This lesson plan is designed for use with the Instructor slide set available at “Training Aids”
Developed
by
NurseLearn -A Division of Diversified Healthcare Consulting
PO
Box 844
Mustang,
OK 73064
Topic |
Outline |
Teaching Method/Aids |
Comments |
|
Introduction |
Present
information on the incidence and health care costs associated with the
development of pressure ulcers in US |
Lecture/Slides |
Self-study
packet also available from NurseLearn |
|
Performance Objectives |
Explain
to participants how they will be evaluated to determine mastery |
Program
objectives/Written Test (if applicable) |
|
|
Definition |
Define
“pressure ulcer” and discuss most common locations for development |
Lecture/Slides |
|
|
|
Explain the differences between stasis and pressure ulcers |
Lecture |
|
|
Pathogenesis |
Four major elements causing in the pressure ulcer phenomenon. |
Lecture/slides |
|
|
Risk
Factors |
List and discuss significant risk factors in the development of pressure ulcer |
Lecture/slides |
|
|
|
Explain formula for determining body mass index |
|
|
|
|
Discuss physical findings & laboratory findings indicating protein stores depletion/malnutrition |
Lecture/slides |
|
|
Staging
Pressure Ulcers |
Present system for staging accepted by the agency |
Lecture/slides
and/or pictures, if available |
|
|
|
Explain the problems associated with ‘reverse staging’ |
Lecture |
|
|
Assessment
of Risk |
Present the assessment tool accepted by the facility (i.e. Norton Scale) |
Lecture/handout |
|
|
Principles of Prevention |
Nursing measures recognized in the prevention of pressure ulcer development (nutrition, cleansing, lubrication, protection, pressure relief) |
Lecture/slides |
|
Treatment of pressure ulcers |
Explain the process of tissue breakdown and stages of wound healing |
Lecture/slides |
|
|
|
Products that interfere with wound healing (e.g. Dakin’s solution, H2O2, etc.) |
Lecture/slides |
|
|
|
Practices that interfere with wound healing (Scrubbing, massage of wound, wet to dry dressings, etc.) |
Lecture/slides |
|
|
|
Products that promote wound healing (hydrocolloids, hydrogels, absorptive wound fillers, transparent film, etc.) |
Lecture/slides |
|
|
|
Practices that promote wound healing (wet to moist dressings, normal saline irrigation, pressure relief, etc.) |
Lecture/slides |
|
|
The Infected Wound |
Explain the difference between colonization and infection |
Lecture/slides |
|
|
|
Problems with the use of systemic and local antibiotics |
Lecture |
|
|
|
Wound vs. tissue culturing |
Lecture |
|
|
Packing & Dressing Deep Ulcers |
Review procedure accepted by facility and precautions to take in packing wounds |
Lecture/slides Agency
policy/procedure |
|
|
Assessing and Describing Wounds |
Review policy and procedure regarding frequency and content of wound assessment and description |
Agency
policy/procedure |
|
|
|
Review use of agency approved form for documenting wound assessment |
Agency
Form |
|
|
|
Review elements usually included in description of pressure ulcer (e.g. size, color, undermining, granulation tissue, necrotic tissue, etc.) |
Lecture/slides |
|
|
Summary |
Summarize principles of prevention and management |
Lecture/slides/ handouts |
|
|
Evaluation |
Use evaluation tool designed to determine content master |
|
If
applicable |
|
|
Ask participants to rate learning experience using tool designed for program evaluation |
|
If
applicable |