HEALTH TEACHING

PLAN
LEARNING LEARNING CONTENT METHO RATIONA TIME / EVALUATION
OBJECTIV D/ LE VENUE /
ES STRATE RESOURCES
DY
INFECTION: OPEN WOUND Discussio By 1:00pm-
After 1 n discussion 2:00pm
hour of Control the cause of the wound I can able Ilang-Ilang Recitation
health to really Health
teaching, • Open wound are common in clients with disease focus on Center
the patient that impair blood flow to the legs the topic Barangay
and his • If wound healing is delayed because of lack of and what Hall
family will venous return, the extremity requires compression is needed
be able and elevation. to be Book
understand • If the cause of the wound is lack of arterial flow, the learned by Reference:
and know extremity should be positioned flat. the client. Medical
how to • If pressure is causative or contributing factor, Surgical
prevent repositioning and proper support surfaces must be Nursing
infection in considered. “Clinical Demonstration
an open Management
wound. Keep the Wound Moist for Positive
• Wound healing is optimized when the wound is Outcomes
kept moist. A moist environment promotes Eighth
collagen synthesis, granulation tissue formation Edition Vol.1
and epithelial cell migration. This moist Joyce M.
environment however can create a medium Black
conductive to and a clean technique must be used Jane
for wound care. Heat lamps or treatments that dry Hokanson
the wound must be avoided. Hawkas
• Wet to moist or continuously most dressing are Copyright
used in clean and granulating wounds. 2009
• Open gauze dressing so that they can be inserted Page.
into the would or placed on all surfaces of the 313,315 and
wound while they are moist, making certain to 317
protect normal intact skin.
• Remove the dressing while they are still moist to
 avoid disrupting the granular bed.
• Bleeding should not occur when the dressing is
removed.
• If the dressing is too dry to pull off, moisten it with
sterile normal saline before attempting to remove
it. Recitation
• Foam, hydro gel and hydrocolloid dressings can
also be used to keep a clean wound moist.
• The wound bed should be gently cleansed with
normal saline to remove debris before replacing
the dressings.

Prevent Injury to Healing Tissues

• Normal saline or wound cleaners should be used
for wound cleansing. Normal saline is physiologic,
does not harm tissues and adequately cleans Recitation
most wounds.
• Avoid applying solutions on and in the clean
wound that may impair healing
• Full strength iodine, hydrogen peroxide and
Dakin’s Solution were once commonly used for
wound care, however these solutions damages
the wound site.

Select Dressing
• Dressing can protect a healing wound, absorb
exudates or deride a necrotic wound.
• Gauze is used as a dry cover for surgical wounds or
for wounds that heal by primary infection
• Only mesh gauze should be used in wound because
cotton dressings are likely to leave fibers behind. Demonstration
• If the wound edges are friable or if the wound will
injured when the dressing is removed, a
nonadherent dressing can be used to avoid injury to
avoid injury to the wound.
• If the gauze is used to pack wound, hydrocolloid
dressings can be placed like a window frame around
the wound. The tape can be applied to the wound
than the skin.
Wet to Dry Dressing
• An all-gauze dressing is moistened with the
prescribed solution and squeezed until the dressing
is just moist.
• The moist dressing should be gently packed into all
crevices in the wound and left long enough to begin
to dry (4-6hrs.)
• As the dressing dries, debris, necrotic tissue,
exudates and drainage adhere to it.
• The wound is debride as the dressing is adhere to it.
• The dressings are not remoistened to make removal
easier because this practice defeats the purpose of
the dressing, which is to debride the wound.
• The process is often painful and clients should have
adequate analgesia before the dressing is changed.
• Tropical skin protectant can be used to protect
surrounding intact skin from exposure to moisture.
• Wet-to-dry dressing is nonselective from of
debridement and can inadvertently remove new
granulation tissue as well as necrotic tissue,
creating an environment that retards healing.
Therefore they are used only until the wound is
clean and used only until the wound is clean and
granulating.
 METHOD TIME /
LEARNING / RATIONA VENUE /
LEARNING CONTENT EVALUATION
OBJECTIVES STRATED LE RESOURCE
Y S

Goal: HYPOTHERMIA Discussio Through 10:00am – Recitation

Overview n the 11:00am
After a complete nursing • Hypothermia is a core body method of Ilang-Ilang
intervention the client temperature below the lower limit of discussion Health
will be able to normal. The three physiologic I will be Centre
demonstrate mechanisms of hypothermia are able to
understanding and a) Excessive heat loss explain
behaviors about the b) Inadequate heat production to thoroughly Sources:
disease and to prevent counteract heat loss what the http://www.
the problem from c) Impaired hypothalamic client wordiq.com/
reoccurring. thermoregulation. needs to definition/Hy
know pothermia
Objectives: Prevention/Intervention regarding
• Evaluate body temperature in relation this
After 1 hour of nursing to where the patient is. disease
intervention, the client and how
will be able to: • To determine if the activities are he will be
appropriate in obtaining normal body able to
• Define hypothermia. temperature. obtain a
normal
 • Nursing Interventions for Clients with temperatu
Hypothermia re.
 Provide a warm environment
 Provide dry clothing
• To have a  Apply warm blankets
comfortable  Keep limbs close to body
environment.  Cover the client’s scalp with a cap
or turban
 Supply warm oral or intravenous
fluids
• To know the suitable  Apply warming pads
activities he should
do to achieve normal
body temperature.

TIME /
METHOD/
LEARNING RATIONAL VENUE /
LEARNING CONTENT STRATEG EVALUATION
OBJECTIVES E RESOURCE
Y
S
Goal: Discussio Encourage 9am to 10 Recitation
After a complete Definition of impaired skin integrity: n participatio am
nursing n by Barangay
intervention the -Altered epidermis and/or dermis (The learner; Health
client will be able integumentary system is the largest multifunctional permits Center
to demonstrate organ of the body) reinforceme
understanding and nt and Book
behaviours about The skin: repetition Reference:
the disease and to - Protection: an anatomical barrier from pathogens at learner’s Medical
prevent and damage between the internal and external level; Surgical
developing the environment in bodily defense permits Nursing
problem. introduction Volume 1 by
• Spacing meal throughout the day, help a
of sensitive Joyce M.
person avoid extremely high or low blood
Objectives: subjects. Black and
glucose levels.
Jane
After 1 hour of • Diet undertaken with the supervision of a Hokanson
nursing doctor. Hawks
intervention, the • In take of food which help lower blood Teaching
client will be able : controls Fundamenta
cholesterol.
• Define content and ls of Nursing
impaired skin • Use Exchange lists in planning diabetic pace; 8th edition,
integrity diet. learner is by Kozier,
accurately. Control the Cause of the Wound passive,
• Open wounds are common in clients with therefore,
disease that impair blood flow to the legs retains less
• To know the (arteriosclerosis, venous insufficiency, information
proper diet he diabetes) or that reduce sensation than when
should have to (paralysis, diabetes). If wound healing is actively
avoid further delayed because of lack of venous return, participatin
complications the extremity should be positioned flat. If g; feedback
pressure is a causative or contributing is
• To know the factor, repositioning and proper support determined
proper surfaces must be considered. by the
activities he • Protein-calorie malnutrition may be present, teacher
should do prior which delays healing of all wounds because
to her the protein needed to manufacture new
condition. cells is not available. The client’s diet should
be high in protein, iron and vitamins.

LEARNING OBJECTIVES LEARNING CONTENT METHOD/ RATIONAL TIME / EVALUATION

STRATED E VENUE /
Y RESOURCE
S
• After 10 minutes of Diet recommended for diabetic patients Discussion/ The client July 24, Recitation
nursing intervention, are low in fat, salt and sugar, includes Explanatio considers 2010
the patient will starchy carbohydrates, lean protein and n merely 10am
verbalize his plenty of fruit and vegetables. listening a The Client’s
understanding about good way house
the diet recommended to learn.
for diabetic clients.
Increase intake of healthy, unsaturated The client
• After 10 minutes of fats. It is important to eat fats if you are considers
nursing intervention, trying to gain weight since fats contain merely Manpower
the patient verbalize more calories per gram than listening a (Healthcare
and demonstrate carbohydrates. Yet diabetics are at a good way provider and
 higher risk of diseases like heart disease to learn. client)
so they need to make sure to eat the right
types of fats. Also, aat a whole grain food
at least twice a day. Whole grains are
complex carbohydrates which contain
selection of foods or dietary fiber, vitamins and minerals.
meals that will help The client
him gain weight close considers
or equal to an ideal To regain the appropriate weight, one merely
body weight. must increase the food intake and at the listening a
same time, exercise so that as you good way
• After 10 minutes of increase your caloric intake, you also help to learn.
nursing intervention, in burning some of them. Maintenance of
the client will mention weight needs following the recommended
behavior, lifestyle diet and doing some exercises too.
changes to regain
and/or maintain
appropriate weight.

LEARNING LEARNING CONTENT METHOD/ RATIONA TIME / EVALUATION

OBJECTIVES STRATEDY LE VENUE /
RESOURCE
S
• After Prolonged diabetes mellitus can cause Explanation and By 9:00am. Oral
a series of a condition known as retinopathy. It is Description discussion Ilang-Ilang Test/Recitation
nursing estimated that diabetes mellitus is a (Lecture) I can able Health
intervention primary cause of blindness in adults to really Center,
the client today. If the person had mild focus on Guiguinto,
will be able symptoms of eye problem, then it is the topic Bulacan
to indicative of a condition known as non- and what
understand proliferative retinopathy is needed Reference:
that to be http://www.d
prolonged learned by iabetesmellit
diabetes the client. us-
mellitus information.
causes eye com/diabete
problem and Reference: http://www.diabetesmellitus- s-mellitus-
even information.com/diabetes-mellitus-eye- eye-
blindness complications.htm Demonstration complication
s.htm
There is a simple test that can be done at
home to find out whether or not there is an By 10:00am.
eye complication. Draw three straight and demonstra Ilang-Ilang
• Give parallel lines on a piece of white paper tion I will Health
n a pen and about 1 cm apart from each other. Use a be able to Center,
a paper the black pen which shows the lines quite know if the Guiguinto, Pen and paper
client will be distinctly. It would be better if you get client has Bulacan test
able to someone else to draw the lines for you. an eye
know if Then place on a rigid surface such as a problem. Reference:
there is an table top and observe the lines from a http://www.d
eye problem distance. Slowly go close to the paper. Do iabetesmellit
by doing a not go nearer than 25 cm to the paper (this us-
simple test. is the least distance of distinct vision of the information.
normal human eye). If the lines appear to com/diabete
be distorted in any way, then there is eye s-mellitus-
complication and it must be shown to the eye-
doctor. complication
s.htm
Reference: http://www.diabetesmellitus-
information.com/diabetes-mellitus-eye- Explanation and
complications.htm Description Oral
• After (Le Test/Recitation
5 min of ctu
nursing re) By
intervention discussion
the client Why diabetes mellitus affect the eyes of I can able 10:30am.
will be able diabetic patients: to really Ilang-Ilang
to The eyes, like any other organs, need blood focus on Health
understand to function properly. This amount of blood is the topic Center,
why diabetic supplied by the blood vessels that run to and what Guiguinto,
client are the eye. In people with diabetes mellitus, is needed Bulacan
more prone the lumen of the blood vessels become to be
to eye narrow due to fat deposition in them, and learned by Reference:
 problems the blood vessels themselves become the client. http://www.d
thicker. Consequently, the eyes cannot get iabetesmellit
properly nourished. This takes a serious toll us-
on the visual sense. information.
com/diabete
s-mellitus-
eye-
complication
s.htm

TIME /
METHOD/ RATIONA VENUE /
LEARNING OBJECTIVES LEARNING CONTENT EVALUATION
STRATEDY LE RESOURCE
S
Discussion By 4:30pm- Recitation
Goal: RISK FOR FALL discussion 5:30pm
 Overview I can able Ilang –Ilang
After a complete nursing to really Health
intervention the client will be able • People who have impaired focus on Center
to demonstrate understanding mobility due to paralysis, the topic
and behaviours about the disease muscle weakness, and and what
and to prevent having infection poor balance or is needed Book
and can put at risk for injury/ fall. coordination are obviously to be Reference:
prone to injury learned by Surgical.
Objectives: Prevention /Intervention the client.

After 1 hour of nursing • To avoid viral infections,

intervention, the client will be that may also contribute
able : for infection.
• Define and understand
Diabetes accurately.

• Reserving the function of

the legs and preventing
amputation.
• To have a comfortable • To prevent risk for
environment. injury/fall.
• To develop a healthy foot
care.
• To know the proper
activities she should do
prior to her condition.