Competency - basedCompetency - basedInstructionInstruction

(FACILITATING LEARNING)(FACILITATING LEARNING)

Presented by:Presented by:Dave Jay ManriquezDave Jay Manriquez

Rowell PanuncialRowell Panuncial

Subject:Subject: Medical-Surgical Nursing Medical-Surgical NursingDegree:Degree: MN-MS MN-MSUNIT:UNIT: Nursing Care Management ( Care of Nursing Care Management ( Care of client with Physiologic and Psychosocial client with Physiologic and Psychosocial alterations )alterations )

Caring of Post/Op patient who undergone Caring of Post/Op patient who undergone Below the knee Amputation due to Below the knee Amputation due to Diabetes Mellitus in preventing Post/Op Diabetes Mellitus in preventing Post/Op complications and its psychosocial effects complications and its psychosocial effects of the client.of the client.

Competencies:Competencies:

1. Safe and Quality Nursing Care – 1. Safe and Quality Nursing Care – Setting priority measuresSetting priority measures in in rendering care to the patient by having discussion with the rendering care to the patient by having discussion with the members of the health team.members of the health team.

2. Safe and Quality Nursing Care – 2. Safe and Quality Nursing Care – Promoting SafetyPromoting Safety regarding regarding patient condition. (Patient based practice)patient condition. (Patient based practice)

3. Health Education – 3. Health Education – Doing Bedside Health TeachingDoing Bedside Health Teaching involving the involving the client and immediate significant others of the client explaining client and immediate significant others of the client explaining his conditions and some measures to prevent complications for his conditions and some measures to prevent complications for faster healingfaster healing

Elements Objectives

Elements:

1.a Identify the first and the less priorities to be done.1.b Determines appropriate nursing care to be provided.1.c Analyze the needs of patient.

2.a Identify possible sources of Post/Op complications.2.b Determine the factors that may lead to Post/Op complications.2.c Identify some safety measures the patient, significant others, and

health care team member may do to prevent Post/Op complications.2.d Performs age-specific safety measures in all aspects of patient

care.

3.a State the importance of having a health teaching in promoting wellness.

3.b Determine the patient ability to learn with his/her carrier education.3.c Defines relevant information.3.d Monitors patient and family’s responses to health education.

Competencies

Learning Objectives:

Setting priority measures:1. Assess patient needs, like changing the limb dressings after every 3 days or

whenever the dressings is very soak already with blood.2. Assess patient diet by giving him the right kind of food like avoiding sugars,

promoting fiber rich foods and avoiding alcohol.

Promoting Safety:1. Place the patient in a prone position or the best position the patient is

comfortable and remember to always place a side rail on the affected side to prevent falls.

2. Assess patient pain tolerance by preparing always the pain assessment tool so that you will know when to give pharmacologic interventions and remember to treat individual uniquely in regarding pain tolerance.

Health Teaching:1. Orient the patient to reality regarding his condition and inform his significant

others that bleeding in the site should be reported and inform also that the patient might experience phantom limb pain and phantom limb sensation which is normal to amputated patient.

2. Assess the patient learning capabilities by letting him ask questions, clarifications regarding the health teaching that you rendered.

Competencies Elements

Learning OutcomesLearning Outcomes

All Learning Objectives mentioned are Procedural Knowledge on its outcome since it involves concepts and series of action to be done effectively and proficiently.

Instructional Activities

Total patient care

Mastery on Bed positioning recommended for a particular patient

Knowledge on the Pain Assessment Tool

Knowledge on the Proper Wound Dressings

Knowledge on the diet of a Diabetic client

Utilizing the proper communication technique in conducting health teachings

Doing Bedside clinic

Guided practice by the Senior nurses

Learning MeasuresLearning Measures

Procedural Knowledge – enough knowledge, skills, abilities and perfect execution on things to be done in caring a Post/Op Below the Knee Amputated patient. All actions to be perform by a nurse must be SMART in nature. There must always a nurse – patient/Significant others interactions during the care treatment.