TEACHING PLAN FOR SKIN ULCER DESCRIPTION OF THE LEARNER: The learner is a 70 year old female, caring for

her 42 year old son living in Buguias, with niece, and 3 grandchildren, though these said members of the family was always out of the house for schooling. His son was observed to have a cognitive and developmental delays. He had not undergone any medical diagnosis. These condition made Mrs. Odita responsible for taking care of her dependant son and assisting him in performing activities of daily living which his son is incapable of doing. Due to these condition, his son was used to sit for a long period of time for the whole day which caused skin ulcer formation on his butt. The learner have difficulty of hearing but has no visual impairment, she speaks kan-kanaey, Ilokano, and English, but prefers kan-kanaey as medium for teaching. LEARNING NEED: Management for existing skin ulcer and prevention of its aggravation TIME ALLOTMENT: 10 minutes

BLOs Upon completion of the topic on management for skin ulcer and prevention, the learner will be able to: 1. Define Skin ulcer using own words 2. Identify causes of skin ulcer ‡

Content Outline

Teaching strategies/Methods and Activities

Method of Evaluation

Definition of skin ulcers

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One-to-One discussion with visual aids. One-to-One discussion with visual aids.

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Instant oral feedback: The mother of the client will be able to Define Skin ulcer using own words Instant oral feedback: The client will be able to identify causes of skin ulcer

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Causes of skin ulcer

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and finally a crater. after surgery or an injury). Identify ways to manage skin ulcer ‡ management of skin ulcer ‡ One-to-One discussion with visual aids. then an open sore. heels. such as after spinal or brain injury or if you have a neuromuscular disease (like multiple sclerosis) . such as diabetes or vascular disease. The most common places for pressure ulcers are over bony prominences (bones close to the skin) like the elbow. hips. and the affected tissue dies. This often happens if you use a wheelchair or you are bedridden. Enumerate ways on how to prevent skin ulcer ‡ Prevention of skin ulcer One-to-One discussion with visual aids.3. that prevents areas of the body from receiving proper blood flow * Inability to move certain parts of your body without assistance. even for a short period of time (for example. forming a blister. ankles. back. and the back of the head. Causes These factors increase the risk for pressure ulcers: * Being bedridden or in a wheelchair * Fragile skin * Having a chronic condition. The constant pressure against the skin reduces the blood supply to that area. A pressure ulcer starts as reddened skin but gets progressively worse. ‡ Instant oral feedback: the client will be able to enumerate ways on how to prevent skin ulcer Learning Content: A skin ulcer is an area of skin that breaks down when you stay in one position for too long without shifting your weight. ‡ Instant oral feedback: The client will be able to identify ways to manage skin ulcer 4. shoulders.

become a source of pressure. Padded supports. such as doughnut cushions may. Change the position of a chair-bound person hourly. Remove all dead tissue and scabs. Clean skin with warm water and minimal friction. themselves.* Malnourishment * Mental disability from conditions such as Alzheimer's disease -. Change the position of a bed-bound person every two hours. Use pillows and padded protectors to support arms. Avoid direct pressure to bony areas such as ankles and hips. . Discourage the bed-bound or chair-bound person from sitting with the head elevated more than 30 degrees. Bandage the wound with a dressing that keeps the pressure sore moist while keeping surrounding tissues dry. depending on the severity of the pressure sore.the patient may not be able to properly prevent or treat pressure ulcers * Older age * Urinary incontinence or bowel incontinence Wound management ‡ ‡ ‡ ‡ Clean the pressure sore by irrigating the wound with a saline solution (available from drug stores) or other cleaning solution recommended by a health care professional. Check and change bed linens as often as necessary Use continence management products if necessary to reduce exposure to moisture. legs and vulnerable areas. Pat the wound dry. Handle and move carefully to avoid skin tears and scrapes. except for short periods of time. A health professional can recommend the best approach. Apply lotion often.

Do not use remedies such as iodine. * Clean.Do not massage bony areas of the body. if you notice signs of infection. Prevention: * Be meticulous about skin care. s * Encourage a balanced diet with extra protein to keep tissues healthy. * Protect vulnerable areas from pressure. * Assist healing by ensuring proper nutrition. . peroxide and cornstarch that may further irritate the skin. dress and bandage existing skin ulcers properly. Do not massage pressure sores. Examine skin daily for signs of ulcers. friction and moisture. * Alert a doctor or nurse immediately.