Health Teaching Plan- Naso

7/29/2019 Health Teaching Plan- Naso

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HEALTH TEACHING PLAN

Learning

Objectives

Learning Content Method Rationale Time/Venue/

Resources

Evaluation

Goal:

After 2 days of

nursing

interventions, the

client will report

maximal pain

relief or control

with minimal

interference with

activities of daily

living

For some people, pain can be relieved without

using medicine. They use relaxation, imagery,

distraction, and skin stimulation. You may need

the help of health professionals to learn to do

these for yourself. Friends or family members

can help with some of them. The techniques are

also useful along with pain medicines.

Information about nondrug treatments for pain

also may be available at a local hospice, cancer

treatment center, or hospital pain clinic.

(http://www.hospicenet.org/html/without_med

s.html)

The nasopharynx is the upper part of the

pharynx (throat) behind the nose. The pharynx is

a hollow tube about 5 inches long that starts

behind the nose and ends at the top of the

trachea (windpipe) and esophagus (the tube

that goes from the throat to the stomach). Air

and food pass through the pharynx on the way

to the trachea or the esophagus. The nostrils

lead into the nasopharynx. An opening on each

side of the nasopharynx leads into an ear.

Nasopharyngeal cancer most commonly starts in

the squamous cells that line the oropharynx (the

Lecture Lecture will

inform the

patient more

about the

intervention

that will be

implemented.

Time:

2 10pm

Venue:

Veterans

Memorial

MedicalCenter

Resources:

Pen and Paper

Handouts

Visual aids

Time and

effort of both

the nurse and

patient.

After 8 hours of

nursing

interventions,

Was the client

able to report

maximal pain

relief or control

with minimal

interferencewith activities of

daily living?

YES_ NO_

Why?__
http://www.hospicenet.org/html/without_meds.htmlhttp://www.hospicenet.org/html/without_meds.htmlhttp://www.hospicenet.org/html/without_meds.htmlhttp://www.hospicenet.org/html/without_meds.html


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Demonstrateuse of

relaxation

skills and

diversionactivities as

indicated for

individual

situation.

part of the throat behind the mouth).

As for any of the techniques described, you

should use what works best for you. Heat often

relieves sore muscles; cold lessens painsensations by numbing the affected area. Many

people with prolonged pain use only heat and

have never given cold a try. Some people find

that cold relieves pain faster, and relief may last

longer.

Skin stimulation is the use of pressure, friction,

temperature change, or chemical substances to

excite the nerve endings in the skin. Scientistsbelieve that the same nerve pathways transmit

the sensations of pain, heat, cold, and pressure

to the brain. When the skin is stimulated so that

pressure, warmth, or cold is felt, pain sensation

is lessened or blocked. Skin stimulation also

alters the flow of blood to the affected area.

Sometimes skin stimulation will get rid of the

pain, or the pain will be less during the

stimulation and for hours after it is finished.

Distraction means turning your attention to

something other than the pain. Any activity that

occupies your attention can be used for

distraction. If you enjoy working with your

hands, crafts such as needlework, model

building, or painting may be useful. Losing

Demonstration

and Return

Demonstration

Return

demonstration

will evaluate

the patients

understanding

about the

procedures

that are taught.


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yourself in a good book might divert your mind

from the pain. Going to a movie or watching

television are also good distraction methods.

Slow, rhythmic breathing can be used for

distraction as well as relaxation. You may find it

helpful to listen to rather fast music through a

headset or earphones. To help keep your

attention on the music, tap out the rhythm. You

can adjust the volume to match the intensity of

pain, making it louder for very severe pain. This

technique does not require much energy, so it

may be very useful when you are tired.

Relaxation relieves pain or keeps it from getting

worse by reducing tension in the muscles. It can

help you fall asleep, give you more energy, make

you less tired, reduce your anxiety, and makeother pain relief methods work better. Some

people, for instance, find that taking a pain

medicine or using a cold or hot pack works

faster and better when they relax at the same

time.

Relaxation may be done sitting up or lying


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down. Choose a quiet place whenever possible.

Close your eyes. Do not cross your arms and legs

because that may cut off circulation and cause

numbness or tingling. If you are lying down, be

sure you are comfortable. Put a small pillow

under your neck and under your knees or use a

low stool to support your lower legs.

Imagery is using your imagination to create

mental pictures or situations. The way imagery

relieves pain is not completely understood.

Imagery can be thought of as a deliberate

daydream that uses all of your senses - sight,

touch, hearing, smell, and taste. Some peoplebelieve that imagery is a form of self-hypnosis.

Certain images may reduce your pain both

during imagery and for hours afterward. If you

must stay in bed or cant go out of the house,

you may find that imagery helps reduce the

closed-in feeling; you can imagine and revisit

favorite spots in your mind. Imagery can help

you relax, relieve boredom, decrease anxiety,

and help you sleep.

(

http://www.hospicenet.org/html/without_meds

.html)
http://www.hospicenet.org/html/without_meds.htmlhttp://www.hospicenet.org/html/without_meds.htmlhttp://www.hospicenet.org/html/without_meds.htmlhttp://www.hospicenet.org/html/without_meds.html


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Followprescribed

pharmacol

ogicalregimen.

Radiation therapy is a cancer treatment that

uses high-energy x-rays or other types of

radiation to kill cancer cells or keep them fromgrowing. There are two types of radiation

therapy. External radiation therapy uses a

machine outside the body to send radiation

toward the cancer. Internal radiation therapy

uses a radioactive substance sealed in needles,

seeds, wires, or catheters that are placed

directly into or near the cancer. The way the

radiation therapy is given depends on the type

and stage of the cancer being treated.

External radiation therapy to the thyroid or the

pituitary gland may change the way the thyroid

gland works. The doctor may test the thyroid

gland before and after therapy to make sure it is

working properly. It is also important that a

dentist check the patient's teeth, gums, and

mouth, and fix any existing problems before

radiation therapy begins.

Chemotherapy

Chemotherapy is a cancer treatment that uses

drugs to stop the growth of cancer cells, either

by killing the cells or by stopping them from

dividing. When chemotherapy is taken by mouth

or injected into a vein or muscle, the drugs enter

the bloodstream and can reach cancer cells

throughout the body (systemic chemotherapy).

Lecture Lecture will

inform the

patient more

about the

intervention

that will be

implemented.
http://www.medicinenet.com/script/main/art.asp?articlekey=7782http://www.medicinenet.com/script/main/art.asp?articlekey=7778http://www.medicinenet.com/script/main/art.asp?articlekey=7778http://www.medicinenet.com/script/main/art.asp?articlekey=7782


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When chemotherapy is placed directly into the

spinal column, an organ, or a body cavity such as

the abdomen, the drugs mainly affect cancer

cells in those areas (regional chemotherapy).

The way the chemotherapy is given depends onthe type and stage of the cancer being treated.

Surgery

Surgery is a procedure to find out whether

cancer is present, to remove cancer from the

body, or to repair a body part. Also called an

operation. Surgery is sometimes used for

nasopharyngeal cancer that does not respond to

radiation therapy. If cancer has spread to the

lymph nodes, the doctor may remove lymphnodes and other tissues in the neck.

New types of treatment are being tested in

clinical trials. These include the following:

Biologic therapy

Biologic therapy is a treatment that uses the

patient's immune system to fight cancer.

Substances made by the body or made in alaboratory are used to boost, direct, or restore

the body's natural defenses against cancer. This

type of cancer treatment is also called

biotherapy or immunotherapy.
http://www.medicinenet.com/script/main/art.asp?articlekey=7839http://www.medicinenet.com/script/main/art.asp?articlekey=7839


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Intensity-modulated radiation therapy

Intensity-modulated radiation therapy (IMRT) is

a type of 3-dimensional radiation therapy that

uses computer-generated images to show the

size and shape of the tumor.This summary section refers to specific

treatments under study in clinical trials, but it

may not mention every new treatment being

studied. Information about ongoing clinical trials

is available from the NCI Web site.
http://www.medicinenet.com/script/main/art.asp?articlekey=22527http://www.medicinenet.com/script/main/art.asp?articlekey=22527

Documents

Health Teaching Plan- Naso