TEACHING PLAN FOR PREOPERATIVE & POSTOPERATIVE MANAGEMENT OF CHEIROPLASTY/PALATOPLASTY A.

Description of the learner: Pediatric patients who undergone & will undergo cheiroplasty/palatoplasty. B. Learning need: To know more about the preoperative & postoperative management of cheiroplasty/palatoplasty in children C. Learning diagnosis: Knowledge deficit: Lack of exposure to cheiroplasty/palatoplasty as manifested by: S > O > Children scheduled for cheiroplasty/palatoplasty D. Goal: The concerned parents of the clients will learn ways on how to manage a their children before and after cheiroplasty/palatoplasty E. Teaching Plan Proper LEARNING LEARNING CONTENTS TEACHING TIME METHOD OF EVALUATION OBJECTIVES STRATEGIES ALLOTMENT/RESOURCES NEEDED After 20 minutes of discussion: Definition of One to one 5 minutes Parents will define 1. Parents will be able Cheiroplasty/palatopl discussion Pamphlet cheiroplasty/palatoplastybri to define asty with the aid of Time & cooperation of efly using their own cheiroplasty/palatopl pamphlet. client words. asty in their own words. 2. The client will be Pre-operative One to one 5 minutes The client will be able to able to identify management discussion Pamphlet enumerate all enumerated management before with the use of Time & cooperation of pre-operative management the surgery pamphlet the client 3. The client will be Post-operative One to one 5 minutes The client will be able to able to enumerate management discussion Pamphlet enumerate all enumerated management after with the aid of Time & cooperation of post-operative management surgery. the pamphlet client 4. The client will be General home health One to one 5 minutes The client will be able to able to enumerate care management discussion Pamphlet enumerate all enumerated general home health with the use of Time & cooperation of health care management. care management pamphlet the client after surgery

LEARNING CONTENTS: Hypertension Defined as a persistent elevation of the systolic blood pressure at a level of 140mmHg or higher and diastolic blood pressure at a level of 90 mmHg or higher. RISK FACTORS Risk factors are conditions or behaviors that increase your chances of developing a disease. When you have more than one risk factor for heart disease, your risk of developing heart disease greatly multiplies. Risk factors you can control High blood pressure Abnormal cholesterol Diabetes Overweight Risk factors beyond your control Age (55 or older for men; 65 or older for women) Family history of early heart disease

 Physical inactivity and tobacco use Steps to Lower your Blood Pressure 1. FIND YOUR TARGET WEIGHT Being overweight increases your risk for having high blood pressure Lose weight slowly by decreasing the caloric intake of the client 2. Be PHYSICALLY ACTIVE It doesnt take a lot of effort to become physically active. All you need is 30 minutes of moderate-level physical activity on most days of the week. Examples of such activities are brisk walking, bicycling, raking leaves, and gardening. 3. EAT RIGHT a. Eat food high in starches b. Avoid excessive intake of calories and c. Limit intake of empty calories d. Decrease sodium intake Ways to decrease sodium: Do not add salt to food Avoid eating in fast-food chains SELECT FRESH FRUITS FOR DESERT AVOID ORGAN MEATS FOR THESE HAVE HIGH SODIUM CONTENT INCREASE POTASSIUM INTAKE POTASSIUM REDUCES RISE OF BP BY REDUCING BLOOD VESSEL CONSTRICTION. SOURCES: APPLE, BANANA, ORANGE, STRAWBERRIES, BROCCOLI, POTATO, TOMATO AND OTHERS REDUCE FAT INTAKE HIGH FIBER DIET FIBER SLOWS GASTRIC EMPTYING TIME THEREFORE HELPS IN WEIGHT REDUCTION. MAINTAIN MAGNESIUM WITHIN NORMAL LEVEL MAGNESIUM INHIBITS RELEASE OF NOREPINEPHRINE AND IT INDUCES VASODILATION.

 VITAMIN E REDUCES PLATELET AGGREGATION GARLIC DILATES MUSCLES OF BLOOD VESSELS LIMIT ALCOHOL INTAKE DRUGS TO LOWER HIGH BLOOD PRESSURE DIURETICS These are sometimes called water pills because they work in the kidney and flush excess water and sodium from the body thought the urine These reduce nerve impulses to the heart and blood vessels.This makes the heart beat less often and with less force. Blood pressure drops, and the heart works less hard. These reduce nerve impulses to the heart and blood vessels.This makes the heart beat less often and with less force. Blood pressure drops, and the heart works less hard. These prevent the formation of a hormone called angiotensin II, which normally causes blood vessels to narrow. The blood vessels relax, and pressure goes down. These keep calcium from entering the muscle cells of the heart and blood vessels. Blood vessels relax, and pressure goes down. These directly open blood vessels by relaxing the muscle in the vessel walls. THESE RELAX BLOOD VESSELS BY CONTROLLING NERVE IMPULSES.

BETA-BLOCKERS

BETA-BLOCKERS

ACE-INHIBITORS

CALCIUM CHANNEL BLOCKERS

VASODILATORS NERVOUS SYSTEM INHIBITORS

THE DASH (DIETARY APPROACHES TO STOP HYPERTENSION) DIET) Eat 4 servings of vegetables daily Eat 2 servings of fruit per day

 Gradually increase use of fat-free and low fat dairy products to 3 servings per day Read food labels Treat meat as part of meal instead of focus Increase serving of vegetables, pasta and dry beans Use foods low in saturated fat as snacks Choose whole grain to get added nutrients REFERENCES: http;//www.nhlbi.nih.gove/health/public/heart/hbp/dash/new dash.pdf http://www.webmed.com/hypertension-high-blood-pressure/dash-diet http//www.kma.org.kw/KMJ/km%20Journal202001%20PDFS%20(4%20issues/PDFs%mar/issue/review%20Article/Dietary%20managementpdf

SUBMITTED BY: BACONA, KIMBERLY P. SUBMITTED TO:

MS. LACANGAN SUBMITTED ON: March 8, 2012