TEACHING CARE PLAN

Overview:
Mr. X, a college student, rushed to the university clinic to inquire about the state of a
wound that he had. He acquired the abrasion from accidentally tripping onto a hard and rough
concrete surface. He mentioned that it was his first time to get such abrasion. He lives alone in
his dormitory and stated that there was no one to tell him exactly what to do. After the
accident, he stated that the only thing he had done to care for the wound is to apply alcohol.
Now, his abrasion is slightly swelling and reddish in color.
Assessment Nursing Desired Nursing Interventions Rationale Evaluative
Diagnosis Outcomes/Indicators Statement

Subjective: Deficient After health teaching, Teach and assist the a. To promote Goal met;
Patient knowledge the patient will be patient on the proper wound healing patient was
verbalized (Care of knowledgeable way of caring for the able to learn
about: wound) enough to properly wound. b. To avoid how to
-Lack of related to and independently infecting or properly care
knowledge insufficient care for the wound a. Explain the contaminating for the wound
about caring information and prevent infection importance of the wound by verbalizing
for the secondary keeping the understanding
wound to no prior wound dry and c. Pain, fever, of what to do
- experience proper nutrition and purulent to promote
Unfamiliarity (food high in discharges are wound
with signs of vitamin C and signs of healing and
infection protein) infection and acceptance of
b. Inform the must be treated the need for
client of basic as soon as proper
Objective: wound care possible nutrition
Patient such as to avoid
manifested: contact Patient was
-lack of (scratching, able to grasp
knowledge rubbing, playing health
of infection with the teachings as
control by wound) evidenced by
frequently c. Educate the verbalization
touching the patient about of the signs
wound the signs and and
symptoms of symptoms of
-confusion infection and infection and
when asked report back to how to avoid
about the the clinic if he wound
basic experiences infection
measures of such symptoms
wound care