This is a teaching plan which includes clear goals and objectives. In addition with outcomes and objectives, it also covers methods of instructions, time allotted, resources, and methods for the evaluation of instructions. The details, time, and methods of teaching are designed based on the content and my learner’s capabilities. The wife of my patient who has a college degree and can read and understand Englsh well.
The Purpose of Plan I plan to provide information needed for a 24 year old female wife whose husband just has suffered a debridment of a diabetic ulcer on his right foot. After learning the signs and symptoms of wound infection, and steps of dressing change, the wife can take care of her husband wound after discharging home
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Other three objectives need 3 minutes for each so that the wife will know signs and symptoms of infection as well as collect right materials for dressing change process. Since the wound needs to be packed and this is the first time the wife has ever done this job; she needs time to adjust her emotion and coordinate her hands in the dressing change. The wife has a college degree, can speak, read, and understand English well; therefore, learning and recognize signs and symtoms of infection do not cause her any trouble. Moreover, she can select the material just in three minutes.
What Resources would I Use to Teaching This Objective? I use written handout and video materials for teaching signs and symtoms of wound infection. In order for the wife chooses the right materials, I add equipments such as sponge, empty syringe, 4x4 gauzes, packing gauzes, triple antibiotic solution, sterile water, and paper tapes. The patient will be used as human model for teaching dressing change.
Method of Evaluation The method of evaluation should match the type and complexity of learning that is to be achieved. Evaluation methods must measure the desired learning outcomes to determine if and to what extent the learner achieved the expectation for learning (Bastable, 2013). I use questions and answers to evaluate whether the wife can list and recognize correctly signs and symptoms of wound infection. I use observation of return demonstration to measure the correctness of choosing
Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.
Teaching-learning session is almost the same to the nursing process that is used in clinical settings (Habel,2006). In the learning process, the initial step is assessment of the learners understanding towards their health condition, which is then followed by the questions what do they need to learn and what will be the appropriate approach to teach them (Habel, 2006).
A meaningful event from my clinical experience was during week six when one of my colleague and I along with the RN performed a wound care procedure on one of my client who had pressure ulcers on her coccyx area and wound on the right foot. It was my first time doing wound care on a client who has severe wound type. Client is a 90 years old female who has been admitted to the unit for Osteomyelitis, it is an infection of the bone, caused by bacteria breaking into the body’s tissues and entering the bloodstream through an open wound (LeMone, p.1382). The client said a dog bit her foot at a park few years ago and that’s how she got the wound. Client has a wound care dressing order that needs to be changed daily with Betadine soaked gauze for all areas,
I have significantly developed my skill in wound care assessment and dressing, in developing this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer assessment it provides a basis for deciding the effectiveness of the current treatment.
Deficiencies in a persons diet can impede progression through the normal stages of wound healing. Malnutrition has also been related to an increase in infection rates. Jean understood this and assured me she would take this in to account to enable the healing process. Jean went on to explain that the injury was caused when somebody ran into her leg with a supermarket trolley. She had initially applied a dry dressing but attended her GP’s when the wound became wet and painful.
In this reflection I am going to discuss a procedure that I have carried out whilst I have been on placement and the importance of infection control using the Aspetic Non Touch Technique (ANTT). The procedure I am going to discuss is a dressing change to a leg ulcer which took place during a routine home visit with the community nurse. I am going to use Gibbs Model of Reflection (1988), to reflect on the experience and evaluate my thoughts and feelings of the procedure, and to outline what I have gained from the experience for my future practice.
I get to see various types of wound, from pressure ulcer of different stages, unbelievable edemas, arterial and venous ulcers, diabetic ulcers, and many other wounds of uncertain causes. I have never expected to see those kinds of wounds. I have seen different drainage amount, color, and odor, various shapes and location of the wounds, and amputated edematous legs. I have learned also the different types of dressings and antibacterial ointments used. I had given the chance to observe a client on their high-tech hyperbaric oxygen therapy which makes the wound healing even faster. The most important lesson I have learned from the team members was, “DO NOT GET
The process of wound assessment requires accurate and appropriate interventions while dealing with the patients. There are some major components which the operator must consider to effectively access an infection, and they require a range of skills and knowledge. These factors are the knowledge of relevant anatomy and physiology, the understanding of the various factors that accelerate wound growth, and the ability to listen and understand the patient’s needs. In wound accessing, the doctor should have an idea concerning the number and location of wounds, the required treatments depending on the type of infection, the type of wound in accordance to various grading given, and the procedures to follow to achieve the treatment
In contemporary times, lots of registered nurses practice wound dressing based upon expertise of sequential step-by-step actions as opposed to comprehending the concepts underpinning the most efficient strategies to wound dressing. Presently 2 leading dressing techniques, aseptic (clean hand/dirty hand) method and wound industry, are being instructed to undergraduate nursing pupils. Jointly and relatively, both methods have actually stimulated some debate relating to the most suitable and efficient method to use (Gillespie and Fenwick, 2009).
It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.
The recommendations for change to practice at the level of the provider would include first treating the underlying problem that Mrs. Smith was admitted for. According to the literature, a progressively worsening diabetic foot ulcer involves implementing a multitude of strategies to prevent amputation of the limb. This allow for decreased rates in mortality and can increase quality of life. Adequate wound management such as debridement, and offloading techniques should be instilled. Furthermore, education by the provider would be of critical importance for Mrs. Smith in terms of consistent foot care and management of her disease process (Yazdanpanah, Nasiri, & Adarvishi, 2015). Due
The teaching plan can be tailored to the needs of the patients who will be attending the classes. It can be tailored to the patient’s abilities, developmental stage and learning styles. The teaching plan can be a combination of lecture format, handouts, videos, powerpoint presentations, demonstrations and group discussion. The fee charged for the teaching program has to be determined by the person, group or facility offering the teaching program. Many insurances do not reimburse for this type of education. This has to be taken into consideration with the intended audience.
Following a small group session, the student will be able to recognize the eight signs of when a sterile dressing needs to be
Working in a healthcare domain means providing the most effective and beneficial care for the incompetent patients. Particularly, to those who needs intimate nursing assistance such as dressing, bathing, eating, toileting and skin care activities ( Wurster 2007).This is especially true if the person is mentally, emotionally, and physically dependent like the clients in nursing homes. Nurses, health care assistants or support workers and other health care providers ought to educate themselves for improving quality of care and exceeding specific benchmarks in regards to pressure sores ( Wurster 2007). All the same the basic
Present the patient with the type of LVAD they’ll be receiving and state the reason why this patient is receiving a LVAD Label each different component of the LVAD system