Saint Louis University

School of Nursing
A. Bonifacio Street, Baguio City, Philippines 2600

In Partial Fulfillment of the Requirements in

NCM 104 A - Care of Clients with Problems in Inflammatory and Immunologic Response, Perception and
Coordination

TEACHING CARE PLAN

Clinical Rotation: April 14-16, 2016 SLU-HSH OR

Submitted by:
Sagles, Maria Robelle Anne Pearl M.
Submitted to:
Mrs. Annie N. Gutierrez
Submitted on:
April 15, 2016

DESCRIPTION OF THE LEARNER: The learner is Jammela Habiling, a 29 year old female born on June 23, 1987; residing at Lower
Brookside, Baguio City. With tentative diagnosis of G3P2 (2-0-0-2) pregnancy uterine, cephalic in labor, 37 6/7 weeks age of gestation with

intact bag of water. She was on her check-up when her physician told her that she was on 6-7 centimeters cervical dilatation upon internal
examination. She was then referred to OB-ER for admission. She verbalized that she does not have any visual or hearing impairments. There
is also no presence of a condition that may impede her from learning. The client is willing to learn on how to do proper breastfeeding and the
benefits of it because she consider it as a need for her to achieve her optimum level of functioning as a mother. She also claims that she lacks
knowledge and information concerning this condition due to the long interval of her pregnancy. She prefers Tagalog as the medium of
instruction and the use of certain methods such as One-on-one Lecture, Demonstration, & use of visual aids for learning.
LEARNING NEED: Knowledge about proper breastfeeding
LEARNING DIAGNOSIS: Knowledge Deficit: Provision of care related to lack of knowledge regarding breastfeeding
TERMINAL COMPETENCY/ GOAL: After 15-20 minutes of educative nursing interventions, the learner will be able to acquire
knowledge, skills, and attitude regarding proper breastfeeding.
Behavioral Learning
Objective

Learning Content

Time Allotment and

Resources Needed

Method of
Evaluation

One-on-one discussion
through the use of
pamphlet

Time: 3 minute
Resources: Pamphlet

Instant Oral Feedback

Remarks: The learner will
be able to enumerate 5
out of 7 factors
affecting wound healing.

One-on-one discussion
through the use of
pamphlet

Time: 3 minutes
Resources: Pamphlet

Instant Oral Feedback

Remarks: The learner will
be able enumerate 5 out
of 7 signs and symptoms

Teaching Strategy

After 15-20 minutes of health

teaching, the learner will be able to:
1. After 3 minutes of health
teaching on factors
affecting wound healing
with the client, he will be
able to enumerate at least 5
out 7 factors affecting
wound healing
2. After 3 minutes of health
teaching on cardinal signs and
symptoms of wound
infection with the client, he

Factors affecting wound healing:

1. Size of wound
2. Hygiene
3. Mechanical injury
4. Stress
5. Malnutrition/Obesity
6. Immunosuppression
7. Ischemia
Cardinal signs and symptoms of
wound infection at wound site:

will be able to enumerate 5

out of 7 signs and
symptoms of wound
infection

of wound infection.

Pain and tenderness

Redness and swelling

Increased local temperature

Formation of pus.

Lymphangitis/lymphadenitis

Cellulitis

3. After 10 minutes of health

teaching on wound
cleaning:
a. The client will be
able to identify all
materials needed for
wound cleaning.
b. The client will be
able to step by step
process of wound
cleaning

Local infection involving the

surrounding area
Supplies needed for wound
cleaning:
1. Hydrogen peroxide
2. Povidone iodine
3. Cotton
4. Gauze and tape
Steps of wound cleaning:
1. First clean wound with water and
soap (not necessarily antibacterial).
2. Soak cotton with hydrogen
peroxide then wipe it on the
wound site. Inner part of the
wound is to be cleaned first then the
outer part.
3. Soak cotton with povidone iodine
then wipe it on the wound site.

One-on-one discussion
through the use of
pamphlet

Time: 10 minutes
Resources: Pamphlet

Instant Oral Feedback

Remarks: The learner will
be able recall the step by
step procedure of wound
cleaning.

4. Enumerate ways on
preventing infection

4. Inner part of the wound is to be

cleaned first then the outer part.
5. Apply dressing.
* keep dressing always clean and dry.
Change dressing when soaked or every
day
Different ways on preventing infection
1.
Wash Your Hands
The most important thing you can do is
wash your hands frequently and
properly. Hand washing is the front line
of defense against infection. This is
also true of anyone who may be
helping you care for your incision after
surgery, even if they wear gloves.
2.
Take Your Antibiotics as
Prescribed
Antibiotics may prevent an infection,
so make sure to take them on time. If
you stop taking your antibiotic too
soon, you may be at risk for developing
a strain of infection that is resistant to
that antibiotic.
3.
Keep Your Wound Clean and
Dry
It is important to keep your wound
clean to prevent infection. The best
way to keep your wound clean, if your
surgeon permits, is to shower and clean

One-on-one discussion
through the use of
pamphlet

Time: 3-5 minutes

Resources: Pamphlet

Instant Oral Feedback

Remarks: The learner will
be able to identify at least
4 ways of preventing
infection.

the wound with a mild antibacterial

soap. Be sure to rinse the soap off well,
as it can be irritating to our healing
skin. Allow your incision to dry
completely before applying a clean and
dry bandage. You may not need to
cover your incision, only do so if your
surgeon has recommended doing so.
Using harsh cleansers such as peroxide
and alcohol, scrubbing the incision,
removing any scabs or allowing a damp
dressing to remain on your incision are
not recommended.
4.
Wash your Hands Before and
After Doing any Wound Care
If you are caring for your wound and
you havent just gotten out of the
shower, it is important that you wash
your hands before you touch the
incision or care for it. In fact, for
patients recovering in the hospital, it is
normal for nurses to wash their hands
and put on gloves before touching the
incision and removing the bandage,
then applying new, clean gloves before
applying a clean dressing.
5.
Stop Smoking Now
Many smokers are sick of being told to
quit smoking, and most are also fully
aware that smoking is bad for their

health. In this case, there is a very good

reason that has nothing to do with the
possibility of cancer in the future.
Smokers are much more likely to have
an infection during their recovery from
surgery; in fact, some studies have
shown that a smoker may be up to six
times more likely to end up with an
infection than a non-smoker. In
addition, smokers also have more
scarring and heal more slowly. The
more slowly your incision closes, the
longer you are at risk for an infection in
that area.
6.
If You Leave the House, Use an
Antibacterial Hand Cleanser
I know it seems like hand washing has
been covered pretty well already, but
when you are out in public it is
important to remember that everyone
else isn't as diligent as you are.
Everything you touch in public has the
potential to spread an infection, so use
waterless hand frequently. Basically,
assume that everyone else has failed to
wash their hands and you are protecting
yourself from their germs.
7.
Resist the Ointment Urge
It may be tempting to use ointments

5. Discuss the importance of

Nutrition in infection control

and lotions on your incision, but it is

not a good idea to use anything on your
incision that your physician has not
recommended. Many antibacterial
ointments will actually keep moisture
on your skin and in your incision,
which creates an environment that
encourages the growth of germs.
Foods to consume and avoid to prevent
infection.
Protein is the building block for new
tissue and wound repair. The sources of
protein include:

Fish (Tuna, Salmon, Halibut)

Lean Chicken (Chicken Breast)
Cheese (Non-fat Mozzarella)
Lean Beef and Veal (Low Fat)
Pork Loin (Chops)
Tofu
Yogurt, Milk, and Soymilk
Beans (Mature Soy Beans)
Eggs (Especially Egg Whites)
Nuts and Seeds (Pumpkin,
Squash, and Watermelon Seeds)

Vitamins and minerals:

Iron (meat, fish, poultry, eggs,

green leafy vegetables,

One-on-one discussion
through the use of
pamphlet

Time: 1-2 minutes

Resources: Pamphlet

Instant Oral Feedback

Remarks: The learner will
be able to understand the
importance of nutrition to
prevent infection

potatoes, dried fruit and

enriched bread and cereal
products)
Zinc (seafood, fish, meat,
poultry, cheese, nuts)
Vitamin C (fruits)

Advantages of breast feeding:B-best milkR-reduce incidence of allergiesE-economicalA-antibodies/ greater immunityfor infectionS-stool inoffensive/
neverconstipated T-temperaturealways rightF-feeding milk never goes sourE-emotional bondingE-easy once establishedD-Digested easily within 2-3hoursIimmediately availableN-nutritionally balancedG-gasto enterdes greatly reduce3.Correct positioning andattatchment for breastfeedingPositioninga.) infants head and
body shouldbe straightb.) facing the breast with infantsnose opposite the nipplesc.) Infants body close to themothers bodyd.) support infants whole body
References:
Berman, A., & Kozier, B. (2008). Kozier & Erb's fundamentals of nursing. Upper Saddle River, N.J.: Pearson Prentice Hall.. Ltd. Medicine.net Public Health Nursing, DOH book
Comprehensive List of Print Materials - Minnesota Dept. of Health. (2016). Health.state.mn.us. Retrieved 14 April 2016, from
http://www.health.state.mn.us/handhygiene/materials.html#curricula
The Top 10 High Protein Foods - Clear and Detailed Information for Your Best Protein Sources. (2016). HealthAliciousNess. Retrieved 14 April 2016, from
https://www.healthaliciousness.com/articles/foods-highest-in-protein.php
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