Breastfeeding
Revised 2020_2021
Sample Teaching Plan NURSING DX BEHAVIORAL
OBJ. CONTENT & SUPPORTING EBP
METHODS IMPLEMENTATION EVALUATION
Knowledge Deficit: r/t
wound care
Subjective (3):
• “I don’t know
how to take care
of my wound
when I go home”
• “I have never
had surgery
before”
• “How often will
have to change
the dressing?”
Objective (3):
• Client has abd
incision in RLQ
• Client is 1 day
post-operative
abd surgery
• Client RLQ abd
wound with
clean, dry gauze
dressing intact.
Cognitive:
Client will state
12 steps of
wound care by
D/C with 100%
accuracy
I. Wound care (Cognitive)
A. Importance
1. Ability to heal
2. Prevention of infect
Potter, Perry, Stockert, & Hall (2013).
B. Components
1. Removal of old drsg.
2. Inspection of wound
3. Cleansing of wound
4. Wound drsg.
C. Wound care
1. Wash hands with soap & water x
3 mins
2. Apply clean gloves
3. Remove drgs by touch outside only -
closing dirty section inwards.
4. Discard in plastic bag
5. Chg. Gloves 6.cleanse with 1/2
str. h2o2 & h2o. Allow to air dry
7. Open sterile gauze
package using sterile tech. Do not
touch inside of drsg.
8. Tear 2 strips of tape about
6"long.
9. Apply sterile drsg over incision
without touching incision with hands.
10. Apply tape to top
and bottom of drsg.
11.Discard used equip.
12.Wash hands.
1. One to one
discussion
2. pamphlets on
incision care
3. video on
incisional care
4. Written instructions
1.Nurse will assess
client's readiness to
learn, prior to initial
teach. Session
2.Nurse will establish
trusting relationship with
client on day one of
hosp.
3. Nurse will review
concepts of wound care
while performing drsg.
chg for client each hosp
day.
4. Nurse will teach client
concepts for 10mins. 2 x
per shift until discharge.
5. Nurse will allow q &a
session at each teach
session until d/c
6.Nurse will validate
clients knowledge for
correctness at each 10
min teaching session 2
x per shift until
discharge.
Client able to state 8 of
12 steps of wound care
with 75% accuracy 2
times per shift by day 3 of
hosp. Teaching
interventions remain
ongoing.
Goal partially met
OR:
Client able to state all
12 of 12 steps of
wound care with 100%
accuracy by d/c
Goal met
Revised 2020_2021
NURSING DX BEHAVIORAL OBJ. CONTENT &
SUPPORTING EBP METHODS IMPLEMENTATION EVALUATION
Knowledge Deficit: r/t
wound care
Affective: Client will
discuss feelings
re: wound care by
D/C
I. Feelings re: wounds
A. Fear re: Ability to heal
B. Queasiness regard
necessity to touch area
C. Possible
repulsiveness by Self &
S/O
D. Worry about infection
II. Validity of feelings
A. Normality of
B. initial feelings
C. Ability to cope
after exposure
1. One : one
discussion
2. Group process
3. Journal keeping
4. Role playing
1.Nurse will assess
client's readiness to
learn, prior to initial
teach. Session
2.Nurse will establish
trusting relationship with client on day one of hosp.
3. Nurse will discuss
possible feelings client
may have regarding
wound care at each
drsg. chg
4.Nurse will encourage
client to verbalize
feelings regarding
wound care throughout
dressing changes - 2x
per shift until discharge.
5.Nurse will allow q&a
session at each teach
session until d/c
6.Nurse will validate
clients feelings regarding
wound care at each
teaching session 2x
/shift until discharge.
7.Nurse will encourage
s/o participation in
discussion of feelings
regarding wound care 2x
per shift at drsg chg
throughout hosp. stay
8.Nurse will contact
support group for post
hosp. Care to cont.
interventions.
Client able to discuss
feelings one to one during
each drsg change 2x per
shift by 2nd hosp day
client unable to discuss
feelings in group process.
Continue one on one disc.
Utilize journal keeping instead
of group process for remainder
of hosp. Stay. S/O willing to
participate in one on one disc.
By 2nd hops day. Teaching
interventions remain ongoing.
Goal: partially met
OR
Client able to discuss
feelings and states
confidence in wound care; “I
don’t feel queasy when
touching my wound and feel
confident in taking care of
my wound”
Goal: met
Revised 2020_2021
NURSING DX BEHAVIORAL
OBJ. CONTENT & SUPPORTING EBP
METHODS IMPLEMENTATION EVALUATION
knowledge Deficit:
r/t wound care
Psychomotor:
client will
demonstrate the
14 steps of
wound care by
D/C
with 100% accuracy
I. Wound care
(Psychomotor)
A.Wound care
1. wash hands with soap &
water x3 mins.
2. apply clean gloves
3.remove drgs by touch
outside only -closing dirty
section inward. examine
drsg. For drainage - color
amt, smell, consistency
4.discard in plastic bag
5.remove. Gloves
6.rewash hands
7.Apply sterile gloves
according to sterile glove
technique
8.cleanse with 1/2 str. h2o2
& h2o. Using sterile cotton
tip applicators clean in one
direction only allow to air dry
9. Open sterile gauze
package using sterile
tech. Do not touch inside
of drsg.
10. Tear 2 strips of tape
about 6"long.
11. Apply sterile drsg over
incision without touching
incision with hand 12.Appply
tape to top and bottom of
drsg.
13. Discard used equip.
14. wash hands
1. Demonstrate with
return demonstration
1.Nurse will assess
clients readiness to
learn, prior to initial
teach session
2.Nurse will establish
trusting relationship with
client on day one of hosp
3.Nurse will demonstrate
wound care 2x per shift
on 1st day of hosp.
4.Nurse will allow q&a
session at each teach
session until d/c
5.Nurse will encourage
client to participate in
wound care by holding
equip.and applying tape
at each dress. Chg.2x per shift on 2nd hosp day
6.Nurse will assist
client with performing
own wound care 1x on
3rd hosp day.
7.Clent will perform
entire wound care
procedure by 2nd drsg
chg on 3rd hosp day
8.Nurse will validate
clients knowledge for
correctness at each 10
min teaching session 2
x per shift until dischg
8.Nurse will provide
positive reinforcement for
efforts of client at each
drsg chg.2xper shift
Client able to demo 8 of
14 steps of wound care
with 50% accuracy by
1st drsg chg on 3rd
hosp.- teaching
interventions remain
ongoing.
OR:
Client able to
demonstrate 14 of 14
steps of wound care
with 100% accuracy
by d/c
Goal met
Implementation con't
9.Nurse will provide
client & S/O with written
instructions at d/c
Revised 2020_2021
References Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier Mosby