Personal Reflective Journal
It is clear that the medical diagnosis had indicated that Tina had type II diabetes and asthma which are major health problems among persons within the society. Based on the evaluation findings, Tina had various issues. For instance, she had a slowly healing foot wound. İt is clear that she had not taken medication for diabetes for three years. Other concerns included poor nutrition, sudden loss of weight within one month, the lack of recreational exercise, poor vision and having impaired sensory perception of the right foot. Such problems were affecting the overall health of Tina. The nursing diagnosis indicates that the increased level of disturbed sensory perception of uncontrolled diabetes leads to the slow hearing foot wound.

The objectives of the learning instructions include that the short term goal was to ensure that the foot infection is gone and sensory perception will be back in two weeks. The patient will need to ambulate without help. The potential intervention would is to teach the patient about compensating for the loss of the sensory perception through ensuring that the foot wound is healing well. It is also recommendable to keep the bed lowered while offering assistance to dealing with the sensory perception. Lowering the bed helps Tina in moving without putting more pressure on the foot wound. Other interventions include the implementation of a self-check skin program. The patient will need to be informed about the need to evaluate the integrity of the skin, disturbed sensory perception, and edema conditions.
Regarding evaluation, the patient will need to show their knowledge on the skin checks and how to conduct them accordingly. The patient will have the right and complete sensory perception in the right foot before the discharge. The patient would not also be injured because of the reduction in the sensory perception. The long-term goal is to maintain the regular and stable glucose levels for the entire year without additional skin infections. It is important to improve the nutrition and medication while treating diabetes. Some of the interventions critical to the long-term progress include setting a physical and medical goals, teaching how to conduct medication as well as it is necessary to schedule regular meetings with the nutritionist. The nutritionist would offer the additional information about the potential risks associated with diabetes. Based on Jarvis (2015), the major aspects in recommending medications for Tina includes the recording oft the medical diagnosis, the assessment of findings, the nursing diagnosis, setting goals, interventions and then evaluations. Following the discharge plan, it will help in improving the efficiency of the treatment plan to improve the speed of discharging the patients which are useful.

The information from the reading will be useful in improving the skills related to clinical teaching, as it offers the practical knowledge required by all medical professionals. It offers both clinical and practical life skills including good communication which is useful in improving the personal learning and recovery among the persons (Bastable, 2014). The differet types of learning methods were critical including the instructional, and learning methods helped in improving knowledge. For example, the instructional methods would help to perform diagnosis for the patients well.

The instructional methods of learning would be best method to improve learnign. It seeks to give the learners clear instructional content that aligns with guidelines. In most occasions, the tutors will rely on the instructional methods of learning as it can improve the ability to connect and interact with the learners well. Through the instructional learning aids, the tutors can answer all questions raised by the learners to improve the learning content and interactions between the learner and the professors.

References
Bastable, S.B. (2014). Nurse as educator: Principles of teaching and learning for nursing practice (4th ed.). Sudbury, MA: Jones and Bartlett.
Jarvis, C. (2015). Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier.

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