Community Health Nursing Clinical LESSON PLAN WHAT YOU SAY AND WHAT THE STUDENT TELLS YOU WHAT YOU DO/STUDENT DOES WHAT YOU SAY AND WHAT THE STUDENT TELLS YOU WHAT YOU SAY AND WHAT THE STUDENT TELLS YOU TELLS YOUSkills to teach, equipment, objectives, delegation, safety issues, safety nursing, evidence-based practice MANIFESTATIONS CLINICS INDICATING THE NEED FOR SKILLS SKILLS TO COMPLETE 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 blood cells 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: StethoscopeHandsGlovesObservation skillsObjectives: The student will be able to identify and demonstrate how to perform a spleen assessment. Delegation: Spleen assessment cannot be delegated to staff unauthorized assistance. Safety Concerns: If the proper assessment is not performed, an enlarged spleen may go undiagnosed or the underlying disorder may go undiscovered. Safety Nsg Dx: Risk for infection as it is linked to the immune system being compromised as evidenced by a low white blood cell count. Evidence-Based Practice: Pain in the abdomen is one of the main reasons a patient visits the emergency room" (An Evidence-Based Approach to Abdominal Disorders, 2004). »The client complains of a abdominal discomfort. The client has swelling on the lower left side...... middle of paper......of the patient's spleen.ReferencesAn evidence-based approach to abdominal disorders (2004, August). November 2013 at http://www.researchandmarkets.com/reports/1946705/an_evidencebased_approach_to_abdominal_disordersDillon, PM (2007). Nursing health assessment: clinical pocket guide (2nd ed.). Philadelphia: FA Davis Co. Gulanick, M. and Myers, J.L. (2011). Nursing Care Plans: Diagnosis, Interventions, and Outcomes (7th ed.) Clinical Skills in Nursing: Basic to Advanced Skills (8th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. The spleen (human anatomy): image, location, function and associated conditions. (April 29, 2010). WebMD Retrieved November 22, 2013 from http://www.webmd.com/digestive-disorders/picture-of-the-spleen