Lesson Plan #1
Sojourner Douglas College
Community Health Nursing Clinical
Angela Davis BSN, MSN, RN
Harriett Knight BSN, MSN, RN
Invited Instructor Gelza Pemberton BA, MSN, RN
November 25, 2013
WHAT YOU SAY AND WHAT STUDENT SAYS BACK TO YOU WHAT YOU DO/WHAT STUDENT DOES WHAT YOU SAY AND WHAT STUDENT SAYS BACK TO YOU WHAT YOU SAY AND WHAT STUDENT SAYS BACK TO YOU
Skills to be taught, equipment, objectives, delegation, safety concerns, safety nursing dx., evidenced based practice CLINICAL MANIFESTATIONS INDICATING NEED FOR SKILL
SKILLS TO COMPLETE SKILL
UNEXPECTED OUTCOMES AND WHAT TO DO ABOUT THEM
“The spleen plays multiple supporting roles in the body. It acts as a filter for blood as part of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight certain kinds of bacteria that cause pneumonia and meningitis (The Spleen (Human Anatomy): Picture, Location, Function, and Related Conditions", 2010)”
Student will be able to identify and demonstrate how to perform a spleen assessment.
Spleen assessment can not be
delegated to unlicensed assistive personnel.
If the proper assessment is not performed, an enlarged spleen may be missed diagnosis or the underlying disorder may not be discovered.
Safety Nsg Dx:
Risk for infection as it relates to the immune system being compromised as evidence by low white blood count.
Evidenced Based Practice:
Pain in the abdomen is one of the highest reason a patient visits the emergency room “(An Evidence-Based Approach to Abdominal Disorders, 2004).”
Client is complaining of abdominal discomfort.
Client is experiencing swelling on lower left side of their back.
Client is having left shoulder pain.
Client received an injury to the left side of the body.
Client has tenderness over the left upper abdominal area
Client has bruising over the left abdomen.
Client is experiencing symptoms of high blood pressure.
Acute pain related to trauma as evidence by guarding of the body part.
Instruct the client to report pain.
Teach the client to report the effectiveness of pain medication.
Inform the client of the...