Lesson Plan Community Health Nursing ClinicalWHAT YOU SAY AND WHAT THE STUDENT ANSWERS WHAT YOU DO/WHAT THE STUDENT DOES WHAT YOU SAY AND WHAT THE STUDENT ANSWERS WHAT YOU SAY AND WHAT STUDENT ANSWERS YOU Skills to be taught, equipment, objectives, delegation, safety concerns, right nursing safety, evidence-based practice CLINICAL MANIFESTATIONS INDICATING THE NEED FOR SKILLS TO COMPLETE SKILLS EXPECTED RESULTS UNEXPECTED RESULTS AND WHAT TO DO ABOUT IT “ The spleen plays multiple supporting roles in the body. It acts as a blood filter as part of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight certain types of bacteria that cause pneumonia and meningitis (The Spleen (Human Anatomy): Picture, Location, Function, and Related conditions, 2010)” Equipment: stethoscopehand glovesObservation skillsObjectives: The student will be able to identify and demonstrate how to perform a spleen evaluation. Delegation: Spleen evaluation cannot be delegated to unlicensed assistive personnel. Safety concerns: If the correct evaluation is not performed, an enlarged spleen may not be diagnosed or the underlying disorder may not be discovered. Safety Nsg Dx: Risk for infection as it refers to compromise of the immune system as evidenced by a low white blood cell count. Evidence-based practice: Abdominal pain is one of the primary reasons a patient visits the emergency room” (An Evidence-Based Approach to Abdominal Disorders, 2004).”The client complains of abdominal discomfort. The client experiences swelling in the lower left…center of the sheet…of the patient's spleen. Bibliography An evidence-based approach to abdominal disorders. (2004, August). Retrieved November 23, 2013, from http://www.researchandmarkets.com/reports/1946705/an_evidencebased_approach_to_abdominal_disordersDillon, P. M. (2007). Nursing health assessment: Clinical pocket guide (2nd ed.). Philadelphia: F. A. Davis Co. Gulanick, M., & Myers, J. L. (2011). Nursing care plans: Diagnosis, interventions, and outcomes (7th ed.). St. Louis, Mo: Elsevier Mosby.Smith, S. F., Duell, D., & Martin, B. (2008). Clinical nursing skills: Basic to advanced skills (8th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. The spleen (human anatomy): image, location, function and related conditions. (2010, April 29). WebMD Retrieved November 22, 2013, from http://www.webmd.com/digestive-disorders/picture-of-the-spleen