HEALTH TEACHING PLAN

GENERAL TOPIC: Skin Integrity Restoration and Prevention of Further Disruption

LEARNING OBJECTIVES:
Implement a written treatment plan for topical treatment of the site of skin impairment.
Teach relatives ways to monitor for signs and symptoms of infection and complications. Early assessment and intervention help
prevent serious problems from developing:
Monitor temperature of the patient. (normal 36.5 C 37.4 C)
Teach relatives to use a topical treatment that is matched to the patient, wound, and setting.
The topical treatment must be adjusted as the status of the wound changes. (Canesten
If consistent with overall patient management goals, teach how to turn and reposition at least every 2 hours to prevent bedsores
and further damage of skin.
Teach relatives to use pillows, foam wedges, and pressure-reducing devices to prevent pressure injury.
STRATEGIES/ACTIVITIES:
Give a written copy of Kurds Irrigation Solution (60 cc hydrogen peroxide, 60 cc zonrox, 60 cc cane vinegar, and 850 cc PNSS)
to the patient. (This solution was prescribed by the doctor)
Advise relatives to monitor patients temperature. Inform them that if the temperature is higher than 37.4C, the patient may be
having an infection.
Inform relatives about complications of bed sores:
Complications of pressure ulcers include:
1. Sepsis. Sepsis occurs when bacteria enter the bloodstream through broken skin and spread throughout the body. It's a rapidly
progressing, life-threatening condition that can cause organ failure.
2. Cellulitis. Cellulitis is an infection of the skin and connected soft tissues. It can cause severe pain, redness and swelling.
People with nerve damage often do not feel pain with this condition. Cellulitis can lead to life-threatening complications.
3. Bone and joint infections. An infection from a pressure sore can burrow into joints and bones. Joint infections (septic arthritis)
can damage cartilage and tissue. Bone infections (osteomyelitis) may reduce the function of joints and limbs. Such infections
can lead to life-threatening complications.
4. Cancer. Another complication is the development of a type of squamous cell carcinoma that develops in chronic, nonhealing
wounds (Marjolin ulcer). This type of cancer is aggressive and usually requires surgery.

Teach relatives to continue using Canesten as prescribed by the doctor.

Teach relatives how to turn and reposition the patient every 2 hours. Inform relatives that this procedure is to protect the patient
from further bedsores.
Teach relatives to use pillows, foam wedges, and pressure-reducing devices to prevent pressure injury.
EVALUATION:
The guardian and relatives are aware of their responsibilities. They know the importance of wound care treatment including the
use of Kurds irrigation solution and use of Canesten, and they also know how to monitor the patients overall health including the
monitoring of temperature. The guardian and relatives are also aware of the complications of bedsores. The guardian knows how
to turn the patient and knows that he should put pillows under bony prominences.