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Teacher : Savastiţa Adrian Level of students: Intermediate, Date: 4. 03. 2013 TEACHING PLAN FOR WOUND CARE DESCRIPTION OF THE LEARNER: Any client who will go for surgery or who had recently undergone an surgical procedure procedure that includes a breakage in the skin barrier and does able to understand any of the languages, Ilocano, Tagalog or English. Any client that is able to understand and comprehend any information information to be discussed in regards with the said topic. LEARNING DIAGNOSIS: Knowledge Deficit related to lack of information regarding to proper wound care and management LEARNING NEED: Proper wound care and management GOAL: After a series of educational discussion the client will be able to know proper wound care techniques TIME ALLOTEMENT: 10-15 minutes LEARNING OBJECTIVE: After 3-5 minutes of patient health teaching, the patient or SO will be able to:
1. Describe signs and symptoms of wound infection
LEARNING CONTENT:
LEARNING STRATEGY:
EVALUATION:
Wound infection
Discussion with handout
2. Identify equipment needed for wound care
Wound care equipment
Discussion with handout
3. Demonstrate wound cleansing
Discussion and demonstration demonstration
4. Describe appropriate action if complications complications arise
Demonstration of wound cleansing Resources available for the client
Discussion
Question and answer: The patient or SO will be able to state at least 3 signs/symptoms of wound infection Question and answer: The patient or SO will be able to state at least 3 equipments needed for wound care Return demonstration by the patient or SO Question and answer: The patient or SO will be able to state the best action when complications arise
WOUND CARE AND MANAGEMENT
Wounds: Basic Information
• Redness or warmth around wound
What is a Wound (Sore)?
• Tenderness of surrounding area
• It is an opening in your skin.
• Swelling
• It is a cut or other injury to a part of the body. What Caused Your Wound (Sore)?
WIDESPREAD INFECTION
There are many ways a wound can happen.
• Fever or chills
Some of them may be:
• Weakness
• Surgery (Operation)
• Confusion or difficulty concentrating
• Pressure
• Rapid heart beat
• Poor circulation (Venous/Arterial)
• Swelling
• Loss of sensation (Neuropathy) • Bums
Wound Care Equipment:
• Injury
Cleansing solution and materials as prescribed by physician Example:
Infection: Is the buildup of extra bacteria in the wound
-
Clear water
that may slow healing and cause other complications.
-
Mild soap and water
-
Antimicrobial solution: alcohol
Signs of Infection:
-
Cotton balls or cotton tip applicator
INFECTED WOUND
-
Gauze
• Thick green or yellow drainage
Bandaging material:
• Foul odor
Example: Gauze wrap
-
Adhesive tape
• To clean the open wound, pour enough solution to dampen the gauze, then wipe
-
Roller bandage
your wound usingcircular motions from the center of the woundoutward. Be sure to clean at least 1" beyond thewound margins.
Cleansing/Irrigation: Is the rinsing of the wound bypouring a solution (usually
• Make sure you use a new gauze each timeyou wipe and discard the soiled one
normal saline) over thewound to remove dead cells and the accumulateddrainage
in a plastic bag. • Dry surrounding skin by patting with new gauze.
Taking Care of Your Wound
REMEMBER TO:
Wash Your Hands:
-
Use dressings only once.
• Rub hands with soap and water for 15 to 30 seconds.
-
Keep dressings in a clean, dry place.
• Be sure to wash between fingers and under your nails.
-
Throw out the entire dressing if it gets dirty.
• Rinse well and dry thoroughly.
CLEAN UP:
GET YOUR SUPPLIES:
-
Put all your dirty suppliesin a double (two) plastic bag.
• Have everything you need ready before you begin.
-
Wash your hands.
REMOVE OLD DRESSING:
-
Check that you have enough suppliesfor a couple of days.
Step 1. Loosen old dressing.
-
Do not let your supplies run low
Step 2. Place your hand into a small plastic bag.
Tell Your Doctor or Nurse if:
Step 3. Gently take off the old dressingwith bag covered hand.
• The wound (sore) gets larger or deeper.
Step 4. Turn bag inside-out over the old dressing.
• More fluid drains from the wound.
Step 5. Close the bag tightly before throwingit in the garbage.
• The wound does not begin to show signs of healing in 2 to 4 weeks. • You see signs of infection.
Wash/Irrigate the Wound: • ALWAYS follow your doctor’s instructionsfor your wound care.