TEACHING PLAN FOR CHEST PHYSIOTHERAPY Description of the Learner: S: Pinapalitan mga every 5 days.

Nagddrain ng every 3 days pag puno na. O: > the patient and significant others are able to understand Tagalog, English and Pangasinense >they have no hearing defects or problem in their speech and comprehension Learning need: performing Colostomy Care Learning diagnosis: knowledge deficit: Colostomy care related to lack of exposure as manifested by the client s claim that he expects members of the health care and significant others to do colostomy care Learning Objectives: Upon completion of the topic about colostomy care, the client will be able to: 1.) define colostomy Learning content Teaching strategy/method and activities Time allotment and resources Method of evaluation

colostomy: surgical opening into the colon by means of a stoma to allow drainage of bowel contents; one type of fecal diversion

>>one on one discussion with visual aids and provided hand outs

1 minute Handouts, visual aids, knowledge of the nurse, time and effort of the client

Instant oral feedback. Client will be able to state the definition of colostomy

2.) define colostomy care

The goals of chest physiotherapy are to: a.) remove bronchial secretions b.) improve ventilation/breathing c.) increase the efficiency of the respiratory muscles

>>one on one discussion with provided hand outs and visual aids

2 minutes Handouts, visual aids, knowledge of the nurse, time and effort of the client

Instant oral feedback. Client will be able to state the definition of colostomy care

3.) state correctly the purpose of colostomy care

a.) Chest Percussion and Vibration: to dislodge mucus adhering to the bronchioles and bronchi. b.) Effective coughing technique: to mobilize secretions and promote expectoration

>>one on one discussion with provided hand outs and visual aids

3 minutes Handouts, visual aids, knowledge of the nurse, time and effort of the client

Instant oral feedback. The client will be able to state correctly the purpose of colostomy

4.) correctly demonstrates how to do colostomy care

steps in doing chest percussion: 1.) let the patient breathe in and breathe our deeply for 3 times 2.) auscultate the lung areas 3.) cupped hands in position first at the lower back 4.) rapidly percuss upward, carefully not hitting the spinal column Steps in doing chest vibration: 1.) position the patient in sitting position, and clutching a pillow in front 2.) wrists and elbows remain stiff 3.) vibrate using the palm of non-dominant hand while the dominant hand on top of it. *May be done 3 to 5 minutes per session

>>demonstration and discussion with provided hand outs and visual aids

6-8 minutes Handouts, visual aids, knowledge of the nurse, time and effort of the client

Redemonstration. The client will be able to redemonstrate correctly the steps in doing colostomy care

Reference: y y BRUNNER AND SUDDARTH S TEXTBOOK OF MEDICAL-SURGICAL NURSING.PDF WWW.GOOGLE.COM KEYWORDS: COLOSTOMY CARE

Teaching Plan On Colostomy Care

Submitted by: Soriano, Ma. Pauleen Trisha A. BSN 4-I group 3

Submitted to: Mr. Irwin Rommel Bansen Clinical Instructor

August 4, 2011