Teaching plan for a patient with peptic ulcer disease

The RN is developing a teaching plan for a male patient with a new diagnosis of peptic
ulcer disease related to an H. pylori infection.
The patient immigrated to the United States from Vietnam two years ago with his extended
family. He denies any current use of alcohol but has smoked one pack of cigarettes per day
for the last 20 years. He reports increased fatigue during exercise, uses Chinese medicine to
manage frequent muscle pain and has noted an occasional black bowel movement.
Questions:
1-Identify three (3) items related to the medical diagnosis that the RN needs to include in
the teaching plan for this patient.
2-How will the RN incorporate cultural considerations into the teaching plan for this
patient?
3-Identify one (1) member of the interprofessional health care team that should be included
in this education plan. What is the role of this member?

Teaching plan for a patient with peptic ulcer disease
Health education is important in the management of peptic ulcer disease. It is therefore
necessary to incorporate it in the management plan. The following includes the items that should
be included in a teaching plan for a client with peptic ulcer disease. The first item is lifestyle
modification. It is important for the patient to note that some lifestyles aggravate symptoms of
peptic ulcers while others lead to their development. In addition, there are others which lead to
delayed healing of the ulcers (Hinkle & Cheever, 2013). These factors include alcohol intake and
smoking. Therefore, it is important for the patient in this case to be encouraged to quit smoking
since it delays healing of the peptic ulcers.
Moreover, it is necessary to include treatment regimen in the teaching plan. The nurse
should include a list of all medications, the dosages, time of administration and desired effects to
promote patient compliance. The client should be given an opportunity for questions to clarify

TEACHING PLAN FOR PEPTIC ULCER DISEASE

2
any misunderstanding. It is also important to include the complications that may arise from the
ulcers so that the patient can seek management early (Hinkle & Cheever, 2013).
Dietary modification should also be included in the teaching plan. Some diets are
associated with increased acid secretion and increased motility of the gastrointestinal tract. The
client should be included the types of foods he should avoid, these includes caffeine, meat
extracts and other caffeinated drinks (Hinkle & Cheever, 2013). The patient should be
encouraged to take several regular meals to help in neutralization of the acid.

The health care provider should incorporate culture as a risk factor to development of
peptic ulcer disease. Some culture encourage intake of certain foods which may play part in
exacerbation of peptic ulcer symptom. Intake of herbal medication may contribute to ulcers.

It is necessary to include a nutritionist in the teaching plan. This is to enhance emphasis
to be put on the diet to be included. Some foods are associated with high acid product which in
turn delays the healing of the ulcers (Hinkle & Cheever, 2013). Therefore, the nutritionist will
advise the client appropriately.

TEACHING PLAN FOR PEPTIC ULCER DISEASE

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Reference

Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth’s textbook of medical-surgical
nursing. Lippincott Williams & Wilkins.

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