teaching plan for natural family planning final

7/29/2019 Teaching Plan for NATURAL Family Planning FINAL

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ACTIVITY : Lecture and Demonstration

TOPIC : Family Planning (Natural) / Some Alternatives

GOAL : After (30) minutes of lecture and demonstration on natural family planning, the participants will be able to gain more knowledge on the different types of natural family

planning methods, explore their family planning options that best fit their lifestyle, practice and values, exhibit understanding on the importance of family planning, and show

a positive attitude towards family planning.

SETTING : Community Center, Barangay hall, 1 on 1 with a patient, home visit

(in Video: home visit)

PARTICIPANTS : Married couples, Couples in domestic partnerships (live-in partners), Men and women of reproductive age (15-49 years old)(In Video: Man and Women of reproductive age (18-21)

RESOURCES : Pictures, Adhesives, White board, w. board marker, PA System, Video Screen, LCD Projector, Poster Boards, Anatomical (genitalia) dummies, Sample condoms, diaphragm, spermic

vaginal rings, Manila paper, Take Home Pamphlets

SPECIFIC OBJECTIVES CONTENT ALLOTED

TIME

METHODOLOGY RESOURCES EV

After 30 minutes of

rendering health

teaching, client will be

able to:

1. Define NaturalFamily Planning

2. Identify theimportant

things to

consider in

choosing a

family planning

method

Natural Family Planning

- is a method of preventing pregnancy that does not involve introduction of chemicals or

foreign materials into the body.- The effectiveness of these methods vary greatly on the couples ability to refrain from

having sex on fertile days.

- The only method accepted by the Catholic Church.

-An individual or a couples choice of family planning method should be made carefully

with complete knowledge about the advantages, disadvantages, and side effects of the

various options. Important things to consider are:

> personal values

> ability to use a method correctly

> how the method will affect sexual enjoyment

> financial factors

> status of a couples relationship

> prior experiences

> future plans

2 minutes

3 minutes

Lecture/Discussion

Lecture/Discussion

Visual aids, with use of

laptop and PowerPoint

presentation

Materials:

- Pictures

- Adhesives

- White board

- w. board marker

- Manila paper

-poster boards

Equipment:

- PA System

- Video Screen

- LCD Projector


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3. Enumerate thenatural methods

of family

planning and

explain how

each should be

done

a. ABSTINENCE- The most effective way to prevent against conception is to abstain from

sexual intercourse

- Also the most effective way to prevent STDs.- Clients may find it difficult to comply with abstinence or may completely

overlook it as an option

- In a moment of passion, many otherwise responsible people may fail toconsider this as an option.

Suggestions for Promoting Abstinence: (especially for adolescents)

- Discuss with your partner in advance what sexual activities you will permitand what you will not

- Try to avoid high pressure situations (e.g. party with known drug use,excessive alcohol consumption)

- If pressured, say no and mean it- Be certain that your partner understands that you consider being forced

into relations against your wishes is the same as rape, and not simply an

irresponsible conduct.

- Dont accept any drugs to help you relax or be cool as such as drugwould impair your judgments. The drug could also be the date rape drug,

Flunitrazepam (Rohypnol).

b. FERTILITY AWARENESS METHOD- Rely on determining when the women will be capable of impregnation

(fertile) and using periods of abstinence or contraceptives during that time.

Calendar Rhythm Method- Requires a couple to abstain from coitus on the days of a menstrual cycle

when the woman is most likely to conceive. To plan for this, a woman

should keep a diary of six menstrual cycles, to calculate the safe days. To

calculate, she subtracts 18 from the shortest cycle documented. This

number represents her first fertile day. She subtracts 11 from her longest

cycle. This is her last fertile day. To avoid pregnancy, she would avoid

coitus during these days.

15 minutes

Giving of accurate

examples by lecture or

discussion Visual aids, with use of


presentation

- Anatomical

(genitalia) dummies

- Manila paper

- Adhesives

- Pens and papers

- White board

- W. board marker


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Basal Body Temperature Method (BBT)- The basis for this method is that just before the day of ovulation, a

womans BBT falls about half a degree. At the time of ovulation, her BBT

rises a full degree because of the influence of progesterone. This higher

level is then maintained for the rest of her menstrual cycle.

- To use this method, the woman takes her temperature each morningimmediately after waking, before she undertake any activity. This is her

BBT as soons as she notices a slight difference in temperature followed by

an increase, she knows that she has ovulated. She must refrain fromhaving sex for the next 3 days (the life of a discharged ovum). Sperm can

survive for at least 4 days in the female reproductive tract, thus combining

this method with a calendar method is usually recommended.

- DISADVANTAGE: Many factors can affect BBT such as: illness, changes inwomans daily schedule like starting on aerobic program.

Cervical Mucus (BILLINGS) Method- Uses the changes in cervical mucus that occur naturally with ovulation.- BEFORE OVULATION: the cervical mucus is thick and does not stretch when

pulled between thumb and finger (SPINNBARKETT)

- WITH OVULATION: (the peak day) cervical mucus becomes copious, thin,watery and transparent. It feels slipping and stretches at least

- Breast tenderness- All the days, the mucus is copious and the 3 days after the peak day are

considered to be fertile days or days that the woman should abstain to

avoid conception.

- DISADVANTAGE: woman using this method must be conscientious aboutassessing her vaginal secretions daily or she will miss changing cervical

secretions.

- The feel of vaginal secretions after sexual relations is unreliable becausethe seminal fluid ( the fluid containing the sperm from the male) has a

watery and has post ovulatory consistency which can be confused with

ovulatory mucus.

Sympto-Thermal Method- This can be combined with cervical mucus and BBT methods. The woman

takes her temperature daily, watching for the rise in temperature that

marks ovulation. She also analyzed her cervical mucus daily. The couple

must abstain from intercourse until 3 days after the rise in temperature or


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4. Determine theadvantages and

disadvantages

of natural family

planning.

the fourth day after the peak of mucus change because these are the

womans fertile days.

- ADVANTAGE: this method is more effective than either the BBT or cervicalmucus method alone.

Lactational Amenorrhea Method- As long as a woman is breastfeeding an infant, there is some naturalsuppression of ovulation. However, the use of lactation as a birth control

method is not dependable because women may ovulate but not

menstruate while breastfeeding, the woman may still be fertile even if she

has not had a period since child birth. After 6 months of breastfeeding, the

woman should be advised to choose another method of contraception.

Coitus Interruptus- One of the oldest known methods of contraception. The couple proceeds

with coitus until the moment of ejaculation. Then, the man withdraws and

spermatozoa are emitted outside the vagina.

- DISADVANTAGE: ejaculation may occur before withdrawal is complete anddespite care used, some spermatozoa may be deposited in the vagina and

fertilization may still occur.

Advantages:

- Inexpensive; does not strain financially- Accepted by the Catholic Church- Does not require any form of purchase- Free of side effects- If pregnancy should occur, the continued use of these methods poses no

risk to the fetus

- Easily done/obtainable- Safe- Free of effects on future pregnancies- More spontaneity in sexual relations is possible once non-fertile days are

determined.

5 minutes Lecture/Discussion


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5. Verbalizefeelings and

concerns about

family planning

methods

Disadvantages:

- Failure rates usually ranges from 10% to 20%- Required days of abstinence may make a natural planning method

unsatisfactory and unenjoyable for a couple

- Adolescent girls tend to have occasional anovulatory menstrual cycles forseveral years after menarche and do not always experience definite

cervical changes or an elevated body temperature.- Saying no to sexual intercourse is a difficult task to do for adolescent

especially under peer pressure.

Talk about some alternative methods (artificial methods) ie. Condoms, diaphragms,

virginal rings, spermicidal, etc.

At this time, interaction with the participants in order to answer their questions if there

is a need for them to clarify every method that was taught to them. Encourage them to

apply these methods as mentioned above in order for them to yield in natural family

planning.

5 minutes Interaction with the

participants/ question

and answer portion

Visual aids, with use of


presentation

- Anatomical

(genitalia) dummies

- Sample condoms,

diaphragm, spermicide

and vaginal rings

- Manila paper

- Adhesives

- Pens and papers

- White board

- W. board marker

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Books: Reference

- Fundamentals in Nursing by B. Kozier, 7th

ed.

- Explorations in Family Nursing by Dorothy A. Whyte

- Maternal and Child Nursing by A. Pillitteri, 5th

ed.

- Lippincott Manual of Nursing Practice by S. Nettina, 8th

ed.

Submitted by:

Mark Andrew Castelo Gaerlan

BSN II

teaching plan for natural family planning final

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