Download Sensory Perception - Group Presentations

San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Group Presentation - CATARACT
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
1. Mrs. Ashbe is having surgery for cataract removal OS. Although her ophthalmologist told her she
needed the surgery, Mrs. Ashbe doesn’t understand what a cataract is, what is done during the
procedure and why it will improve her vision. In preparation for Mrs. Ashbe’s surgical date,
what preoperative patient teaching should the nurse include?
Mrs. Ashbe states that her daughter will be helping her instill eye drops prior to surgery, but after
the surgical procedure she will be alone because her daughter is going on vacation for 2 weeks.
Mrs. Ashbe informs you that she is “not sure how to put in the eye drops that the doctor said will
be prescribed after the surgery”.
2. What patient teaching regarding the postoperative period should the nurse provide? Include
information about the eye drops that are commonly used pre and post op (action, desired effect,
cautions, patient directions)
Mrs. Ashbe’s surgery for cataract removal has been performed without complications. Two days
later, she calls the ophthalmologist’s office and tells the nurse that her eye is itching, and feels
“gritty.” She has no vision change, pain, bruising, or swelling in her eye.
3. What patient teaching should the nurse provide at this time?
4. The Wills Eye Institute is a National Center for Eye Disorders. Explore this website, Lippincott and
additional resources to gather information about the diagnosis of cataract to include the treatment,
prognosis, and potential complications.
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a hard
copy of it to class. A copy of your plan will be made available to your peers. One person from your group
is to present the teaching plan or each can present different portions of it. Your group will also will role
play as the patient, daughter and the nurse.
One actual nursing diagnosis, one risk diagnosis and a goal statement for each of the diagnoses
are to be included for Mrs. Ashbe in your teaching plan.
Each member of the group must participate in some way to complete the in class presentation/role play. .
BE CREATIVE!!
Page 1 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Perception - Group Presentation - CATARACT
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
1. Mrs. Akemi, a 70 year old Japanese accountant, is scheduled to have surgery for cataract removal
OD. Mrs. Akemi and her husband own and run two small businesses; an accounting office and an
alteration shop. Mrs. Akemi is still actively employed in both of their businesses.
What patient teaching should the nurse provide in preparation for her surgery? What cultural
considerations may be indicated related to the most effective communication for this patient? What other
factors must be considered?
Mrs. Akemi says that her husband will help her to instill eye drops prior to surgery, but after the surgical
procedure she will be alone because her daughter will be returning to Vermont where she lives.
1. What patient teaching regarding the postoperative period should you provide? What other options –
alternatives might the nurse consider in arranging for the patient’s postoperative care?
Mrs. Akemi’s surgery for cataract removal has been performed without complications. Two days later, she
calls the ophthalmologist’s office to report that vision is blurry and that she has pain and swelling of her
eyelid. What patient teaching should the nurse provide at this time?
2. The Wills Eye Institute is a National Center for Eye Disorders. Explore this website, your Lippincott
Resources, and any other resources to gather information on:
1.
2.
3.
4.
5.
6.
7.
The diagnosis of cataract – how are cataracts diagnosed?
The population affected – who is at risk
Clinical signs and symptoms
Treatment (surgical procedure and the most common eye drops (pre and post op)
Postoperative Care
Prognosis
Clinical signs and symptoms of the potential post op Complications
One person from your group will present your teaching plan (#4). Other group members will role play
the teaching process for Mrs. Akemi and her daughter (#1-3)
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. One person from your group will present the teaching plan. Persons from your group will
will role play the patient, nurse and family members. One actual nursing diagnosis for Mrs Akemi
and one risk diagnosis with a goal statement for each of the diagnoses are to be included in your
teaching plan. Each member of the group must participate. BE CREATIVE !!
Page 2 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Group Presentation - RETINAL DETACHMENT
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
The Wills Eye Institute is a national center for eye disorders. Explore the website and additional
acceptable resources to gather information on patients who have the diagnosis of Retinal Detachment.
Develop a teaching plan for Mr. Rodriguez, a 45 year old married man with 3 children; ages 10, 15 and
18. Mr. Rodriguez has a history of type II diabetes and hypertension and is a drummer in a popular band.
He has just been diagnosed with retinal detachment OS and is scheduled for ocular surgery.
What will you emphasize to Mr. Rodriguez and his wife about Retinal Detachment? Include the postop
instructions, medications commonly used to treat the condition, side effects, special instructions, clinical
manifestations, appropriate nursing care, and any other patient teaching information. Identify common
themes in the approach to care. Include application of eye drops and infection control techniques. What
is the priority patient care focus? What are the potential post op complications and what would the
patient experience?
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. One person from your group will present the teaching plan. Others from your
group will role play as Mr. and Mrs. Rodriguez and their 10 year old son who is afraid his dad will be blind.
Each member of the group must participate. Include one actual nursing diagnosis, one risk
diagnosis and a goal statement for each diagnosis in your teaching plan.
BE CREATIVE !!
Page 3 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Group Presentation -– GLAUCOMA
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
Mrs. Johnson, a widowed 68 year African American retired teacher, has just been diagnosed with Angle
Closure Glaucoma but believes that God will heal her eyes and return her eyesight to normal!
Put together a teaching plan for this patient with this disease process. What pieces of information will you
emphasize to her about Glaucoma and after she leaves the doctor’s office? Include the medications
commonly used to treat the disease, (include the eye drops used) side effects, special instructions, the
clinical manifestations, appropriate nursing care, and patient teaching information. Identify common
themes in the approach to care. Include application of eye drops and infection control techniques. What
is the priority patient care focus?
The Wills Eye Institute is a national center for eye disorders. Explore the website, your Lippincott
resources and other sources to gather information on patients who have the diagnosis of Glaucoma.
Bring the teaching plan to class. One person from your group will present the teaching plan. One person
from your group will role play as the patient and one will role play a family member. Include strategies of
teaching the patient/family to include how the medication acts in the eye, what side effects to expect, and
the importance of timely dosing. … Remember Mrs. Johnson’s cultural influences and her spiritual beliefs.
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. One person from the group will role play as Mrs Johnson and one will role play
a family member. You can have multiple family members in your scenario if you choose. One actual
nursing diagnosis, one risk diagnosis and a goal statement for each of the diagnoses are to be
included in your teaching plan.
Each member of your group must participate. BE CREATIVE and provide some type of visual aid to
enhance your presentation!!
Page 4 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Group Presentation – Macular Degeneration (Age Related)
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
You are caring for Mr. Santini, an 86-year-old Italian who has a history of cardiovascular disease and
diabetes. Mr. Santini is married and has 8 adult children; all but two of his children live outside of the
city. His wife speaks to you about her concern that her husband has macular degeneration. Mr. Santini
has always been the bread winner and decision maker in the home. Mrs. Santini has recently taken
several computer classes available at the community college in their neighborhood and researched her
concerns about her husband’s eyesight on the internet. She read a description of this condition from the
Mayo Clinic website to Mr. Santini but he has refused to believe that anything is wrong with his vision!
Research Macular Degeneration on this website and answer the following questions in preparing a
patient teaching plan:
1. How will you assess this family member’s understanding of the information about macular
degeneration?
2. What questions will you ask Mrs. Santini to assess Mr. Santini’s development of macular
degeneration?
3. What vision changes would suggest that Mr. Santini has macular degeneration?
4. Assuming that Mr. Santini’s vision changes are congruent with macular degeneration, what
recommendations will you make to Mrs. Santini?
5. How would effective communication and establishing a “Helping Relationship” benefit this couple?
6. Describe the different types of macular degeneration (wet vs. dry).
The diagnosis of age-related macular degeneration (AMD) was confirmed for Mr. Santini. Include
the medications commonly used to treat the disease, side effects, special instructions, the clinical
manifestations, appropriate nursing care, and patient teaching information associated with macular
degeneration. Identify common themes in the approach to care for macular degeneration. Include
application of eye drops/meds if applicable, infection control techniques. What is the priority patient care
focus? How could this diagnosis affect the interpersonal relationship/communication, etc between Mr.
and Mrs. Santini?
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. One actual nursing diagnosis, one risk diagnosis and a goal statement
for each of the diagnoses are to be included in your teaching plan. One person from the group will
role play as the patient and one will role play a family member. Each member of the group must
participate. BE CREATIVE !!
Page 5 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Group Presentation – Conductive Hearing Loss
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
Mrs. Dickson 5 year old son David was diagnosed today with conductive hearing loss. David is the
youngest of 4 other children; ages 7, 10, and 13. David has a history of repeated episodes of acute otitis
media since age 6 months. Mrs. Dickson states that she has noticed that David does not respond to
loud noises or to his name when he is called from another room in the house. She has also noticed that
David “likes to put things in his ears”.
Mrs. Dickson voices concerns about the condition, the treatment and the prognosis for her son’s hearing
deficit. She suddenly becomes very emotional and distraught because she believes that she caused his
hearing loss. She states that she had frequently poured warm mineral oil in his ears to “cure him of his
ear infections”. She also relays that her husband was just “let go” from his job and she is not employed
outside of the home.
Research Conductive hearing loss and answer the following questions to prepare a patient teaching
plan to include :
How you will assess this family member’s understanding of conductive hearing loss
How conductive hearing loss diagnosed
The treatment?
The collaborative care for this child?
The resources that are available to this mother that can help with education, financial assistance,
support
6. The prognosis for the diagnosis
7. Other potential psychosocial implications for both the child and the other family members?
1.
2.
3.
4.
5.
Develop a teaching plan for the parents of a child with conductive hearing loss. Include the symptoms,
causes, testing, diagnosis, and treatment; is there current research or clinical trials for this condition?
What is the priority patient care focus?
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. One person from the group will role play as the patient (the child and others
will portray the family ...i.e. parents/ grandparents …… One actual nursing diagnosis, one risk
diagnosis and a goal statement for each of the diagnoses are to be included in your teaching plan.
Each member of the group must participate. BE CREATIVE !!
Page 6 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory Group Presentation – Sensorineural Hearing Loss
(Damage to end organ for hearing or to the 8th cranial nerve)
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
Mr., Washington is an 80 year old Caucasian retired Viet Nam military veteran who has progressively lost
hearing in both ears. He states he’s no longer able to hear his favorite TV program and that his wife
constantly complains because he “plays the TV so loud”. He also notes that he doesn’t hear the doorbell
ring anymore and doesn’t look forward to his weekly card games with old friends because he has trouble
hearing and understanding their conversations. Mrs. Washington states her husband gets annoyed with
her because she gets tired of repeating herself. “Please help us”!
After a complete assessment Mr. Washington was found to have sensorineural hearing loss in both ears.
Research sensorineural hearing loss and answer the following questions to prepare a patient teaching
plan:
1.
2.
3.
4.
5.
6.
7.
How are you going to assess this family member’s understanding of sensorineural hearing loss?
How is sensorineural hearing loss diagnosed?
What is the treatment?
What is the collaborative care for this patient?
What other resources are available that can help with education and support?
What is the prognosis for this condition?
What are the other potential psychosocial implications for both the patient and family?
Develop a teaching plan for a patient with sensorineural hearing loss. Include the symptoms, causes,
testing, diagnosis, and treatment; is there new current research or clinical trials for this condition? What is
the priority patient care focus?
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. One person from the group will role play as the patient and one will role play a
family member. One actual nursing diagnosis, one risk diagnosis and a goal statement for each of
the diagnoses are to be included in your teaching plan.
Each member of the group must participate. BE CREATIVE !!
Page 7 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory
Group Presentation – Meniere’s disease
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
Daisy Crowder is a 42 year old self-described “stressed out” middle school teacher with progressive
worsening of “dizzy spells“, intermittently over the last 5 years since her divorce from her former husband
of 10 years. Her “spells” are now debilitating and are accompanied by nausea, vomiting and unrelenting
vertigo. She has also noticed recent onset of hearing loss. Ms Crowder has isolated herself from her
family, co-workers and former close friends since her divorce. She has just been notified that her
diagnosis is Meniere’s disease and was referred to the nurse educator in the physician’s office to learn
more about Meniere’s disease.
Research Meniere’s disease and answer the following questions to prepare a teaching plan for the
patient.
1.
2.
3.
4.
5.
6.
7.
8.
What is Meniere’s disease? What are the signs, symptoms and how is the diagnosis established?
What are the types of Meniere’s disease?
What are the risk factors of the disease?
What is the Treatment? Invasive (surgical) and Conservative?. Medications?
What is the collaborative care for the patient?
What other resources are available that can help with education and support?
What is the prognosis for this condition?
What are the other potential psychosocial implications for both the patient and family?
Develop a teaching plan for a patient with Meniere’s disease and include # 1-8 above
Is there current research or clinical trials regarding new treatment for this condition? What is the priority
patient care focus?
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. One person from the group will role play as the patient and one will role
play a family member or friend. One actual nursing diagnosis, one risk diagnosis and a goal
statement for each of the diagnoses are to be included in your teaching plan.
Each member of the group must participate. BE CREATIVE !! Provide an audio visual aide to enhance
your presentation.
Page 8 of 9
San Antonio College
Department of Nursing Education
RNSG 1430
Sensory
Group Presentation – Peripheral Vascular Disease (arterial)
Each group must submit an outline of the teaching plan to the instructor and bring a hard
copy to class. Your presentation outline will be made available to your peers.
Mr. Peterson is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began
approximately 2 years ago but has become significantly worse in the past 4 months. The pain is
precipitated by exercise and is relieved with rest. Two years ago he could walk 2 city blocks before having
to stop due to leg pain. He presents to the doctor’s office today with his wife and 2 of his adult children
because he has severe pain in his legs when he walks even short distances and also because he has lost
sensation in several areas on both feet. He has several injuries on his feet that he was not aware of.
Mr. Peterson has smoked 2 to 3 packs of cigarettes per day (PPD) for the past 45 years. He has a history
of coronary artery disease (CAD), hypertension (HTN), peripheral vascular disease (PVD), and
osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG \4) 3 years ago. He
continues to eat anything he wants, and continues to smoke 2 to 3 PPD. Mrs., Peterson has become
very irate with her husband because he continues to smoke. He states his wife has locked him out of the
house on several occasions when he goes out on the porch to smoke. Mrs. Peterson agrees that the
relationship with her husband has become very strained because of his smoking and because he won’t
follow the doctor’s recommendations.. “and besides he stinks and smells like smoke”.
Research Peripheral Vascular Disease and answer the following questions to prepare a teaching plan
for the patient.
1. What is Peripheral Vascular Disease (PVD) What are the signs, symptoms and how is the
diagnosis established (venous versus arterial)?
2. What are the types of PVD? (Arterial – Venous)
3. What are the risk factors of the disease?
4. What is the Treatment? Invasive (surgical) and Conservative? . Medications?
5. What is the collaborative care for the patient?
6. What is the prognosis?
7. What other resources are available that can help with education and support?
8. What is the prognosis for this condition?
9. What are the other potential psychosocial implications for this patient and his wife/family?
Develop a teaching plan for a patient with PVD and include # 1-9 above
What is the priority patient care focus?
Submit a copy of your teaching plan/outline to your instructor prior to your presentation and bring a copy
of it to class. A copy of your plan will be made available to your peers. One person from your group will
present the teaching plan. Others will portray the patient and wife ... family. One actual nursing
diagnosis, one risk diagnosis and a goal statement for each of the diagnoses are to be included in
your teaching plan.
Each member of the group must participate. BE CREATIVE!
Page 9 of 9