Professional Documents
Culture Documents
Running Head: Coumadin Patient Teaching Plan
Running Head: Coumadin Patient Teaching Plan
Running Head: Coumadin Patient Teaching Plan
Patient Teaching Plan Anticoagulant Therapy - Coumadin PURPOSE: To provide patient diagnosed with DVT the necessary information to manage their anticoagulant therapy, specifically Coumadin GOAL: The patient will be able to verbalize their understanding of their medical condition and why anticoagulant therapy is required to manage their condition Objective Content Outline Method of Presentation Time Allotted ( in minutes) Resources Method of Evaluation
Following a 45 minute teaching session the patient will be able to: Client will be able to verbalize his understanding of his medical condition (DVT) and need for an anti-coagulant (Coumadin) to manage his condition (cognitive) Understanding of importance of INR testing and keeping appointments for INR blood tests
1:1 instruction
Client verbalizes his understanding of DVT and need for anticoagulant therapy
Explanation of INR blood tests and the range that indicates blooding clotting capability is balanced
Sample of INR test results; Calendar for client to track INR testing dates
(cognitive)
Demonstration
Client will verbalize understanding of INR test and importance of testing on date and time ordered by physician; Client will fill out calendar for 1 month lab appts. Client will pick out Coumadin from within a sample of different pills
Objective
Content Outline
Explanation of how dosage will be adjusted weekly to keep his INR within range
Method of Presentation
Resources
Method of Evaluation
Client will verbalize his understanding of initial dosage regiment; Client will demonstrate by placing pills in correct slots in pill box Client will verbalize understanding of side effects and what to do if he experiences any of them
Client understands his initial dosage, days and time to take Coumadin
Document stating dosage, days, and time of day to take Coumadin for first week Weekly pill box
(cognitive) Client understands possible side effects and what to do if he experiences any of them (cognitive) Client understands risks of bleeding from falls or injuries (cognitive) Client understands importance of avoiding intake of excessive amounts of foods high in vitamin K (cognitive and psychomotor) Recognize what medicines and herbs can interact with Coumadin Review of side effects and what to do if client experiences any of these 1:1 instruction 7 List of side effects and procedures for follow up if any side effects are experienced
1:1 instruction
Client verbalizes understanding of risks of excessive bleeding from falls or injuries Client will select those foods high in Vitamin K from a random list of foods
(cognitive)
Explain interactions of medications, both prescription and OTC as well as herbs and supplements with Coumadin
List of medicines, herbs, and supplements that can be taken with Coumadin and those that he should avoid
Client will review list and verbalize understanding of potentially harmful medicines, herbs and supplements
Objective
Client expresses any concerns about anticoagulant therapy (affective)
Content Outline
Summarize common concerns. Exploration of feelings
Method of Presentation
Discussion
Resources
Questions and answers
References
Kucher N., (2011), Deep-vein thrombosis of the upper extremities. New England Journal of Medicine, Volume 364(9),pp 861-9. U.S. Department of Health and Human Services (Revised August 2010). Blood Thinner Pills: Your Guide to Using Them Safely (AHRQ Publication No. 09-0086-C). Washington, DC: U.S. Government Printing Office. UW Medicine (No date of publication found). Warfarin (Coumadin) UMHS Approved Clinical Care Guideline. Retrieved from http://www.med.umich.edu/1libr/guides/coumad.htm