University of St.

La Salle
College of Nursing

Health Teaching Plan

Name of student: Bea Rose Celo Section and Group: BN2A-G2

Name of CI: Analee Jimenea Area of exposure: BHC

Objectives (Patient-centered)
After 1 hour of health teaching, the patient should be able to…
1. explain how the prescribed drug works and when it should be taken.
2. enumerate the things that a diabetic person must avoid.
3. demonstrate proper glucose monitoring on herself.

Medication Exercise Treatment Hygiene Outpatient Referral Diet

Generic name Advise the client to Encourage the client on Advise patient to Teach the patient how Stress importance of
Glimepiride exercise at the same a lifestyle change, which maintain daily foot care. to perform home adhering to diet, not
time and for the same may include food Wash feet and avoid glucose monitoring skipping meals, and
Brand name amount each day or preparation or soaking so as not to not before meals and at weight reduction.
Amaryl regularly. A slow, consumption, timing of dry the skin. bedtime
gradual increase in the intake and/or exercise, Tell the client to watch
C exercise period should or administration of Discourage the client Tell patient to take drug carbohydrate
Therapeutic: Antidiabetics be encouraged. prescribed medicines. from using creams and with first meal of the consumption as glucose
Pharmacologic: Sulfonylureas oils between the toes to day. balance is determined
Aerobic Exercises Advise client to take avoid infections. by the amount of
H Encourage the patient to prescribed medications Advise patient to wear carbohydrates
Glimepiride lowers glucose level by do aerobic exercises for as instructed. Remind client to always or carry medical consumed, which
stimulating the release of insulin from cardiovascular check her feet regularly identification at all times should be determined in
functioning pancreatic beta cells, and conditioning. This can Review medical for calluses, blisters, needed grams per day.
may lead to increased sensitivity of include activities such necessity for regularly sores, redness, or Educate patient on the
peripheral tissues to insulin. as brisk walking, scheduled lab screening swelling. Consult the functions of his or her Advise client to eat
swimming, running, or and monitoring tests for doctor if sores don’t anti-diabetic foods rich in chromium
E cycling. Aerobic training diabetes. heal. medications. This can and magnesium like
2 mg, TID, PO, 8 AM, 1 PM, 8PM lowers cardiovascular ‘ help the client avoid meat, whole-grain
mortality risks. It Educate client on stress Advise the use of hypoglycemic reactions. products, vegetable,
C increases mitochondrial management. antibiotic creams tuna, beans, and nuts,
Encourage client to observe for signs density, insulin Hormones that cause recommended by Emphasize on to regulate blood sugar
and symptoms of hypoglycemic sensitivity, oxidative blood sugar levels to physicians and apply consequences of levels.
reactions (sweating, hunger, weakness, enzymes, compliance rise like glucagon and sterile bandages to actions and choices;
dizziness, tremor, tachycardia, anxiety) and reactivity of blood cortisol are released protect cuts or both immediate and Encourage client to read
Make sure patient understands that vessels, lung function, during stress. infections, especially long term. Prevention or labels on grocery-
therapy relieves symptoms but does not immune functions, and around feet. management of high bought items and
cure the disease. Patient should also cardiac output. Refer client to Encourage client to take blood pressure and choose foods with low-
understand potential risks and appropriate community, care of skin as she is blood lipids can go a glycemic index, high
advantages of taking drug and of other Resistance Exercise diabetic educator, or prone to bacterial/fungal long way toward fiber, and low-fat
treatment methods Advise the patient to do support groups as infections and skin reducing complication content. These foods
resistance exercises needed for medical problems due to poor associated with produce a slower rise in
Advise patient to notify health care such as lifting weights or management and blood flow. Encourage diabetes. blood glucose and more
professional promptly if unusual weight using resistance bands. referral for insulin pump. use of moisturizing stable release of insulin.
gain, swelling of ankles, drowsiness, Modified equipment like lotions/soaps for dry Encourage client to
shortness of breath, muscle cramps, water bottles can also If patient is on insulin skin. develop a system for Inform client that the
weakness, sore throat, rash, or unusual be used at home if there therapy, tell client to self-monitoring to use of artificial
bleeding or bruising occurs. are no weights. These ensure that insulin is Instruct client to brush provide a sense of sweeteners is
activities improve given on time and not and floss her teeth control and enable the acceptable; nutritive
Explain to patient and family how and muscle mass, body skipped. Check its regularly as diabetic client to follow own sweeteners include all
when to monitor glucose level, and composition, strength, expiration date and patients are vulnerable progress of which provides
teach recognition of and intervention for physical functions, type. to bacteria and infection. calories in amounts
signs and symptoms of high and low insulin sensitivity, blood similar to sucrose while
glucose levels pressure, lipid profiles, non-nutritive have
and cardiovascular minimal or no calories.
Advise patient to consult prescriber health.
before taking any OTC products or Teach patient to carry
supplements Flexibility and Balance candy or other simple
Exercises sugars to treat mild
Advice patient on concurrent beta- Encourage the client to episodes of low glucose
blocker therapy may have very subtle engage in flexibility and level. Patient
signs of hypoglycemia balance exercise, which experiencing severe
can benefit older adults episode may need
Advice the client about the concurrecnt with diabetes. Stretching hospital treatment.
use of alcohol may cause a disulfiram activities can increase
like reaction (abdominal cramps, range of motion around Advise patient to avoid
nausea, flushing, headaches, and joints and flexibility. It alcohol. If patient
hypoglycemia) can also improve consumes alcohol on an
balance and gait and empty stomach, there is
K reduce falls risk. Simple an increased likelihood
Assess patient for allergy to exercises like yoga may of hypoglycemia.
sulfonamides. promote improvement in Contrarily, carbohydrate
glycemic control, lipid consumed with alcohol
Discuss lifestyle to determine extent of levels, and body may raise blood
learning, emotional needs. composition. glucose.

Check with physician when glucose

demands are altered (fever, infection,
trauma, stress, heavy physical activity).

Glimepiride and insulin may be used

together in patients who lose glucose
control after first responding to therapy

Monitor fasting glucose level

periodically to determine therapeutic
response. Also monitor HbA1c level,
usually every 3 to 6 months, to
precisely assess long-term glycemic
control

Alert: use of oral antidiabetics may

carry higher risk of CV mortality than
use of diet alone or of diet and insulin
therapy

When changing patient from other

sulfonylureas to glimepiride, a transition
period isn’t needed. Monitor patient
carefully for 1 to 2 weeks when
changing from longer half-life
sulfonylureas, such as chlorpropamide