Nursing Education Plan

Question: Discuss about the Nursingfor Education Plan. Answer: Introduction Simulation based medical education is a valuable tool in resolving practical dilemmas and eliminating clinical issues in care. This report is particularly concerned with the development of an education plan for Mrs. Caroline Morris in relation to her discharge medications. Mrs. Caroline Morris was admitted to the hospital for the creation of ileostomy in the lower part of the small intestine. She is going to be discharged to home with visit from the stoma nurse. As she has been prescribed certain medications upon discharge, the creation of education plan will help to prevent any complications in patient post-discharge. Education Plan for Mrs. Caroline Morris The use of relevant adult learning theory can help nurse in the simulation experience and support them to develop an education plan. The transformation learning theory is relevant in this regard it allows the nurse to take a constructive approach to the interpret issues of patients and engage in problem solving process. The meaning structure and horizon of expectation in the clinical practice can be understood through the reflection process (Marrocco et al. 2014). Transformational theory involves interpreting meaning of one experience to guide future action. In that respect, making education plan for Caroline Morris is important she has had a new ileostomy created and she must be unaware about ileostomy care guidelines. Apart from the ways to administer medications, it is necessary to educate Caroline about how to manage ileostomy and maintain dietary and fluid guidelines. The appropriate education plan related to discharge medication will facilitate education of patients and transit ion of care from clinical to home setting (Prinz et al. 2015). Caroline was given three discharge medications, which included Enoxaparin, Oxycodone and Paracetamol. As Caroline is on complete bed rest following the bowel resection with LLQ ileostomy formation, she has been prescribed Enoxaparin to prevent blood clot in the leg. A low-molecular weight heparin drugs inhibit the function of substance that cause blood clotting (Laulicht 2013). As Caroline wants to self-administer the medication, she needs to be educated about the appropriate way to inject the drug. The education plan is to teach her regarding injecting the drug subcutaneously in the stomach area and she needs to take the medication at the same time each day. The instructing to be followed while self-administering Enoxaparin includes washing the hands with soap and water and then lying down in a comfortable position. Then, the patient needs to select an area on the right or left side stomach 2 inches below the belly button. The area should be cleaned with an alcohol swab and the pinch of fold should be created in the cleaned area. The patient need to press the needle straight down into the skin fold and then pulled out straight. Caroline must be careful not to rub the injection site and the syringes should be places in plastic disposable container (Medlineplus.gov 2017).Bleeding is the most complication seen in anti-coagulant drugs and Caroline must immediately report to the clinician if she observes severe side effects of the drug such as unusual bleeding, swollen ankle and blo ody stool (Yeung and Formal 2015). By means of reflective discourse, the above mentioned education plan has been developed for Caroline to maximize her safety at home. The critical reflective component in transformational learning theory helps to analyze the rational for proposed education plan (McAllister 2014). Another medication given to Caroline post-discharge includes Oxycodone. It is a full opiod agonist which has been given to Caroline to relive her symptoms of pain. CNS opioid receptors with opioid like activities contribute to the analgesic effect of the drug (Thibault 2014). Caroline is vulnerable to mal-absorption of drug due to the ileostomy. Hence, in order to facilitate the absorption process of medication, Caroline must use the tablet or capsule after opening or crushing it. Another major problem that can arise for Caroline while taking this medication is constipation. This is because narcotic analgesics like Oxycodone slow down the intestinal peristalsis process leading to constipation (Naeger 2014). T herefore, to reduce the chance of this side-effect, Caroline needs to drink lot of fluid. High fiber food will also help to relieve constipation in the patient. Paracetamol has been prescribed for Caroline post discharge to relieve pain. There are many side effect associated with NSAIDs drug (non-steroidal anti-inflammatory) such as bloody stool, rashes and cloudy urine. It may create risk of stomach upset and internal bleeding in Caroline. In such scenario, the patient will educated about the side effect and encouraged to prevent the complications by taking lot of high-fiber diet. Drinking lot of fluid will also help to prevent any complications due to the drug (Thomas and Margolin 2016). Conclusion The essay summarizes the importance of adult learning theories in facilitating nursing simulation experience. In the case scenario of Caroline Morris, the development of appropriate discharge medication plan has been done by means of applying the main concepts of the adult learning theory. Transformational learning theory is a category of adult learning theory that helps nurses to take a constructive approach to problem solving in clinical process. 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