CLIENT TEACHING Sample Teaching Plan for Wound Care
Assessment of learner: A 24-year-old male college student suffered a
7-cm (2.5-inch) laceration on the left lower anterior leg during a hockey game. The laceration was cleaned, sutured, and bandaged. The client was given an appointment to return to the health clinic in 10 days for suture removal. Client states that he lives in the college dormitory and is able to do wound care if given instructions. Client is able to understand and read English. Assessed to be in the “preparation” and “action” stages of change.
Nursing Diagnosis: Deficient Knowledge (Care of Sutured Wound) related to no prior experience.
Long-Term Goal: Client’s wound will heal completely without infection or other complications.
Intermediate Goal: At clinic appointment, client’s wound will be healing without signs of infection, loss of function, or other complication.
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.
LEARNING OUTCOMES CONTENT OUTLINE TEACHING METHODS
Upon completion of the instructional session,
The client will
1. Describe normal wound healing.
2. Describe signs and symptoms of wound infection.
3. Identify equipment needed for wound care. 4. Demonstrate wound cleansing and bandaging. 5. Describe appropriate action if questions or complications arise.
6. Identify date, time, and location of follow- up appointment for suture removal.
I. Normal wound healing
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.
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 Describe normal wound healing with the use of audiovisuals. Discuss the mechanism of wound infection.
Use audiovisuals to demonstrate infected wound appearance.
Provide handout describing signs and symptoms of wound infection.
Demonstrate equipment needed for cleansing and bandaging wound. Provide handout listing equipment needed.
Demonstrate wound cleansing and bandaging on the client’s wound or a mannequin. Provide handout describing procedure for cleansing and bandaging wound.
Discuss available resources. Provide handout listing available resources and follow-up treatment plan. Provide written instructions.
Evaluation: The client will:
1. Respond to questions regarding self-care of wound.
2. Return demonstration of wound cleansing and bandaging.
3. State contact person and telephone number to obtain assistance.
4. State date, time, and location of follow-up appointment