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Community Health Nursing Clinical Case Equivalency Wound Dressing
Community Health Nursing Clinical Case Equivalency Wound Dressing
Community Health Nursing Clinical Case Equivalency Wound Dressing
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.
B. Working Phase
Provide a clear and precise description using your own words on the readings you’ve made.
It is where the student nurse and patient and/or family work on the goals set by the student nurse.
This is when interventions are also being done.
C. Summarizing Phase
Provide a clear and precise description using your own words on the readings you’ve made.
This is the time when the goals and interventions are done and the student nurse is summarizing
on what he and the patient and/or family has done and achieved over the time that the student
nurse stayed with them.
D. Closing Phase
Provide a clear and precise description using your own words on the readings you’ve made.
After summarizing, the student nurse then terminates the contract or interaction he has with the
patient and/or family after doing his nursing responsibility and his care.
Task IV. Compare the traditional and the latest actions in performing wound dressing. Utilize the
table below. Make sure to attach the source in your final report. Be guided of the format below.
Wound Dressing
Traditional Modern
Plasters (mud, clay, plants & herbs) were Hydrogels, foam dressings, gauze, and
used/applied to cover the wound transparent dressings are used/applied to
cover the wound
Oil was used for protection from infection The use of betadine solution to prevent
infection of the wound
Washes the wound using boiled water, PNSS is used to clean or wash the wound
vinegar (acetic acid), and wine before dressing
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601883/