1. CHAPTER 25 / Teaching 459
r Teaching: Client Care
Sample Teaching Plan for Wound Care
Assessment of learner: A 24-year-old male college student suffered Long-Term Goal: Client’s wound will heal completely without in-
a 7-cm (2.5-inch) laceration on the left lower anterior leg during a fection or other complications.
hockey game.The laceration was cleaned, sutured, and bandaged. Intermediate Goal: At clinic appointment, client’s wound will be
The client was given an appointment to return to the health clinic healing without signs of infection, loss of function, or other com-
in 10 days for suture removal. Client states that he lives in the col- plication.
lege dormitory and is able to do wound care if given instructions. Short-Term Goal: Client will respond to questions regarding
Client is able to understand and read English.Assessed to be in the wound care and perform return demonstration of wound cleans-
“preparation” and “action” stages of change. ing and bandaging.
Nursing Diagnosis: Deficient Knowledge (Care of Sutured Wound)
related to no prior experience.
Learning Outcomes Content Outline Teaching Methods
Upon completion of the instructional ses-
sion, the client will
1. Describe normal wound healing. I. Normal wound healing Describe normal wound healing with the
use of audiovisuals.
2. Describe signs and symptoms of II. Infection Discuss the mechanism of wound infec-
wound infection. Signs and symptoms include wound tion. Use audiovisuals to demonstrate in-
warm to touch, malalignment of wound fected wound appearance.
edges, and purulent wound drainage. Provide handout describing signs and
Signs of systemic infection include fever symptoms of wound infection.
and malaise.
3. Identify equipment needed for wound III. Wound care equipment Demonstrate equipment needed for
care. a. Cleansing solution as prescribed cleansing and bandaging wound. Provide
by physician (e.g., clear water, mild handout listing equipment needed.
soap and water, or antimicrobial
solution)
b. Bandaging material: Telfa, gauze
wrap, adhesive tape.
4. Demonstrate wound cleansing and IV. Demonstration of wound cleansing Demonstrate wound cleansing and band-
bandaging. and bandaging on the client’s wound aging on the client’s wound or a man-
or a mannequin nequin. Provide handout describing proce-
dure for cleansing and bandaging wound.
5. Describe appropriate action if ques- V. Resources available for client ques- Discuss available resources. Provide hand-
tions or complications arise. tions include health clinic, emergency out listing available resources and follow-
department. up treatment plan.
6. Identify date, time, and location of VI. Follow-up treatment plan; where and Provide written instructions.
follow-up appointment for suture when
removal.
Evaluation: The client will 3. State contact person and telephone number to obtain as-
1. Respond to questions regarding self-care of wound. sistance.
2. Return demonstration of wound cleansing and bandaging. 4. State date, time, and location of follow-up appointment.
nals, and other nurses and physicians. Whatever sources the • Selected with consideration of how much time and what re-
nurse chooses, content should be sources are available for teaching.
• Accurate
• Current Selecting Teaching Strategies
• Based on learning outcomes The method of teaching that the nurse chooses should be
• Adjusted for the learner’s age, culture, and ability suited to the individual and to the material to be learned
• Consistent with information the nurse is teaching (Figure 25–2 ■). For example, the person who cannot read