Name of the patient: Francesca Maria A.

Garcia Diagnosis: skull fracture

Age: 40 yrs. Old Case: Case finding

OBJECTIVES CONTENTS METHODOLOGY TIME RESOURCES EVALUATION

ALLOTED
General
Objectives:
After 2 weeks
of holistic
nursing care,
the patient will
be able to gain
knowledge,
demonstrate
skills and
develop a
positive
attitude
towards
preventing,
managing and
prioritizing the
patient having
skull fracture.

Specific Specific
Objectives: Objectives:
After 45 After 45
minutes of minutes of
holistic nursing holistic nursing
care, the care, the patient
patient will be was able to:
able to:
1. define skull 1. Definition of skull fracture - Lecture; leaflets - 4 mins - textbook 1. define skull
fracture 1.1 Skull fracture is a break in fracture
one or more of the bones in the
skull usually occurring as a result
of blunt force trauma.

2. determine 2. Causes of skull fracture - Lecture and - 5 mins - textbook 2. determine the
the causes of 2.1 head trauma discussion; leaflets causes of skull
skull fracture 2.2 falls fracture
2.3 automobile accidents
2.4 physical assault
2.5 sports

3. discuss the 3. Types of skull fracture - Explanation, - 5 mins - textbook 3. discuss the
types of skull 3.1 simple fracture - break in the lecture and types of skull
fracture bone without damage to the skin discussion; leaflets fracture
3.2 linear skull fracture – a break and pictures
in the cranial bone resembling a
thin line, without splintering,
depression or distortion of the
bone
3.3 depressed skull fracture – a
break in a cranial bone with
depression of the bone in toward
the brain.
3.4 compound fracture – involves
a break in, or loss of, skin and
splintering of the bone

4. state the 4. Manifestations of the skull - Explanation, - 8 mins - textbook 4. state the
manifestations fracture lecture and and internet manifestations
of skull 4.1 nausea and vomiting discussion; leaflets of skull fracture
fracture 4.2 visual disturbances
 4.3 swelling
4.4 stiff neck
4.5 slurred speech
4.6 restlessness and irritability
4.7 loss of consciousness
4.8 headache
4.9 drowsiness
4.10 difficulties with balance
4.11 convulsions
4.12 confusions
4.13 changes in pupils

5. enumerate 5. Preventive measures of skull - Explanation; - 8 mins - internet 5. enumerate

the preventive fracture leaflets the preventive
measure of 5.1 Use car seats or seat belts measure of skull
skull fracture whenever in a motor vehicle. fracture
5.2 Use helmets whenever biking,
skating, skiing, climbing, or playing
contact sports.
5.3 Use equipment designed
specifically for the type of sport or
recreation in which you are
participating.
5.4 Provide appropriate
supervision for children of any
age.
5.5 Do not allow children to bike
or skate at night.
5.6 Provide and wear highly visible
clothing.
5.7 Teach children to obey traffic
rules and signals.
5.8 Educate individuals about risks
of various works, recreational, or
 sport activities and how to avoid
injury.
5.9 Report any concerns you
might have about abuse.

6.demonstrate 6. First Aid steps for Skull fracture - Demonstration, - 15 mins - internet 6.demonstrate
the steps of 6.1 Check the airways, breathing, cooperative the steps of first
first aid for and circulation. If necessary, begin learning and aid for skull
skull fracture rescue breathing and CPR. explanation fracture
6.2 void moving the victim (unless
absolutely necessary) until
medical help arrives. Instruct
someone to call 911 (or the local
emergency number) for medical
assistance.
6.3 The victim must be moved,
take care to stabilize the head and
neck. Place your hands on both
sides of the head and under the
shoulders. Do not allow the head
to bend forward or backward, or
to twist or turn.
6.4 Carefully check the site of
injury, but do not probe in or
around the site with a foreign
object. It can be difficult to know
if the skull is fractured or
depressed (dented in) at the site
of injury.
6.5 If there is bleeding, apply firm
pressure with a clean cloth to
control blood loss over a broad
area.
6.6 If blood soaks through, do not
 remove the original cloth. Instead,
apply additional cloths on top,
and continue to apply pressure.
6.7 If the victim is vomiting,
stabilize the head and neck (as
outlined in number 3, above), and
carefully turn the victim to the
side to prevent choking on vomit.
6.8 If the victim is conscious and
experiencing any of the previously
listed symptoms, transport to the
nearest emergency medical
facility (even if the patient does
not think medical assistance is
necessary).

7.show the
positive 7.show the
attitude positive attitude
towards the towards the
student nurse student nurse