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
Introduce yourself to the patient and family
members
Explain the process and wound dressing to the So that the patient and family members will
patient and parents
Get all needed materials out of the CHN bag
and put it all in one area
Wear sterile gloves
Get a cotton pledget and apply or pour
hydrogen peroxide
Clean the wound from inner to outer in a
circular or spiral motion or sunray motion
Repeat procedures until the wound is clean
Get a cotton pledget and apply or pour
betadine
Apply betadine to the wound in a circular or
spiral motion or sunray motion
After applying betadine to the wound, get a
sterile gauze and apply on the wound and
secure with tape
Perform aftercare
Rationale
To establish rapport to the patient and family
members
understand why the wound dressing is being
done
To save time and energy when performing
wound dressing
To avoid spread of microorganisms and
prevent infection of the wound
To get ready to perform wound dressing and
cleaning of the wound
Following the principle of microbiology, and
cleaning the wound from inner to outer, to
prevent bacteria to be near the wound
To make sure that the wound is clean and to
prevent future infection
So that the pledget will contain betadine to be
applied to the wound and surrounding area
Following the principle of microbiology, and
cleaning the wound from inner to outer, to
prevent bacteria to be near the wound
Applying gauze will prevent microorganisms
to easily attach or go into the wound of the
patient
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
sir?
Sulod lang diri sir sa amo
balay. Sorry nga gubot kaayo
Wala man akong mga apo diri
sir nag skwela
Student nurses mi maam from Providing information
Cebu Doctors’ University
*goes Inside the house* Using silence
Bitaw maam, mingaw kaayo Sharing Observation
ang balay karon kay ting
skwela pa karon

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.

Client’s Statement Therapeutic Response Therapeutic Response Used

Murag taas taas naa ko BP
dugay na sir
Akong bana kay ga trabaho.
Seaman siya. Pila na ka
months wala siya naka uli
Unsa diay ang normal BP sir?
Normal nako nga BP kay
130/90.
Dugay dugay na diay n inga Clarifying
taas imo BP? Kanusa paman
ni nimo na notice?
Ahh bitaw. Wala man diay Paraphrasing
siya diri. So dugay2 na mo
wala nag kita noh.
Ang normal nga BP maam Providing information
kay <120/80. Ang imong BP
kay elevated na.

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.

Client’s Statement Therapeutic Response Therapeutic Response Used

Para unsa n inga tambal sa
BP sir?
So sir, unsa nag ani to ang BP Ang normal nga BP maam
nga normal ra?
So kanusa nako I tumar
akong tambal para BP sir?
Maintenance medication ni Providing information
maam, and kailangan nga mu
follow jud ka sa instructions
sa doctor sap ag tumar sa
tambal. Mu tabang ni mu
control sa imo BP and mu
prevent ni sa pagka saka sa
imong BP
Providing information
kay <120/80.
Kailangan nga sundon nimo Providing information
ang gi prescribe sa doctor.
Kailangan nga dili nimo I
stop ug tumar bisag wala kay
na feel or pamati.

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.

Client’s Statement Therapeutic Response Therapeutic Response Used

Sir Salamat jud sa imong pag Wala jud problema maam! Active listening
take ug time nga mu tabang
ug sturya sa amo

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/