Millie Larsen is an 84-year-old Caucasian female who lives alone in a small home. Her husband, Harold, passed away a year ago and she has a cat, Snuggles, who is very important to her. Millie has one daughter, Dina Olsen, who is 50, that lives nearby, and is Millie's major support system. Her current medical problems include: hypertension, glaucoma, osteoarthritis of the knee, stress incontinence, osteoporosis, and hypercholesterolemia. Millie is at the clinic for routine examination and medication follow up. She is taking several anti-hypertensive medications, diuretics, and analgesics. During the monologue, Millie provides important details of how she views her current life situation. Medications include:50mg metoprolol PO BID20mg lisinopril PO QD240mg diltiazem PO QD20mg furosemide PO QD25mg hydrocholorthiazide (HCTZ) PO QD400mg ibuprofen PO BID5/325 hydrocodone/acetaminophen (Lortab) 1-2 tablets PO Q8 hrs PRN severe painSeveral weeks have passed since the clinic visit, and Millie is now in the hospital with a diagnosis of urinary tract infection and dehydration. Her presentation is atypical and she is confused. At the 3:00 PM shift change. Millie has been in her room on the medical-surgical unit for about six hours. She was in the Emergency Department overnight because there were no available beds on the medical units. Due to her confusion, Millie did not take her medications properly in the days prior to admission and as a result, her blood pressure is very elevated. Millie's daughter, Dina is at the bedside and is quite concerned about the confusion and elevated blood pressure.1. Based on the clinical case provided develop a teaching/coaching plan that includes the following information. a) List the goal for this teaching/coaching plan. b) Describe three teaching resources. c) Identify the teaching strategies that can be used.
d) List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do. e) Identify two factors that may negatively influence adherence to the medication and how they can be overcome.