DESCRIPTION OF THE LEARNER: Mr. Pascua is a 50yr old male, post operative open cholecystectomy.

The learner undergoes this procedure to remove the

gallbladder.

LEARNING NEED: Proper ways of woundcare.

LEARNING DIAGNOSIS: Deficient Knowledge (Care of Sutured Wound) related to no prior experience.
GOAL: Client’s wound will heal completely without infection orother complications.
SHORT TERM GOALS: Client will (a) correctly list three signs and symptoms of wound infection and (b) correctly perform a return demonstration of wound cleansing
and bandaging.
TEACHING PLAN PROPER:

OBJECTIVES LEARNING CONTENT TEACHING STRATEGY TIME ALLOTMENT AND RESOURCES NEEDED EVALUATION
METHOD
After 20 - 25 minutes of
health teaching, the client
will be able to:

a) Describe normal wound > Normal wound healing. > One on one Discussion > 2-3 minutes – Time and effort of both the student > Instant oral feedback:
healing. Describe normal wound nurse and the learner. (brochure) Question and Answer
healing with the use of
audiovisuals.

b) Describe signs and > Infection: Signs and > One on one Discussion > 3-5 minutes – Time and effort of both the student > Instant oral feedback:
symptoms of symptoms nurse and the learner.(brochure) Question and Answer
wound infection.

c) Identify equipment needed > Instant oral feedback:

for wound > Wound care equipment > One on one Discussion > 3-5 minutes – Time and effort of both the student Question and Answer
care. nurse and the learner.(brochure)

d) Demonstrate wound
cleansing and > Demonstration of wound
bandaging. cleansing and bandaging on > Demonstration of
the client’s wound or a > Return Demonstration > 3-5 - Time and effort of both the student nurse and cleansing and bandaging.
mannequin. the learner. (brochure)
e) Describe appropriate Resources available for the > 3-5 minutes – Time and effort of both the student
action if questions client (eg. Hospital, clinics) > One on one Discussion nurse and the learner.(brochure) > Instant oral feedback:
or complications arise. Question and Answer

LEARNING CONTENT:

I. Normal wound healing

>The Four Phases of Wound Healing

Hand abrasion

Approximate days since injury

0 2 17 30
II. Infection
Signs and symptoms include wound warm to touch, misalignment of wound edges, and purulent wound drainage. Signs of systemic infection
include
fever and malaise.
• redness or excessive swelling in the wound area

• throbbing pain or tenderness in the wound area

• red streaks in the skin around the wound or progressing away from the wound

• pus or watery discharge collected beneath the skin or draining from the wound

• tender lumps or swelling in your armpit, groin or neck

• foul odor from the wound

• generalized chills or fever

III. Wound care equipment
a. Cleansing solution as prescribed by physician (e.g., clear water, mild soap and water, or antimicrobial solution)
b. Bandaging material: Telfa, gauze
wrap, adhesive tape.

IV. Demonstration of wound cleansing and bandaging on the client’s wound or a mannequin.

V. Resources available for client questions include health clinic, emergency department.

VI. Follow-up treatment plan; where and

when
references:
http://en.wikipedia.org/wiki/Wound_healing
http://docs.google.com/viewer?
a=v&q=cache:NNpPSpb_8iYJ:www.mckinley.illinois.edu/handouts/pdfs/wound_infection_symptoms.pdf+signs+and+symptoms+of+infection+of+
wound&hl=en&pid=bl&srcid=ADGEESgdgdHb0J095rqAcZVaBOqfbjXhynHhiCiXEkGOEYHntbz93iaz_T-Nez_TJsS-
F9SNboNy8VxeIW4bsB0MNkYYrGHR1KYQTBzgbZHNVxZzeDQepWZavP4U_5w7Tax24NI7R0XV&sig=AHIEtbQUtjQjONnqmAMLMeGU5
xWgEJmIiQ
Teaching Care Plan

Submitted by:
Igama, Enrico Raphael R.
BSN 2 -3 Group D

Submitted to:
Mr. Paul Lorica
C.I.

Date:
February 15, 2010