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The learners are patients seeking medical attention at Emergency Department, Trauma Section at Baguio General Hospital
and Medical Center. Mostly all patients can speak and understand Ilokano and Tagalog. Pamphlets are used to facilitate teaching
and learning.
Wound Care: Factors affecting wound healing, Signs and Symptoms of wound infection, wound dressing, wound cleaning
Nursing Diagnosis: Knowledge deficit: Wound Care: Factors affecting wound healing, Signs and Symptoms of wound infection,
wound dressing, wound cleaning related to lack of information
After 3 minutes of Cardinal signs and symptoms One on one oral Instant oral feedback.
health teaching on of wound infection: discussion. The client was able to
cardinal signs and a. At woundsite: With pamphlet. enumerate 5 out of 7
symptoms of wound 1. Pain a n d tenderness signs and symptoms of
infection with the 2. Redne ss a n d swelling wound infection.
client, he will be able 3. Increased local temperatu
to enumerate 5 out of re
7 signs and symptoms 4. Formation of p us
of wound infection. 5. Lymphangitis/lymphadeni
tis
6. Cellulitis
7. Local infection involving the
surrounding are.
Re-demonstration or
Demonstration of step recall of step by step
After 10 minutes of Supplies needed for wound by step procedure. procedure.
health teaching on cleaning: With pamphlet.
wound cleaning: 1. Hydrogen peroxide
a. The client will be able 2. Povidone iodine
to identify all materials 3. Cotton
needed for wound 4. Gauze and tape
cleaning. Steps of wound cleaning:
b. The client will be able 1. First clean wound with water
to step by step process and soap (not necessarily
of wound cleaning. antibacterial).
2. Soak cotton with hydrogen
peroxide then wipe it on the
wound site. Inner part of the
wound is to be cleaned first
then the outer part.
3. Soak cotton with povidone
iodine then wipe it on the
wound site.
4. Inner part of the wound is to
be cleaned first then the
outer part. One on one oral Instant oral feedback.
5. Apply dressing. discussion. The patient was able to
* keep dressing always clean and With pamphlet. discuss steps in
After 3 minutes of dry. Change dressing when soaked preparation and use of
health teaching on or every day. guava leaves as
alternative antiseptic alternative antiseptic
solution for wound solution.
cleaning the client will Preparation of decoction:
be able to discuss 1. Collect guava leaves, then
steps in preparation clean thoroughly.
and use of guava 2. Boil leaves. 1 part of leaves is
leaves as alternative to 1 part of water.
antiseptic solution. 3. Use decoction in washing the
wound.
References:
Kozier, B. ; et al. (2008). Fundamentals of Nursing (8th edition). Jurong, Singapore: Pearson Education South Asia Pte. Ltd.
Medicine.net
Public Health Nursing, DOH book
Saint Louis University
School of Nursing
Level III
Teaching Plan
On
Wound Care
In the Partial Fulfilment of RLE duty
BGH –ER, 3-11
Submitted to:
Mr. Ronald Valera,RN
Clinical Instructor
Submitted by:
Claveria, Webster C.
BSN III-G2
Submitted on:
May 13, 2011