted by: Narag, Ma. Theresa A. BSN IV-b2

Submitted to: Mr. Ibasco