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Health Care Plan
Nursing
Bukidnon State University
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Health Care Plan
Prevention and/or infection control for open wounds I. Outcomes/Objectives:
After 2 hours health teaching and nursing intervention, everyone will be able to: 1. Demonstrate and discuss open wound for them to have a knowledge of what and why we should do an action to prevent infection in open wounds. (Cognitive domain) 2. Identify what are the supplies to be use, Perform and practice the procedures with the participants step-by-step as it follows. (Psychomotor domain) 3. Assist the participates in the circumcision care and let them express themselves. (Affective domain)
II. Formulate a plan Strategies Evaluation Learning Situation: After 2 hours of health teaching and nursing intervention, the participants will be able to perform the procedure and assess its patient in the given drill situation.
III. Strategies:
- Discussion of concept for infection prevention and control:
Wound care treatments and services provided in the long-term care setting can entail complex procedures utilizing a wide array of products and/or equipment. The following wound care infection prevention and control recommendations are designed to assist long-term care facilities with general principles and are not all-inclusive. Hand hygiene: Perform hand hygiene before starting wound care for each resident (including before retrieving wound care supplies and before donning gloves), and after doffing gloves. Alcohol hand rub should be readily accessible throughout the wound care process. Ways to ensure this include keeping an alcohol hand rub close to the bed (point of care) in the room when performing wound care in addition to placing alcohol hand rub dispensers in the hallway outside resident rooms. Personnel should not touch items in the resident care environment while performing wound care as this will contaminate gloves and/or the environment. Personal Protective Equipment: Keep gloves available in all sizes for staff and providers. Wear gloves during all stages of wound care including when applying new dressings. Don them after preforming hand hygiene. During an individual resident’s treatment, doff gloves every time when going from dirty to clean surfaces or supplies and before caring for another resident. Wear a mask with eye protection if there is any chance of splattering (e., wounds with drainage, especially during debridement and irrigation). Wear a new disposable gown to cover arms and clothing that may come in contact with the resident or the resident’s bed for each dressing change. *Because it typically cannot be predicted ahead of time if health care workers or their clothing may come in contact with the wound or drainage, health care workers should consider wearing gowns for all wound care. Some exceptions could be made for patients with small, non-draining wounds, which do not require any hands-on contact with the patient (including positioning the patient) or bedding.
- Skills Demonstration on proper wound care:
Wound Care Aid 1. Control bleeding: - Gently rinse the wound with clean, lukewarm water to cleanse and remove any fragments of dirt, e. gravel, as this will reduce the risk of infection. 2. Wash your hands well: - Prior to cleaning or dressing the wound, ensure your hands are washed to prevent contamination and infection of the wound. 3. Rinse the wound: - Gently rinse the wound with clean, lukewarm water to cleanse and remove any fragments of dirt, e. gravel, as this will reduce the risk of infection. 4. Dry the wound - Gently pat dry the surrounding skin with a clean pad or towel. 5. Replace any skin flaps if possible - If there is a skin flap and it is still attached, gently reposition the skin flap back over the wound as much as possible using a moist cotton bud or pad. 6. Cover the wound - Use a non-stick or gentle dressing and lightly bandage in place; try to avoid using tape on fragile skin to prevent further trauma on dressing removal.
Seek help
- Contact your GP, nurse or pharmacist as soon as possible for further treatment and advice to ensure the wound heals quickly.
Manage pain
- Wounds can be painful, so consider pain relief while the wound heals. Talk to your GP about options for pain relief.
Return demonstration on proper wound care: We will be having our participant return the demonstration for checking if they can remember the skill shown to them, as the follows in the skills given. Also, we will also test their knowledge through asking question while they are doing their return demonstration. It is a way to confirm that you have explained to your patient what they need to know in an understandable way. This method can also help you identify the strategies that are most helpful for patient understanding.
IV. Evaluation:
a. Return demonstration: 1. Give some importance of the procedure 2. Describe the procedure 3. Demonstrate the procedure
b. Questions and answers:
- Why do we need infection control in open wound?
- This prevents healing. It also increases your risk of scars. In some cases, the infection may spread to other parts of your body.
- What are the proper ways in doing infection control in open wound? -Wash your hands. This helps avoid infection. -Stop the bleeding. ... -Clean the wound. ... -Apply an antibiotic or petroleum jelly. ... -Cover the wound. ... -Change the dressing. ... -Get a tetanus shot. ... -Watch for signs of infection
- What should you keep in mind in infection control in open wound?
- Control bleeding · Wash your hands well · Rinse the wound · Dry the wound · Replace any skin flaps if possible · Cover the wound · Seek help · Manage pain.
Left untreated, dehydration can lead to serious complications including:
Heat exhaustion or heatstroke Urinary and kidney problems, including urinary tract infection and kidney stones Fits (seizures) Low blood volume shock (hypovolemic shock) which is a serious complication that can be life-threatening Brain damage Death
Treatment
The primary aims of treatment for dehydration are to restore the body’s normal fluid volume and balance of electrolyte levels. To treat mild to moderate dehydration:
Drink plenty of fluids such as water, diluted fruit juice, and sports drinks that contain electrolytes If frequent vomiting makes it difficult to keep water down, try drinking small amounts more frequently Avoid high-sugar drinks, and caffeinated and alcoholic beverages.
Babies and young children who are dehydrated should not be given substantial amounts of water. Too much water on its own can further dilute already low levels of electrolytes and lead to complications. Instead, they should be given diluted fruit juice or a rehydration solution (available from pharmacies). A teaspoon or syringe may be helpful for giving fluids to babies. It is advisable to see your doctor early if dehydration is suspected in a young one, as it is often difficult to assess the hydration level accurately, and the condition may change very rapidly. Severe dehydration requires a hospital visit and fluids and electrolytes given through a vein, ie: intravenously, for rapid rehydration and recovery. 2. Demonstrate ways to prevent dehydration: The easiest way, follow these four steps to prevent dehydration:
- Drink plenty of water, as directed by your doctor.
- Eat foods with high amounts of water like fruits and vegetables.
- Avoid or limit drinks with caffeine like coffee, teas and soft drinks.
- Avoid or limit drinks with alcohol.
If you or your loved one has symptoms of severe dehydration, including excessive thirst, fever, rapid heartbeat, fast breathing, little or no urine, concentrated urine with a dark color and strong odor or confusion, contact your doctor immediately.
IV. Evaluation:
- Question and answer:
a. Why do people dehydrate from time to time? - Dehydration is usually caused by not drinking enough fluid to replace what we lose. The climate, the amount of physical exercise you are doing (particularly in hot weather) and your diet can contribute to dehydration.
b. Best ways to prevent dehydration? - Drink plenty of water.
c. What happens if a person is dehydrated? - Moderate to severe dehydration can cause tiredness, confusion, muscle cramping, poor kidney function, little-to-no urine production, and fast heart rate. Severe dehydration can lead to shock, weak pulse, bluish skin, very low blood pressure, lack of urine production, and in extreme cases, death. d. What do you have to do if a person faint because of dehydration?
- If you feel faint, lie down or sit down to reduce the chance of fainting again, don’t get up too quickly, and place you head between your head between you knees if you sit down.
- if someone else faints, position the person on his or her back and check for breathing if the person isn’t breathing, begin CPR. Call your local emergency number, continue CPR until help arrives or the person begins to breath.
-JOLINA FANG QUIBEN-
Health Care Plan
Course: Nursing
University: Bukidnon State University
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