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Community Health Nursing Clinical Case Equivalency Wound Dressing

The document provides instructions for a community health nursing student completing a home visit where they find a child with an abrasion on the left arm that is bleeding. The student is tasked with properly dressing the wound. The process and rationale for each step is clearly outlined, including introducing oneself, explaining the procedure, gathering materials, cleaning the wound with hydrogen peroxide and betadine solution from the inside out, applying a sterile gauze and securing it with tape. The functions of the materials used - including the CHN bag, cotton pledgets, gloves, waste receptacle, solutions, gauze and tape - are then described. Therapeutic communication techniques like providing information, using silence and sharing observations
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100% found this document useful (1 vote)
195 views2 pages

Community Health Nursing Clinical Case Equivalency Wound Dressing

The document provides instructions for a community health nursing student completing a home visit where they find a child with an abrasion on the left arm that is bleeding. The student is tasked with properly dressing the wound. The process and rationale for each step is clearly outlined, including introducing oneself, explaining the procedure, gathering materials, cleaning the wound with hydrogen peroxide and betadine solution from the inside out, applying a sterile gauze and securing it with tape. The functions of the materials used - including the CHN bag, cotton pledgets, gloves, waste receptacle, solutions, gauze and tape - are then described. Therapeutic communication techniques like providing information, using silence and sharing observations
Copyright
© © All Rights Reserved
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Community Health Nursing Clinical Case Equivalency

Wound Dressing
Instructions: Consider yourself as a community heath nurse working in the rural area of
Marigondon Lapu-Lapu City.
Case: You are having your regular home visit in the community. Upon the visit, you have
noticed a child with abrasions on the left arm with a dripping blood on it.

Task I. Clearly elaborate the process in performing Wound Dressing. Provide a rationale per
procedure.
Process Rationale
Introduce yourself to the patient and family To establish rapport to the patient and family
members members
Explain the process and wound dressing to the So that the patient and family members will
patient and parents understand why the wound dressing is being
done
Get all needed materials out of the CHN bag To save time and energy when performing
and put it all in one area wound dressing
Wear sterile gloves To avoid spread of microorganisms and
prevent infection of the wound
Get a cotton pledget and apply or pour To get ready to perform wound dressing and
hydrogen peroxide cleaning of the wound
Clean the wound from inner to outer in a Following the principle of microbiology, and
circular or spiral motion or sunray motion cleaning the wound from inner to outer, to
prevent bacteria to be near the wound
Repeat procedures until the wound is clean To make sure that the wound is clean and to
prevent future infection
Get a cotton pledget and apply or pour So that the pledget will contain betadine to be
betadine applied to the wound and surrounding area
Apply betadine to the wound in a circular or Following the principle of microbiology, and
spiral motion or sunray motion cleaning the wound from inner to outer, to
prevent bacteria to be near the wound
After applying betadine to the wound, get a Applying gauze will prevent microorganisms
sterile gauze and apply on the wound and to easily attach or go into the wound of the
secure with tape patient
Perform aftercare Since pledgets and gloves were used during
the process, it is necessary to clean up after
doing the procedure

Task II. List down and describe the functions of the materials used in performing Wound
Dressing. Attach photo for each specific material. Use the formal below.
Materials Functions
CHN bag To hold all of the materials needed by the
student nurse while going on duty in the area
Cotton Pledgets To absorb the hydrogen peroxide or betadine
solution and to clean the wound
Sterile Gloves For the protection of the student nurse and
patient, and to prevent cross contamination
Waste receptacle To put the used pledgets and waste in
Hydrogen peroxide and betadine solution Solution to help clean the wound and kill
microorganisms
Sterile gauze To cover up the wound after wound dressing
Tape (transpore) To secure the sterile gauze in place

Task III. Based on your experience in interviewing a patient upon conducting a nursing
assessment and using the different phases of nursing interview, complete the table by creating
therapeutic responses on the statements that you encounter during an actual interview. Identify
the therapeutic communication technique being used.
Nursing Interview
A. Introductory Phase
Provide a clear and precise description using your own words on the readings you’ve made.
It is when the student nurse introduces himself to the patient and/or family and tries to establish
rapport, sets goals, and tells them why the student nurse is there.

Client’s Statement Therapeutic Response Therapeutic Response Used


Ahhh ga unsa diay mo diri Student nurses mi maam from Providing information
sir? Cebu Doctors’ University
Sulod lang diri sir sa amo *goes Inside the house* Using silence
balay. Sorry nga gubot kaayo
Wala man akong mga apo diri Bitaw maam, mingaw kaayo Sharing Observation
sir nag skwela ang balay karon kay ting
skwela pa karon

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