Far Eastern University Institute of Nursing st 1 Semester SY 2010-2011 NURSING CARE MANAGEMENT HEALTH TEACHING PLAN Goal: After

1 hour of discussion, the client will be able to appreciate and comprehend the principles of Diarrhea Prevention and Management given an advance reading material Learning Objectives -after 5 mins. of discussion, the client will be able to state what is Diarrhea within 30secs. Learning Content Method/Strategy Rationale Time/ venue/ Resources Time Resources: 60 mins discussion 20mins recitation Venue: Quiz: - What is Diarrhea? Diarrhea- passage of loose, unformed stools. Evaluation

Diarrhea- passage of loose, unformed stools. NANDA, 10th Edition. p 259.

Discussion on the definition of Diarrhea, its causes, signs and symptoms, prevention and managements.

-after 15mins of discussion, the client will be able to enumerate at least 3 causes of diarrhea within 5mins.

Common cause of Diarrhea Viral gastroenteritis (viral infection of the stomach and the small intestine) is the most common cause of acute diarrhea worldwide. Food poisoning is a brief illness that is caused by toxins produced by bacteria. The toxins cause abdominal pain (cramps) and vomiting and also cause the small intestine to secrete large amounts of water that leads to diarrhea. Recitation after each discussion

This will give initiation to the client. It will also inform the client on the causes, signs and symptoms, prevention and managements that will broaden the client s knowledge regarding the topic.

This will bring in significance to the client and will make him realize that adequate knowledge is an advantage to fight for diseases.

- Enumerate at least 3 causes of diarrhea.  Viral gastroenteritis A. Luna, Bgy. Salapan, San Juan  Food poisoning  E. coli bacteria City.  Disease-causing bacteria Resources:  Parasitic infections  Drug-induced -Visual aids diarrhea Human - Enumerate at least 3 Resources: -Time and effort signs and symptoms of diarrhea. of both nurse and the client

E. coli bacteria if they spread outside of the intestines, for example, into the urinary tract (where they cause bladder or kidney infections) or into the blood stream (sepsis). Disease-causing bacteria usually invade the small intestines and colon and cause enterocolitis (inflammation of the small intestine and colon). Bacterial enterocolitis is characterized by signs of inflammation (blood or pus in the stool, fever) and abdominal pain and diarrhea. Parasitic infections are not common causes of diarrhea in the U. S. Infection with Giardia lamblia occurs among individuals who hike in the mountains or travel abroad and is transmitted by contaminated drinking water. Drug-induced diarrhea is very common because many drugs cause diarrhea. The clue to drug-induced diarrhea is that the diarrhea begins soon after treatment with the drug is begun. http://www.medicinenet.com/diarrhea /page5.htm#tocg

Financial Resources: -money for the nurses s transportation and for visual aids printing

 Frequent loose,     

watery stools Abdominal cramps Abdominal pain Fever Bleeding Lightheadedness or dizziness from dehydration

- Enumerate at least 3 preventions and management of diarrhea.  Wash hands often  Immediately refrigerate foods  Avoid foods that can aggravate it such as greasy fatty foods and milk products  BRAT: Bananas, Rice, Apples and Toast .add to regular diet.  Hydrate  Avoid caffeine and alcohol  A nonprescription anti-diarrheal medication such as Imodium may help relieve the symptoms; follow

Signs and Symptoms of Diarrhea -after 10mins of discussion, the client will be able to enumerate at least 3 signs and symptoms of diarrhea within 5mins.
     

the directions.

Frequent loose, watery stools Abdominal cramps Abdominal pain Fever Bleeding Lightheadedness or dizziness from dehydration

http://www.ucsfhealth.org/conditions/ diarrhea/signs_and_symptoms.html Diarrhea Prevention and Management - Wash hands often: always after using the restroom and before you eat. - Immediately refrigerate foods. Do not leave food out at room temperature. - Do not eat cooked foods that have sat out and no longer hot. - Avoid foods that can aggravate it such as greasy fatty foods and milk products. - BRAT: Bananas, Rice, Apples and Toast .add to regular diet. - Hydrate: Because diarrhea can cause dehydration, it is important to stay hydrated and drink plenty of liquids such as water, juices, Gatorade, and broth. Children may need a solution called ORS (oral rehydration solution) that contains glucose and electrolytes such as Pedialyte, Infalyte, Rehydralyte, or Resol, which can be found at your local drugstore.

-after 20mins of discussion, the client will be able to enumerate at least 3 preventions and management of diarrhea within 5mins.

- Avoid caffeine and alcohol. - A nonprescription anti-diarrheal medication such as Imodium may help relieve the symptoms; follow the directions. http://www.drdaveanddee.com/diarrh ea.html

-After 10mins. of nursing intervention, the client will be able to verbalize understandings and concerns. --after all the discussions, the client will be able to appreciate the value of preventing the diarrhea.