CLINICAL ALERT Setting Learning Outcomes

1 500 UNIT VI / Integral Aspects of NursingPlanningDeveloping a teaching plan is accomplished in a series of the client at this time promotes the formation of ameaningful plan and stimulates client motivation. The clientwho helps develop the teaching plan is more likely to achievethe desired Outcomes (see Client Teaching: Sample TeachingPlan for Wound Care). CLINICAL ALERTK nowing the client s stage of change helps determine which interven-tions will be useful to help the client change. Determining Teaching PrioritiesThe client s Learning needs must be ranked according to prior-ity. The client and the nurse should do this together, with theclient s priorities always being considered. Once a client s pri-orities have been addressed, the client is generally more moti-vated to concentrate on other identified Learning needs.

2 Forexample, a man who wants to know all about coronary arterydisease may not be ready to learn how to change his lifestyle un-til he meets his own need to learn more about the can also use theoretical frameworks, such as Maslow shierarchy of needs, to establish priorities (see Chapter 8). Setting Learning OutcomesLearning Outcomes can be considered the same as desired out-comes for other nursing diagnoses. They are written in the sameway. Like client Outcomes , Learning Outcomes State the client (learner) behavior or performance, not nursebehavior. For example, Identify personal risk factors forheart disease (client behavior), not Teach the client aboutcardiac risk factors (nurse behavior).CLIENT TEACHINGS ample Teaching Plan for Wound CareAssessment of learner:A 24-year-old male college student suffered a 7-cm ( ) laceration on the left lower anterior leg during a hockeygame.

3 The laceration was cleaned, sutured, and bandaged. The clientwas given an appointment to return to the health clinic in 10 days for su-ture removal. Client states that he lives in the college dormitory and isable to do wound care if given instructions. Client is able to understandand read English. Assessed to be in the preparation and action stagesof Diagnosis: Deficient Knowledge(Care of Sutured Wound) re-lated to no prior Goal:Client s wound will heal completely without infection orother Goal:At clinic appointment, client s wound will be healingwithout signs of infection, loss of function, or other Goals:Client will (a) correctly list three signs and symptomsof wound infection and (b) correctly perform a return demonstration ofwound cleansing and OUTCOMESCONTENT OUTLINETEACHING METHODSUpon completion of the instructional session,The client will1.

4 Describe normal wound Describe signs and symptoms of wound Identify equipment needed for wound Demonstrate wound cleansing and Describe appropriate action if questionsor complications Identify date, time, and location of fol-low-up appointment for suture Normal wound and symptoms include woundwarm to touch, misalignment of woundedges, and purulent wound of systemic infection includefever and Wound care equipmenta. Cleansing solution as prescribed byphysician ( , clear water, mild soapand water, or antimicrobial solution)b. Bandaging material: Telfa, gauzewrap, adhesive Demonstration of wound cleansing andbandaging on the client s wound or available for client ques-tions include health clinic, emer-gency Follow-up treatment plan; where andwhenDescribe normal wound healing with the use of the mechanism of wound audiovisuals to demonstrate infectedwound handout describing signs and symp-toms of wound equipment needed for cleansingand bandaging wound.

5 Provide handout listingequipment wound cleansing and bandagingon the client s wound or a mannequin. Providehandout describing procedure for cleansingand bandaging available resources. Provide handoutlisting available resources and follow-up treat-ment written :The client will:1. Respond to questions regarding self-care of Return demonstration of wound cleansing and State contact person and telephone number to obtain State date, time, and location of follow-up 11/8/06 12:14 PM Page 500