HEALTH TEACHING PLAN

Description of the learner: Male 49 years old with a medical diagnosis of Diabetes Mellitus type 2 for almost 20 years.
Other description of the learner: Previous smoker and occasional alcohol drinker
Setting: January 5, 2009 at 0600H-1400H (am shift) Room # 773, MMC 7th Floor – Wing

SPECIFIC OBJECTIVES STUDENT NURSE’S ACTIVITY LEARNER’S ACTIVITY RESOURCES/TOOL EVALUATION

A 10-15 minute discussion
will be conducted about
Exercise for Diabetes.

At the end of the teaching-

learning discussion, patient
will be able to

1. Acknowledge the 1. Greet client and initiate the start of the 1. Respond to student
student’s greeting and give session by making a brief introduction nurse’s initiation of the
full attention to the on what is to be discussed including the session by verbalizing
discussion. topic outline and length of discussion. interest on topic to be
discussed.

2. Acquire factual and 2. Assess client’s previous exposure, 2. Express queries on

pertinent knowledge experience and knowledge about possible previous exposure,
regarding the disease Diabetes Mellitus. Answer questions experience, and practices
process. regarding any concerns the client may and how these might affect
have. the establishment of the
problem.
3. Enumerate the importance to exercise 3. Listen attentively to what
3. Acquire knowledge on in controlling Diabetes. http://pfrc.med.nyu.e
the importance of exercise was being discussed.
du/handouts/pdf/desc
in Diabetes. ribe/pfrc05-
Sometimes, it may seem easier to pop a
pill or even take a shot than to put on 000024.pdf
your walking shoes and hit the trail. But
the truth is that exercise, in combination http://www.lifeclinic.
with a healthy diet, is one of the best com/focus/diabetes/e
things you can do to take care of xercise.asp
yourself if you have diabetes
  Exercise can improve your Ignativicius &
circulation, especially in your Workman. Medical
arms and legs, where people Surgical Nursing. 5th
with diabetes can have edition
problems.

 It can help reduce your

cholesterol and high blood
pressure.

 Regular exercise and with

enough intensity will burn
blood sugar for fuel.

 Exercise can also help your

body become more sensitive to
insulin which will reduce the
amount of sugar in your blood
stream.
4. Consider certain factors 4. Listen attentively to what
before engaging on 4. Enumerate some exercise precautions. was being discussed. http://pfrc.med.nyu.e
exercise program. du/handouts/pdf/desc
If you're out of shape or have recently ribe/pfrc05-
been diagnosed as having diabetes, see 000024.pdf
your doctor before you begin an exercise
program. Your doctor can tell you about http://www.lifeclinic.
the kinds of exercise that are good for com/focus/diabetes/e
you depending on how well your xercise.asp
diabetes is controlled and any
complications or other conditions you Ignativicius &
may have. Workman. Medical
• Wear something to identify yourself as Surgical Nursing. 5th
having diabetes (such as a MedicAlert edition
bracelet).

• When exercising away from home,

take money with you for transportation,
telephone call or food.
• Always start your exercise program
with a warm up phase and end it with a
cool down phase. A good warm up and
cool down routine is to walk at a
relaxed pace for 5 minutes and then
gently stretch your arms and legs.

• Carry extra snacks such as raisins,

crackers, fresh fruit or packaged glucose
in your pocket or in a waist-pack.

• Drink extra sugar-free fluids since

warm weather and increased sweating
may increase your fluid needs.

• Inject insulin into a site on a less active

part of your body (such as the abdomen)
so that the insulin will not be absorbed
too quickly. The parts of your body
where the muscles are working hardest
will absorb insulin most rapidly (e.g.
legs and arms).

• Bring along your blood sugar testing

meter.

• If you have chest or leg pains during

exercise, stop exercising and call your
doctor.

• Protect your feet: Check inside your

shoes and socks for anything that
might injure your feet. Wear
comfortable shoes and socks that fit
well. Examine your feet after you
exercise. Notify your healthcare
provider right away if you injure your
feet.
5. Recognize exercises 5. Listen attentively to what
appropriate for his BALANCE: INSULIN, EXERCISE AND was being discussed. Raise http://pfrc.med.nyu.e
condition. DIET questions to signify du/handouts/pdf/desc
To exercise safely, your blood sugar must be ribe/pfrc05-
clarifications.
monitored carefully and frequently. Blood 000024.pdf
sugar can change not only during exercise,
but after exercise as well (even as much as
24 hours later). Usually the blood sugar
http://www.lifeclinic.
drops after exercise but in some cases it com/focus/diabetes/e
does go up. If your blood sugar is high xercise.asp
(greater than 240) when you begin exercise
you may see this effect. If you take insulin, Ignativicius &
you must plan to adjust your diet and/or your Workman. Medical
insulin dose when you exercise. You should Surgical Nursing. 5th
try to exercise 1 or 2 hours after a meal to edition
decrease the chance of developing low blood
sugar. In many cases, whether you take
insulin or not, you may need a snack before
and/or during exercises. What you eat and
when you eat it will depend upon the
intensity and duration of the exercise as well
as your response to it.

The following are general guidelines:

For LIGHT ACTIVITY, extra food is not

usually necessary.

For MODERATE ACTIVITY, such as

golfing, ONE EXTRA serving of
carbohydrate containing food (15 grams of
carbohydrate) before each hour that you plan
to exercise is usually necessary. This will
vary depending upon your blood sugar. If
your blood sugar is above 100 and less than
180, you generally need a snack.

For HEAVY ACTIVITY such as shoveling

snow, TWO EXTRA servings of
carbohydrate containing food (30 grams of
carbohydrate) before each hour that you plan
to exercise are usually advisable.
LIGHT MODERATE HEAVY
Strolling Scrubbing floors Shoveling snow
Dressing Bowling Fast cycling
Undressing Gardening Dancing (fast)
Preparing food Golfing Karate
Sweeping floors Walking fast Skiing
Dusting furniture Tennis (doubles) Basketball
Fishing Volleyball Swimming (will not
Dancing (slow) notice sweating
with low blood
sugar)
Tennis (singles)
Handball
Running