9/3/2020

OUTLINES:
• HEALTH TEACHING:
NUR157
BASIC SURGICAL  BENEFITS OF HEALTH TEACHING
AND  POTENTIAL POSTOPERATIVE COMPLICATIONS.
INTEGUMENTARY NURSING
• DISCHARGE TEACHING.

HEALTH TEACHING AND DISCHARGE PLAN

SITI MUNIRAH ABDUL WAHAB

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BENEFITS OF HEALTH TEACHING HOW CAN NURSES ENSURE PATIENT

COMPREHENSION?
Patient education is a significant part of a nurse's job.
• Common words and phrases.
• Prevention of medical conditions such as obesity, diabetes or
heart disease. • Reading materials written.

• Patients who are informed about what to expect during a • Video.

procedure and throughout the recovery process.
• Audio.
• Decreasing the possibility of complications by teaching patients
about medications, lifestyle modifications and self-monitoring
devices like a glucose meter or blood pressure monitor. **Hands-on

• Reduction in the number of patients readmitted to the hospital.

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HOW ARE PATIENTS DIFFERENT? POTENTIAL POSTOPERATIVE

COMPLICATIONS
• Not every patient has the same learning ability.
• Some patients may respond better to visual content than to Respiratory
plain text.
• Pneumonia
• Consider the following questions when assessing patients.
 What level of education do they have? • Atelectasis
 Can they read and comprehend directions for medications, diet, • Pulmonary embolism
procedures and treatments?
 What is the best teaching method? Reading, viewing or
participating in a demonstration?
 What language does the patient speak?
 Does the patient want basic information or in-depth
instruction?
 How well does the patient see and hear?

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cont POTENTIAL POSTOPERATIVE COMPLICATIONS

Circulatory Urinary
• Hypovolemia • Urinary retention
• Hemorrhage • Urinary tract infection
• Hypovolemic shock
• Thrombophlebitis Gastrointestinal
• Thrombus • Nausea and vomiting
• Embolus • Constipation
• Tympanites
• Postoperative ileus

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POTENTIAL POSTOPERATIVE COMPLICATIONS

Wound
• Wound infection
• Wound dehiscence
• Wound evisceration

Psychologic
• Postoperative depression

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DISCHARGE TEACHING
• Managing pain:
 Pain medication will be prescribed.

 Encouraged to take the prescribed pain medication in order for

client to be comfortable during their recovery.

• Control of pain.
Dosage, frequency, purpose, common side effects
and other side effects.
Reinforce the use of relaxation, distraction, imagery
etc.

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DISCHARGE TEACHING
(CON’T)
• Redness
• Wound care. • Pain
Daily dressing at the nearest health care centers. • Swelling
Personal/overall hygiene. • Drainage of fluid or pus
Diet high in protein and vitamin/well balanced diet for • Heat at incision site
faster healing. • Fever
Simple exercise within limitation.
• Sign and symptoms of wound infection.
The patient should be able to determine what is normal
and what should be reported.

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DISCHARGE TEACHING
(CON’T)

• Diet:
 Resume client regular diet.
 Choose high-protein foods to help client body heal.
 Drink lots of fluids and include fiber in client diet, such as
fresh fruits, vegetables, and whole grain cereals or
breads.

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cont cont

• Method and the frequency of taking one’s temperature.

• Limitations or restrictions that may be imposed on such
activities as lifting, driving, bathing, sexual activity and other
physical activities. (6 to 8 weeks)
• Other medications (if prescribed)
The teaching should:
• Include the participation from the client and family.
• Encourage client and family to ask questions.
• Ideally, is carried out over several days, evaluated and
periodically reinforced.

• Follow up (TCA)

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THANK YOU

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