To complete this assignment, you will choose a patient that is near discharge. You will need to complete a concept map for this patient. You will then review their chart, and potential discharge instructions. You will then create discharge instructions for the patient and simulation of you giving those instructions. In order to ensure appropriate follow up for the patient, be sure to include education that the patient will understand and validate their learning. Please review the PowerPoint below on use of the Teach Back method.
The goal of this assignment is to simulate what the psych RN does to ensure safe discharge for the patient. The following are required for a complete submission: Concept Map for Schizophrenia Written(or typed) discharge instructions In-person simulation of you giving discharge instructions Synopsis of Teach Back requirement for Assignment: Please on the concept map you can include nursing diagnosis, signs and symptoms, labs, medications, risk factors, treatments, and common complications Please allow the teach back instruction with a nurse be a at least 2 pages and include the patient restate understanding of the discharge instruction. Please provide APA format references. Please no plagiarism Setting the Stage Gather necessary information Avoid interruptions Have the right people in the room Husband/wife, mother/father, caregiver, significant other, support person Who does the patient want to have present?
Step 1 Using simple language, explain the concept or demonstrate the process to the patient/caregiver Technical terms should be avoided Step 2 Using the teach-back method, providers ask open-ended questions to encourage the patient to restate the medical instructions in his or her own words. Don’t listen for the repetition of words or phrases, listen for understanding. If a process was demonstrated to the patient, ask the patient/care giver to demonstrate it, independent of assistance, for the clinician. Slow down! Break message into short statements: Step 3-4 Pause frequently to assess for understanding. Identify and correct misunderstandings of, or incorrect procedures by the patient/caregiver. If necessary, restate it another way. Ask the patient/caregiver to demonstrate his or her understanding (or skill) again to ensure the misunderstandings are now corrected. Repeat as necessary! Do not do a video at all, the instructions below are for a video. However, please go over the rubric instructions. Care Plan 3-RN Discharge Instructions Video Rubric Care Plan 3-RN Discharge Instructions Video Rubric Criteria Ratings Pts Patient Selection 1 pts Full Marks Brief patient synopsis-to include patient information and identification of additional persons needed for education 0 pts No Marks Brief patient synopsis-missing patient information AND/OR identification of additional persons needed for education / 1 pts Concept Map/Care Plan 3 pts Full Marks Concept map and Care plan are completed in full with detailed answers/rationale
provided. 2.25 pts Partial Concept map and Care plan are mostly completed in full but may not include detailed answers/rationale for each section on provided document 1.5 pts Partial Concept map/Care plan are mostly completed in full but does not include detailed answers/rationale OR is not submitted on provided document 0 pts No Marks Concept map/Care plan does not meet expectations for assignment-one or both are partially completed and does not include detailed answers/rationale on provided document / 3 pts Discharge Instructions and use of Teach Back Method 5 pts Full Marks Discharge plan includes written instructions for the patient, uses steps 1-4 of the Teach Back Method, and ensures appropriate follow up for the patient. Education is understood by the patient and any additional person (family, friend, etc.) and validates their learning. 2.5 pts Partial Discharge plan is lacking 1-2 of the following requirements: written instructions for the patient, uses steps 1-4 of the Teach Back Method (partially), and ensures appropriate follow up for the patient. Education is understood by the patient and any additional person (family, friend, etc.) and validates their learning. 1.25 pts Partial Discharge plan is lacking 3-4 of the following requirements: written instructions for the patient, partially uses steps 1-4 of the Teach Back Method, and ensures appropriate follow up for the patient.
Education is understood by the patient and any additional person (family, friend, etc.) and validates their learning. 0 pts No Marks Discharge plan is lacking 5 or more of the following requirements: written instructions for the patient, uses steps 1-4 of the Teach Back Method (partially), and ensures appropriate follow up for the patient. Education is understood by the patient and any additional person (family, friend, etc.)
and validates their learning. Information is unclear and does not reflect safe discharge for the patient. / 5 pts Patient Discharge Video 1 pts Full Marks Video is submitted on time and reflects the discharge plan as outlined. 0.5 pts Partial Video is submitted but does not fully reflect the discharge plan as outlined. 0 pts No Marks Video not submitted on time and does not meet the requirements of the assignment. / 1 pts Total Points: 0 Choose a submission type
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