Health Teaching Plan - Wound Care and Dressing
Content
Running head: HEALTH TEACHING PLAN – WOUND CARE AND DRESSING CHANGE
Assessment
Objective: - 35 year old male - He has a broken arm and three broken ribs due to motorcycle accident. - Many severe wounds mostly on his leg such as four inches gash along the side Mr. B.‟s calf. - Daily sterile dressings are needed. - Mr. B. will be discharged today (Jan. 30, 2013). - His wife has agreed to continue with the dressings at home. - His wife is crying and when the wound is uncovered, she
Objectives
Following the teaching session, 1. Mrs. B. (the patient‟s wife) will feel comfortable to look at and touch the uncovered wound and will be able to identify the signs and symptoms of wound infection on Jan. 27, 2013.
Planning
Short Term Goal 1. Mrs. B will feel free to looking at and touch the uncovered wound and can correctly list signs and symptoms of wound infection on Jan. 27, 2013.
Implementation
First Session The nurse and Mrs. B. will start their first teaching session in quiet small conference room in the hospital from 2:00pm to 2:45 pm on Jan. 27, 2013. 1. a. The nurse will start to show Mrs. B. a piece of artificial wound, let her touch and slowly get rid of fears until finally she can look at her husband‟s uncovered wound. b. The nurse will use a video from YouTube to show infected wound appearance, and also give handout about signs and symptoms of wound infection such as the following (Potter &Perry, p1246): Pain and tenderness at the wound site Reddening of the surrounding tissue Swelling Inflammation of wound edges Purulent discharge Warm to touch Fever, chills Foul odor Second Session
Evaluation
1. Mrs. B. will verbalize that she feels comfort to look at and touch the uncovered wound, and when the nurse open her husband‟s to change dressing, she can look at it by the end of first teaching session on Jan. 27, 2013. She will also correctly describe the signs and symptoms of wound infection by the end of first teaching session on Jan. 27, 2013.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING has difficulty to look at the wound. - Mr. B.‟s follow up appointment will be next week (Feb. 4, 2013). Subjective: - His wife is anxious to learn how to care for the wound, signs and symptoms of complications, sterile technique and other related aspects, but she appears uncomfortable. Assessment Activities (one on one in a quiet room) 1. Assess Mrs. B.‟s readiness to learn, and ask “do you agree to continue with the dressings at home until next follow up?” 2. The nurse will ask what signs and The nurse and Mrs. B. will start their second teaching session in quiet small conference room in the hospital from 2:00pm to 2:45 pm on Jan. 28, 2013. 2. Mrs. B. will be able to discuss and demonstrate appropriate wound care skills after the nurse‟s demonstration of cleansing wound on a piece of artificial wound and on her husband Jan. 28, 2013. 2. The nurse will demonstrate wound cleansing on a piece of artificial wound, and then perform wound care on her husband, and also provide handout and discuss available resources on Jan. 28, 2013. The major information of wound care include Potter &Perry, p1271): If the doctor prescribes the pain medication, let Mr. B. takes medication half hour ago before wound care and dressing change. Wash your hands before and after each wound dressing change. Put on a pair of non-sterile gloves. Carefully remove the tape and old dressing. Check the wound for signs and symptoms of infection, and check the amount, color, consistency and odor of drainage. Cleanse the wound 2. Mrs. B. will correctly answer the questions regarding wound care and give an appropriate return demonstration of wound care by the end of second teaching session on Jan. 28, 2013.
2. Mrs. B. will be able to know the procedure of wound care, and give an appropriate wound care demo on Jan. 28, 2013.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING symptoms of wound infection she knows. 3. Assess Mrs. B‟s knowledge about wound care and dressing change, and ask her if she has any prior experience of wound care and dressing change and if she knows the procedure of wound care 3. Mrs. B. will be and dressing able to know the change. procedure of changing dressing 4. Ask her and perform an what family appropriate dressing support she change demo on Jan. has? 29, 2013. 5. Ask her what learning barrier she is facing. 6. Ask her what her favorite method of instruction is. Assessment Findings (one on one in a quiet room) 1. Mrs. B says: “she really by gauzes with normal saline from at the least contaminated area to the most contaminated area three times. Dry the wound with sterile gauzes three times in the same orders. Third Session The nurse and Mrs. B. will start their third teaching session in quiet small conference room in the hospital from 10:00am to 11:00am Jan. 29, 2013. 3. The nurse will demonstrate how to change dressing on a piece of artificial wound, and then perform dressing change on her husband on Jan. 29, 2013. The nurse also provide handout and discuss available resources 3. Mrs. B. will on Jan. 29, 2013. be able to discuss and The major information of demonstrate dressing change include appropriate Potter &Perry, p1271) : dressing Discard the old change skills sterile gloves after after the wound care, and nurse‟s then put on a new demonstration pair of non-sterile of that how to gloves. change Place dry gauze on dressing on a the wound. piece of Use tape or rolled artificial gauze to hold this wound and on dressing in place.
3. Mrs. B. will correctly answer the questions regarding changing dressing and give an appropriate return demonstration of changing dressing by the end of third teaching session on Jan. 29, 2013.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING wants to help her husband to change dressing at home until next follow up.” 2. She responds, “The only sign and symptom of infection which I know is redness.” 3. She states that she has no any experience of wound care and dressing change. 4. She mentions that she has no family support at all. 5. She is afraid of looking at the uncovered wound. 6. Her favorite method of instruction includes one on one demo, printing materials, video, and some reputable website links. Nursing her husband Jan. 29, 2013. Put all used supplies in the plastic bag. Close it securely, then put it in a second plastic bag, and close that bag securely. Put it in the trash. Wash your hands again when you are finished
Ask Mrs. B. some questions such signs and symptoms of wound infection, how to keep sterile technique, and etc. Let Mrs. B. perform a return demo of wound care and dressing change and ask her what next follow up date is.
Long Term Goal: The client‟s wound will be healing without signs of infection or
The client„s wound will be healing well at next follow up appointment. It will indicate that Mrs. B. will have mastered the wound –care and dressing change skills. Therefore, no future needs will be required.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING Diagnosis Deficient knowledge related to no prior experience as evidenced by appearing uncomfort , such as crying and having trouble looking at the wound (CarpenitoMoyet, 2010) other complication at next follow up appointment (Feb. 4, 2013). To complete these goals the following teaching method will be used. One on one discus sion Questi on-and Answe r Sessio n Role Play Demo nstrati on Practic e Resources available for Mrs. B. include Youtube video, related printing handouts, contact person and telephone number in doctor‟s office and some reputable web
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING links (refer to additional or follow up information).
Assessment
Objective: - 35 year old male - He has a broken arm and three broken ribs due to motorcycle accident. - Many severe wounds mostly on his leg such as four inches gash along the side Mr. B.‟s calf. - Daily sterile dressings are needed. - Mr. B. will be discharged today (Jan. 30, 2013). - His wife has agreed to continue with the dressings at home. - His wife is crying and when the wound is uncovered, she
Objectives
Following the teaching session, 1. Mrs. B. (the patient‟s wife) will feel comfortable to look at and touch the uncovered wound and will be able to identify the signs and symptoms of wound infection on Jan. 27, 2013.
Planning
Short Term Goal 1. Mrs. B will feel free to looking at and touch the uncovered wound and can correctly list signs and symptoms of wound infection on Jan. 27, 2013.
Implementation
First Session The nurse and Mrs. B. will start their first teaching session in quiet small conference room in the hospital from 2:00pm to 2:45 pm on Jan. 27, 2013. 1. a. The nurse will start to show Mrs. B. a piece of artificial wound, let her touch and slowly get rid of fears until finally she can look at her husband‟s uncovered wound. b. The nurse will use a video from YouTube to show infected wound appearance, and also give handout about signs and symptoms of wound infection such as the following (Potter &Perry, p1246): Pain and tenderness at the wound site Reddening of the surrounding tissue Swelling Inflammation of wound edges Purulent discharge Warm to touch Fever, chills Foul odor Second Session
Evaluation
1. Mrs. B. will verbalize that she feels comfort to look at and touch the uncovered wound, and when the nurse open her husband‟s to change dressing, she can look at it by the end of first teaching session on Jan. 27, 2013. She will also correctly describe the signs and symptoms of wound infection by the end of first teaching session on Jan. 27, 2013.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING has difficulty to look at the wound. - Mr. B.‟s follow up appointment will be next week (Feb. 4, 2013). Subjective: - His wife is anxious to learn how to care for the wound, signs and symptoms of complications, sterile technique and other related aspects, but she appears uncomfortable. Assessment Activities (one on one in a quiet room) 1. Assess Mrs. B.‟s readiness to learn, and ask “do you agree to continue with the dressings at home until next follow up?” 2. The nurse will ask what signs and The nurse and Mrs. B. will start their second teaching session in quiet small conference room in the hospital from 2:00pm to 2:45 pm on Jan. 28, 2013. 2. Mrs. B. will be able to discuss and demonstrate appropriate wound care skills after the nurse‟s demonstration of cleansing wound on a piece of artificial wound and on her husband Jan. 28, 2013. 2. The nurse will demonstrate wound cleansing on a piece of artificial wound, and then perform wound care on her husband, and also provide handout and discuss available resources on Jan. 28, 2013. The major information of wound care include Potter &Perry, p1271): If the doctor prescribes the pain medication, let Mr. B. takes medication half hour ago before wound care and dressing change. Wash your hands before and after each wound dressing change. Put on a pair of non-sterile gloves. Carefully remove the tape and old dressing. Check the wound for signs and symptoms of infection, and check the amount, color, consistency and odor of drainage. Cleanse the wound 2. Mrs. B. will correctly answer the questions regarding wound care and give an appropriate return demonstration of wound care by the end of second teaching session on Jan. 28, 2013.
2. Mrs. B. will be able to know the procedure of wound care, and give an appropriate wound care demo on Jan. 28, 2013.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING symptoms of wound infection she knows. 3. Assess Mrs. B‟s knowledge about wound care and dressing change, and ask her if she has any prior experience of wound care and dressing change and if she knows the procedure of wound care 3. Mrs. B. will be and dressing able to know the change. procedure of changing dressing 4. Ask her and perform an what family appropriate dressing support she change demo on Jan. has? 29, 2013. 5. Ask her what learning barrier she is facing. 6. Ask her what her favorite method of instruction is. Assessment Findings (one on one in a quiet room) 1. Mrs. B says: “she really by gauzes with normal saline from at the least contaminated area to the most contaminated area three times. Dry the wound with sterile gauzes three times in the same orders. Third Session The nurse and Mrs. B. will start their third teaching session in quiet small conference room in the hospital from 10:00am to 11:00am Jan. 29, 2013. 3. The nurse will demonstrate how to change dressing on a piece of artificial wound, and then perform dressing change on her husband on Jan. 29, 2013. The nurse also provide handout and discuss available resources 3. Mrs. B. will on Jan. 29, 2013. be able to discuss and The major information of demonstrate dressing change include appropriate Potter &Perry, p1271) : dressing Discard the old change skills sterile gloves after after the wound care, and nurse‟s then put on a new demonstration pair of non-sterile of that how to gloves. change Place dry gauze on dressing on a the wound. piece of Use tape or rolled artificial gauze to hold this wound and on dressing in place.
3. Mrs. B. will correctly answer the questions regarding changing dressing and give an appropriate return demonstration of changing dressing by the end of third teaching session on Jan. 29, 2013.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING wants to help her husband to change dressing at home until next follow up.” 2. She responds, “The only sign and symptom of infection which I know is redness.” 3. She states that she has no any experience of wound care and dressing change. 4. She mentions that she has no family support at all. 5. She is afraid of looking at the uncovered wound. 6. Her favorite method of instruction includes one on one demo, printing materials, video, and some reputable website links. Nursing her husband Jan. 29, 2013. Put all used supplies in the plastic bag. Close it securely, then put it in a second plastic bag, and close that bag securely. Put it in the trash. Wash your hands again when you are finished
Ask Mrs. B. some questions such signs and symptoms of wound infection, how to keep sterile technique, and etc. Let Mrs. B. perform a return demo of wound care and dressing change and ask her what next follow up date is.
Long Term Goal: The client‟s wound will be healing without signs of infection or
The client„s wound will be healing well at next follow up appointment. It will indicate that Mrs. B. will have mastered the wound –care and dressing change skills. Therefore, no future needs will be required.
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING Diagnosis Deficient knowledge related to no prior experience as evidenced by appearing uncomfort , such as crying and having trouble looking at the wound (CarpenitoMoyet, 2010) other complication at next follow up appointment (Feb. 4, 2013). To complete these goals the following teaching method will be used. One on one discus sion Questi on-and Answe r Sessio n Role Play Demo nstrati on Practic e Resources available for Mrs. B. include Youtube video, related printing handouts, contact person and telephone number in doctor‟s office and some reputable web
HEALTH TEACHING PLAN – WOUND CARE AND DRESSING links (refer to additional or follow up information).
