Running Head: COUMADIN PATIENT TEACHING PLAN

Coumadin Patient Teaching Plan Cathy M. McDonald

Running Head: COUMADIN PATIENT TEACHING PLAN

Patient Teaching Plan Anticoagulant Therapy - Coumadin PURPOSE: To provide patient diagnosed with DVT the necessary information to manage their anticoagulant therapy, specifically Coumadin GOAL: The patient will be able to verbalize their understanding of their medical condition and why anticoagulant therapy is required to manage their condition Objective Content Outline Method of Presentation Time Allotted ( in minutes) Resources Method of Evaluation

Following a 45 minute teaching session the patient will be able to: Client will be able to verbalize his understanding of his medical condition (DVT) and need for an anti-coagulant (Coumadin) to manage his condition (cognitive) Understanding of importance of INR testing and keeping appointments for INR blood tests

Explanation of DVT and how an anticoagulant works

1:1 instruction

Pamphlet on DVT Pamphlet describing how anti-coagulants work

Client verbalizes his understanding of DVT and need for anticoagulant therapy

Explanation of INR blood tests and the range that indicates blooding clotting capability is balanced

Instruction and Demonstration

Sample of INR test results; Calendar for client to track INR testing dates

(cognitive)

Recognize Coumadin tablets

Identifying Coumadin tablets

Demonstration

Sample of pills including Coumadin

(Cognitive and psychomotor)

Client will verbalize understanding of INR test and importance of testing on date and time ordered by physician; Client will fill out calendar for 1 month lab appts. Client will pick out Coumadin from within a sample of different pills

Running Head: COUMADIN PATIENT TEACHING PLAN

Objective

Content Outline
Explanation of how dosage will be adjusted weekly to keep his INR within range

Method of Presentation

Time Allotted ( in minutes)

3

Resources

Method of Evaluation
Client will verbalize his understanding of initial dosage regiment; Client will demonstrate by placing pills in correct slots in pill box Client will verbalize understanding of side effects and what to do if he experiences any of them

Client understands his initial dosage, days and time to take Coumadin

Document stating dosage, days, and time of day to take Coumadin for first week Weekly pill box

(cognitive) Client understands possible side effects and what to do if he experiences any of them (cognitive) Client understands risks of bleeding from falls or injuries (cognitive) Client understands importance of avoiding intake of excessive amounts of foods high in vitamin K (cognitive and psychomotor) Recognize what medicines and herbs can interact with Coumadin Review of side effects and what to do if client experiences any of these 1:1 instruction 7 List of side effects and procedures for follow up if any side effects are experienced

Explanation of both external and internal bleeding

1:1 instruction

Pamphlet on Blood Thinners

Client verbalizes understanding of risks of excessive bleeding from falls or injuries Client will select those foods high in Vitamin K from a random list of foods

Explanation of how Vitamin K affects Coumadin

1:1 instruction/ Demonstration

Graphical illustration of foods high in vitamin K

(cognitive)

Explain interactions of medications, both prescription and OTC as well as herbs and supplements with Coumadin

1:1 instruction/ Demonstration

List of medicines, herbs, and supplements that can be taken with Coumadin and those that he should avoid

Client will review list and verbalize understanding of potentially harmful medicines, herbs and supplements

Running Head: COUMADIN PATIENT TEACHING PLAN

Objective
Client expresses any concerns about anticoagulant therapy (affective)

Content Outline
Summarize common concerns. Exploration of feelings

Method of Presentation
Discussion

Time Allotted ( in minutes)

5

Resources
Questions and answers

Running Head: COUMADIN PATIENT TEACHING PLAN

References

Kucher N., (2011), Deep-vein thrombosis of the upper extremities. New England Journal of Medicine, Volume 364(9),pp 861-9. U.S. Department of Health and Human Services (Revised August 2010). Blood Thinner Pills: Your Guide to Using Them Safely (AHRQ Publication No. 09-0086-C). Washington, DC: U.S. Government Printing Office. UW Medicine (No date of publication found). Warfarin (Coumadin) UMHS Approved Clinical Care Guideline. Retrieved from http://www.med.umich.edu/1libr/guides/coumad.htm