Enhancing Patient and Family Education

Question: Discuss about the Enhancing Patient and Family Education. Answer: Introduction: Caroline needs to be conscious about the health hygiene. She needs to clean the wound place to avoid infection. Caroline needs to take adequate amount of water so that incision site does not become dry. Caroline needs to be careful about walking, sitting and sleeping, as her postures can disturb the incision and cause it to tear and bleed (Shaffer et al. 2017). In this condition of Caroline, falling is also very risky for her health. She needs to listen to the suggestions of her GP. She needs to refrain from any extraneous physical activities until her incision wound is completely healed and apart from that she needs to showering precautions as well so that her incision wound does not get wet, and if it does get wet the patient needs to clean and sterilize the incision site immediately and redress her wound either herself or contact the clinic for nursing help (Peter et al. 2015). The patient should store the medication in a clean and dry place and should contact the clinic if she experiences unbearable bouts of pain (Julien 2013). In this approach, the nurse asks questions t6o find out the mentality of the patient, for example, their thinking about health, experience, barriers, challenges and doubts. This approach helps to improve the patient condition. The nurses or coaches ask questions to the patients and they answer that that helps to improve patient condition. Self-efficacy and self-enhancement theory: Self efficacy and self-enhancement theory helps to motivate the patient in critical situation. In case of Caroline, she needs motivation so that she can take the medication properly and health condition can develop. The patient needs to take medication timely manner so that she can attain a speedy recovery. In case of Caroline, she needs to take enoxaparin 40mg SC regularly. She wishes to take this medication by herself. However, in case of taking self-medication, the patient needs to know about the routes and the process of self-medication (Peter et al. 2015). The patient needs to be informed about all the safety precautions and dosage critically and should be demonstrated the right manner to take the medication. Other medications, the GP has suggested her to take are oxycodon 5-10 mg and paracetamol 1 gram. The GP suggested taking both the medication once in a day that is QID PRN. Caroline is suggested to appoint a nurse that will help her in medication. Often patients tend to forget the dosage and the right time to take the medication, in case of any missed dosage the patient is suggested to contact the clinic and carry on the medication in its right dosage, never should the patient overdose to compensate a missed dosage as it can lead to harmful consequences (Bastable 2016). Therefore, the patient needs to be careful about medication. Furthermore, the patient needs to consider that oxycodon is a narcotic drug and can easily develop addictiveness, the patient is suggested to be careful of her daily intake and in no circumstances should the patient overdose the medication. Enoxaparine is an anticoagulant and the patient should contact the clinic immediately if her blood platelet count decreases or she develops any allergic reaction to it. Diet and rest: After the discharge, Caroline needs to take proper rest, as body needs time to repair itself. As mentioned by Danielsen, Burcharth and Rosenberg (2013), in case of postoperative stage, with the care and medication the patient needs to be careful about the diet and nutrition. Proper nutrition can help to speed up the recovery. In case of Caroline, she needs to take 60 to 70 grams of protein daily including lean fish, vegetables and fruits. In case of carbohydrate, she needs to take monosaccharide carbohydrate that does not take much time to be digested (Stenberg et al. 2016). She needs to sleep for at least eight hours that will help to heal the wounds and repair the damage. Contact with stomal therapy nurse: Caroline needs to contact with the stomal therapy nurse as she can suggest her how to adjust the living style with the stoma. Caroline feels pain during sleeping and feels uncomfortable during lying on left side. Moreover, she is suffering from nausea. The stomal therapy nurse has in depth knowledge of wound management therefore; she can consult with the stomal therapy nurse regularly. The stomal nurse will also inform the patient with all the safety knowledge about stoma bags and will clarify her confusion and apprehensive about drinking water and the stoma bag being filled up. Furthermore, the patient will be informed in detail about all the details of changing stoma bags, the patient is suggested to clarify any confusion she might have with the stomal nurse (Stenberg et al. 2016). Lastly, if the patient experiences any depression of socio-psychological apprehension the patient is suggested to try counselling from the clinic to help her cope with her recovery journey. References Bastable, S.B., 2016.Essentials of patient education. Jones Bartlett Publishers. Danielsen, A.K., Burcharth, J. and Rosenberg, J., 2013. Patient education has a positive effect in patients with a stoma: a systematic review.Colorectal Disease,15(6), pp.e276-e283. Forsmo, H.M., Pfeffer, F., Rasdal, A., Sintonen, H., Krner, H. and Erichsen, C., 2016. Pre-and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery.International Journal of Surgery,36, pp.121-126. Julien, R.M., 2013.A primer of drug action: A concise nontechnical guide to the actions, uses, and side effects of psychoactive drugs, revised and updated. Holt Paperbacks. Peter, D., Robinson, P., Jordan, M., Lawrence, S., Casey, K. and Salas-Lopez, D., 2015. Reducing readmissions using teach-back: enhancing patient and family education.Journal of Nursing Administration,45(1), pp.35-42. Shaffer, V.O., Owi, T., Kumarusamy, M.A., Sullivan, P.S., Srinivasan, J.K., Maithel, S.K., Staley, C.A., Sweeney, J.F. and Esper, G., 2017. Decreasing Hospital Readmission in Ileostomy Patients: Results of Novel Pilot Program.Journal of the American College of Surgeons. Stenberg, U., Haaland-verby, M., Fredriksen, K., Westermann, K.F. and Kvisvik, T., 2016. A scoping review of the literature on benefits and challenges of participating in patient education programs aimed at promoting self-management for people living with chronic illness.Patient Education and Counseling,99(11), pp.1759-1771.