TEACHING CARE PLAN FOR S/P APPENDECTOMY DESCRIPTION OF THE LEARNER: The patient is a 20 year old male who

was admitted due to right lower quadrant pain. While in the emergency room, patient had a pain rating of 10/10, radiating from periumbilical area to right lower quadrant, constant, stabbing, aggravated by movement. The patient verbalized that she wanted to learn about her case and what she can do to manage the pain. Her senses are functioning well. She prefers tagalog as a medium of instruction but can understand and speak English as well. She also prefers visual aids with discussion as the form of teaching. LEARNING NEED: Post op care for appendectomy LEARNING DIAGNOSIS: Knowledge deficit: Post operative management of Appendectomy related to lack of information dissemination LEARNING GOAL: The patient will have adequate knowledge on the post operative management of appendectomy. TIME ALLOTMENT AND RESOURCES: 20 minutes, visual aids

OBJECTIVE I. After 5 minutes of health teaching, the patient will be able to perform proper deep breathing exercises properly and correctly. After 5 minutes of health teaching, the patient will be able to do demonstrate splinting exercises properly. After 5 minutes of health teaching, the patient will be able to care for his wound aseptically. After 5 minutes of health teaching, the patient will be able to execute properly coughing exercises.

LEARNING CONTENT DEEP BREATHING EXERCISES

TEACHING LEARNING ACTIVITIES One-on-one Lecture discussion with visual aids and demonstration

EVALUATION METHOD Positive oral feedback: The patient will be able to re demonstrate deep breathing exercise properly after proper demonstration.

II.

SPLINTING EXERCISES

One-on-one Lecture discussion with visual aids and demonstration

Positive oral feedback: The patient will be able to re demonstrate splitting exercise correctly after proper demonstration.

III.

WOUND CARE

One-on-one Lecture discussion with visual aids and demonstration

Positive oral feedback: The patient will be able to re demonstrate wound care appropriately after proper demonstration. Positive oral feedback: The patient will be able to re demonstrate coughing exercises properly after proper demonstration.

IV.

COUGHING EXERCISES

One-on-one Lecture discussion with visual aids and demonstration

TEACHING CARE PLAN ON POST OP CARE FOR APPENDECTOMY

IN PARTIAL FULFILLMENT OF OF THE HOSPITAL ROTATION IN SAINT LOUIS UNIVERSITY HOSPITAL OF THE SACRED HEART

SUBMITTED TO: HOWARD ECKMAN, RN CLINICAL INSTRUCTOR

SUBMITTEDBY: KATRISHA ANGELICA ENCARNACION SLU-SN4-K4

LEARNING CONTENT: Deep breathing is a relaxation technique done to release tension from your body and clear your mind. According to Dr. Andrew Weil, regular, mindful breathing can be calming and energizing and can even help stress-related health problems. Coughing exercises are useful for patients suffering from COPD (Chronic Obstructive Pulmonary Disease) to help relieve chest congestion and improve lung capacity. Check with your physician before beginning any new exercise program. The Stimulating Breath This type of deep breathing evolved from yoga breathing and aims to raise energy and increase alertness. If done properly you will feel the effort in your diaphragm, chest, stomach and the back of your neck. Keep your mouth closed as you inhale and exhale rapidly through your nose. Keep your breaths short, about three in-and-out breaths per second, and make them equal in duration. This quick breathing produces fast movement in your diaphragm. Do not try to perform this exercise for more than 15 seconds on your first try. Instead, increase your time by five seconds until you reach a full minute. The Relaxing Breath This type of deep breathing helps you to relax. You can use it while trying to fall asleep or to relieve internal tension. Sit on a chair with your back straight and hold the tip of your tongue behind your upper front teeth throughout the exercise. Exhale completely through your mouth. Inhale through your nose to a count of four then hold your breath for seven seconds. Exhale completely to a count of eight. This is one complete breath. Repeat the cycle three more times. You should always inhale quietly through your nose and exhale audibly through your mouth. Huff Coughing Huff coughing helps keep your throat open so that you can force mucus out of your lungs. A respiratory therapist generally helps patients with huff coughing, but this technique can also be performed at home. Begin by inhaling slowly and deeply. Hold your breath to a count of three, then force an exhalation, whispering "huff" as you let your breath out. Cough Exercise Sit straight up on a chair. Relax your entire body and inhale deeply through your nose twice. Purse your lips and exhale slowly. Cross your arms over your stomach and take another deep breath through your nose. Lean forward, press your arms against your abdomen, and then cough. Rest and relax for five minutes before performing again if needed. "K" Cough Exercise This coughing exercise is similar to the huff cough exercise. Sit straight on a chair and relax. Inhale deeply through your nose two or three times. Purse your lips and exhale slowly. Inhale a moderately deep breath, hold it briefly, then expel the air while saying "K." Once you feel comfortable doing this exercise, say "K" three or four times while exhaling. Pillow Splinting Pillow splinting is done either seated upright or lying down, holding a pillow over the incision site -- whether abdominal, chest or on either side. The best technique is to wrap both arms or hands as fully as possible across the pillow and press firmly. A slow, deep breath in produces less discomfort in this position. You can cough at the top of this deep breath, pressing firmly as you do so. Splinting is also used at least four times an hour to make it easier to take a series of slow, relaxed deep breaths in and out to keep your lungs expanded, mucus-free and healthy. Manual Splinting Manual splinting doesn't use a pillow. This may be easier for a lateral incision -- for instance, midway down the side of your right chest wall. In this case, you would place your left palm a few inches above the incision and your right palm a few inches below. While pressing firmly, though not hard enough to produce pain, manually splinted breathing follows the same procedure for coughing and deep breathing as with pillow splinting. Wound Self-Care at Home

Most wounds may be cared for at home. Superficial abrasions and lacerations can be cleaned, an antibacterial ointment applied, and then covered with a band-aid or light bandage. Bleeding can often be controlled with direct pressure to the wound, and if possible, elevating the bleeding site above the level of the heart. This allows gravity to help decrease blood flow to the injury. Most bleeding will stop within 10 minutes, at which point, a dressing can be placed over the wound. If bleeding is not an problem, the wound can be cleaned using tap water to wash out any debris to decrease the risk of infection. River and lake water can contain many types of bacteria that can cause significant infection. It is not recommended to clean wounds with contaminated water. Deeper wounds are painful and scrubbing is not necessarily advised. If a wound needs medical care, there are steps that can be taken at home to begin treatment. Unless there is a significant underlying injury, there is ample time to seek medical care and it is appropriate to take a few minutes to clean and dress the wound.

Reference: Read more: http://www.livestrong.com/article/340584-breathing-splinting/#ixzz1cqpOWz7D