Discharge Teaching for a Patient with Complex Health Problems in a Critical Care Setting: A Case Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/164043
Category:
Abstract
Type:
Presentation
Title:
Discharge Teaching for a Patient with Complex Health Problems in a Critical Care Setting: A Case Study
Author(s):
Mullins, Lisa M.; Ellett, Marsha L.
Author Details:
Lisa M. Mullins, BSN, RN, CCRN, Indiana University School of Nursing, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Marsha L. Ellett, DNS, RN, CGRN, Faculty Advisor
Abstract:
[Student Abstract] Purpose/Objectives: A ventilator-dependent infant was to receive discharge teaching from the pediatric critical care unit. Developing a home health educational plan was a new experience for the unit. The goal was to have each parent successfully demonstrate basic care skills prior to being discharged home. Background/Rationale: The pediatric critical care team needed to assess and strategize a plan of care for the complex patient. The best way to implement discharge teaching with the family was to examine the stressors and coping strategies. Based upon McCubbin's Double ABCX Model, the parents tended to be defined as maladaptive in their coping strategy secondary to their lack of resources, misconception of the patient's actual condition, and the stressors present in their lives. Description of the Project: The plan of care was to closely work with the parents over a six-week period to acquire the needed skills. The goal was to assess learner readiness and demonstrate critical topics. Outcomes: With the skills demonstration, the parents did a satisfactory performance; however the problem became evident during the "rooming in" experience, as both parents slept through alarms on numerous occasions. Interpretation/Conclusion: The final outcome of the educational experience was mixed in nature; it was defined by the results of the skill check off, the "rooming in" experience, and the family adaptation analysis. Implications for Nursing Practice: This family scenario caused questions about management in the critical care. The need to have a well-established educational outline initially in place when conducting learning lessons with the parents became apparent.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDischarge Teaching for a Patient with Complex Health Problems in a Critical Care Setting: A Case Studyen_GB
dc.contributor.authorMullins, Lisa M.en_US
dc.contributor.authorEllett, Marsha L.en_US
dc.author.detailsLisa M. Mullins, BSN, RN, CCRN, Indiana University School of Nursing, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Marsha L. Ellett, DNS, RN, CGRN, Faculty Advisoren_US
dc.identifier.urihttp://hdl.handle.net/10755/164043-
dc.description.abstract[Student Abstract] Purpose/Objectives: A ventilator-dependent infant was to receive discharge teaching from the pediatric critical care unit. Developing a home health educational plan was a new experience for the unit. The goal was to have each parent successfully demonstrate basic care skills prior to being discharged home. Background/Rationale: The pediatric critical care team needed to assess and strategize a plan of care for the complex patient. The best way to implement discharge teaching with the family was to examine the stressors and coping strategies. Based upon McCubbin's Double ABCX Model, the parents tended to be defined as maladaptive in their coping strategy secondary to their lack of resources, misconception of the patient's actual condition, and the stressors present in their lives. Description of the Project: The plan of care was to closely work with the parents over a six-week period to acquire the needed skills. The goal was to assess learner readiness and demonstrate critical topics. Outcomes: With the skills demonstration, the parents did a satisfactory performance; however the problem became evident during the "rooming in" experience, as both parents slept through alarms on numerous occasions. Interpretation/Conclusion: The final outcome of the educational experience was mixed in nature; it was defined by the results of the skill check off, the "rooming in" experience, and the family adaptation analysis. Implications for Nursing Practice: This family scenario caused questions about management in the critical care. The need to have a well-established educational outline initially in place when conducting learning lessons with the parents became apparent.en_GB
dc.date.available2011-10-27T11:40:55Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:40:55Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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