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Compliance with Anticoagulant Therapy
Anticoagulant therapy is widely used for the prevention and treatment of thrombosis. It includes the application of various medications such as warfarin, heparins, and others. However, all these drugs can cause such complications as bleeding. Thus, the nurse has to create a teaching plan to explain to the 40-year-old patient with dyslexia what is anticoagulant therapy.
The patient suffering from dyslexia needs to start receiving anticoagulant treatment. Although dyslexia causes discomfort for the patient, dyslexia in no way stems from any lack of intelligence (Minnis, 2017). Thus, the abovementioned patient is intelligent but he cannot read well. The medical worker has to explain the importance of anticoagulation therapy to this man, paying attention to possible adverse events, because these medications continue to be associated with significant morbidity and mortality (Dager, Gulseth, & Nutescu, 2011). Hence, the nurse has to apply the individual verbal interview as a learning style while communicating with this patient with dyslexia.
The readiness of this patient is measured by his understanding of the received information, in particular, his readiness to make a decision. He has to know that anticoagulation medications can be administered parenterally and orally and that their administration can lead to a hemorrhagic complication (Harter, Levine, & Henderson, 2015). On the other hand, the patient has to understand that avoiding anticoagulant therapy can lead to systemic embolism, stroke, and heart attack.
This medical worker has to form a comprehensive learning goal. At first, the patient has to understand clearly the necessity of anticoagulant therapy for avoiding various health problems. Furthermore, the man has to get information about various drugs that can be used for thrombosis treatment such as unfractionated heparin (UFH) in addition to low molecular weight heparin (LMWH), Xa inhibitors, direct thrombin inhibitors (DTIs), and fibrinolytic agents (Harter, Levine, & Henderson, 2015). Moreover, the patient has to know about warfarin that is taken orally and that it is highly water-soluble, is rapidly absorbed from the gastrointestinal tract (Ageno et al., 2012). Additionally, the patient should be informed about the main side effect of these drugs, namely, a hemorrhage.
The nurse can use the taxonomy of learning domains developed by Dr. Benjamin Bloom for the formulation of appropriate learning outcomes. Bloom argued that there are three educational activity domains, in particular, a cognitive one including mental skills, an affective one that includes growth in emotional areas, and a psychomotor one including manual skills. Thus, comprehension, application, synthesis, evaluation, analysis, and knowledge are categories of a cognitive domain. The medical professional can notice such learning outcomes of the patient as his understanding of received information about the necessity of anticoagulant therapy and its side effects, the memorizing of this information in addition to the utilization of it by this patient.
The content of appropriate teaching has to include complete information about the reasons to apply this therapy. Moreover, the nurse has to name all possible complications if this person decides to avoid the needed treatment. Finally, he/she has to explain the importance of the right dosage and duration of the therapy conditioned by the side effects of the latter. Additionally, the nurse can use instructional methods of teaching such as the discussion in form of an interview.
Allocated time and resources, which are expected to be enough for learning, can continue for some weeks because of their urgency. Furthermore, the nurse can apply some measurable evaluation methods that were taken from the learning outcomes. At first, the medical professional can meet the patient again to get to know his decision. Finally, he/she can call this man to ask him about his choice.
In conclusion, thrombosis is rather a dangerous disease that can lead to negative consequences for humans health. Moreover, it is better to prevent many complications of thrombosis than treat them. Thus, the medical worker has to explain to the patient why it is so important to use anticoagulant therapy underlining all possible side effects. Considering that the man suffers from dyslexia, the nurse has to communicate with him only verbally.