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Teacher : Savastia 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 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 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 4. Describe appropriate action if complications arise LEARNING CONTENT:

Demonstration of wound cleansing Resources available for the client

Discussion and demonstration 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 Redness or warmth around wound Tenderness of surrounding area Swelling

Wounds: Basic Information What is a Wound (Sore)? It is an opening in your skin. It is a cut or other injury to a part of the body. What Caused Your Wound (Sore)? There are many ways a wound can happen. Some of them may be: Surgery (Operation) Pressure Poor circulation (Venous/Arterial) Loss of sensation (Neuropathy) Bums Injury

WIDESPREAD INFECTION Fever or chills Weakness Confusion or difficulty concentrating Rapid heart beat Swelling

Wound Care Equipment: Cleansing solution and materials as prescribed by physician Example: -

Infection: Is the buildup of extra bacteria in the wound that may slow healing and cause other complications.

Clear water Mild soap and water Antimicrobial solution: alcohol Cotton balls or cotton tip applicator Gauze

Signs of Infection: INFECTED WOUND Thick green or yellow drainage Foul odor

Bandaging material: Example: Gauze wrap

Adhesive tape Roller bandage

To clean the open wound, pour enough solution to dampen the gauze, then wipe your wound usingcircular motions from the center of the woundoutward. Be sure to clean at least 1" beyond thewound margins. Make sure you use a new gauze each timeyou wipe and discard the soiled one in a plastic bag. Dry surrounding skin by patting with new gauze.

Cleansing/Irrigation: Is the rinsing of the wound bypouring a solution (usually normal saline) over thewound to remove dead cells and the accumulateddrainage

Taking Care of Your Wound Wash Your Hands: Rub hands with soap and water for 15 to 30 seconds. Be sure to wash between fingers and under your nails. Rinse well and dry thoroughly. GET YOUR SUPPLIES: Have everything you need ready before you begin. REMOVE OLD DRESSING: Step 1. Loosen old dressing. Step 2. Place your hand into a small plastic bag. Step 3. Gently take off the old dressingwith bag covered hand. Step 4. Turn bag inside-out over the old dressing. Step 5. Close the bag tightly before throwingit in the garbage.

REMEMBER TO: Use dressings only once. Keep dressings in a clean, dry place. Throw out the entire dressing if it gets dirty.

CLEAN UP: Put all your dirty suppliesin a double (two) plastic bag. Wash your hands. Check that you have enough suppliesfor a couple of days. Do not let your supplies run low

Tell Your Doctor or Nurse if: The wound (sore) gets larger or deeper. More fluid drains from the wound. 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 doctors instructionsfor your wound care.