Marian+Dixon

//

Marian Dixon ////Spring 2010 //


 * Course/Program Title:** //Decubitus Ulcer Prevention, Assessment and Treatment //

**Course goals:** //Nurses will be able to plan and implement care for immobile patients to prevent the development of decubitus ulcers. Nurses will be able to assess, measure and stage decubitus ulcers correctly. // //Nurses will be able to treat decubitus ulcers as per the physician's orders utilizing techniques from simple dressing changes to wound vacs .// //Nurses will use correct terminology and professional documentation when recording decubitus ulcer care in the patient's permanent record //

** Course description: ** //Nurses have a basic knowledge of decubitus ulcer prevention, assessment and treatment upon completion of professional training school. Constant updates to prevent, assess and treat decubitus ulcers, require that nurses receive continuous training so best practices are in place and patients receive the best outcomes.//

//Licensed nurses who are employed in long term care. Age between 22 and 63 years of age Experience between 6 months to 37 years Do skin assessments on all of their residents on a weekly basis //
 * <span style="font-family: 'Arial','sans-serif';">Intended audience: **

<span style="background-color: #ffffff; color: #0000ff; font-family: 'Arial','sans-serif';">//<span style="background-color: #ffffff; color: #000000; font-family: Arial,Helvetica,sans-serif;">Nurses will receive on-line training and face to face instruction with manikins. Observation of nurse's skills by Education Nurse on patients. // <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"> //<span style="color: blue; font-family: 'Arial','sans-serif';">Case studies for patients at risk for decubitus for discussion and problem solving. PowerPoint with information and pictures. Multiple choice and matching quizzes for knowledge retention. Face to face proficiency check off with manikin and clinical patient. Face to face demonstration of treatment modalities and return demonstration by the learner. Professional documentation by the learner assessed by the instructor. //
 * Delivery method:**
 * <span style="font-family: 'Arial','sans-serif';">Instructional approach/strategies/methods: **

Textbook:
 * <span style="font-family: 'Arial','sans-serif';">Instructional materials: Case Studies, H andouts, PowerPoint, Proficiency Check-Off Sheets, Manikin, Wound Care Supplies, Mock Patient Records **

// Nurses will be able to identify patients at risk for decubitus ulcers // · //Able to identify risk factors for decubitus ulcers//
 * <span style="font-family: 'Arial','sans-serif';">Lesson content outline **
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">**<span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Topic ** || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">**<span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Goal/Objectives ** || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">**<span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Activities ** || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">**<span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Media ** || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">**<span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Readings/Resources ** || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">**<span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Assessment ** ||
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Patients at Risk // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"><span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">The goal of this lesson is:

<span style="background-color: #ffffff; color: blue; font-family: 'Arial Black',Gadget,sans-serif; font-size: 9pt;">· <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Able to identify types of patient who are at risk for decubitus // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Case Studies Identifying patients who are at risk for decubitius ulcers. Nurses will discuss and do problem solving. // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">PowerPoint with pictures and information about patients who are at risk // || <span style="background-color: #ffffff; color: blue; font-family: Arial,Helvetica,sans-serif; font-size: 9pt;">[|//http://www.aawconline.org///] || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Mulitple Choice Quiz on Powerpoint to show knowledge of what puts a patient at risk for decubitus ulcers // || //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will be able to assess a decubitus ulcer correctly // <span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Upon completion, students will be able to: //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Identify a decubitus ulcer // · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Correct Method for assessing decubitus ulcer // || <span style="background-color: #ffffff; color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">//Identifying and assessing decubitus ulcers at various stages// on PowerPoint, the manikin and on the clinical patient || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">PowerPoint with pictures of decubitus ulcers // || <span style="background-color: #ffffff; color: blue; font-family: Arial,Helvetica,sans-serif; font-size: 9pt;">[|//http://www.aawconline.org///] || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">Quiz on PowerPoint identifying decubitus pictures || · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will be able to measure a decubitus ulcer correctly // <span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Upon completion, students will be able to: · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Measure lenght, width and depth of decubitus ulcer // · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;"><Measure undermining, tunneling and sinuses of a decubitus ulcer // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Measuring of decubitus ulcers on PowerPoint, manikin and on the clinical patient // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">PowerPoint with picutres of decubitus ulcers // || //<span style="background-color: #ffffff; color: blue; font-family: Arial,Helvetica,sans-serif; font-size: 9pt;">[] // || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">Proficiency Check-Off - measuring decubitus ulcers on the manikin and on the clinical patient ||
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Assessing Decubitus ulcer // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"><span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">The goal of this lesson are:
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Measuring decubitus ulcer // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"><span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">The goal of this lesson is:

· //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will be able to correctly stage a decubitus ulcer. // <span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Upon completion, students will be able to: · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Check for blanching and obtain results // · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Observe and make a decision of the stage of the decubitus ulcer. // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will have the opportunity to stage different levels of decubitus ulcers // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">PowerPoint of pictures of different stages of decubitus ulscers // || //<span style="background-color: #ffffff; color: blue; font-family: Arial,Helvetica,sans-serif; font-size: 9pt;">[] // || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">Quiz on PowerPoint to correctly stage decubitus ulcers as wellas a Proficiency Check-Off with manikin and with clinical patient || · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will be able to affectively treat decubitus ulcers as per the physician's orders // <span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Upon completion, students will be able to: · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will be able to state the correct procedure to trea a decubitus ulcer // · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;"><Nurses will demonstrate correct procedure for treating a decubitus ulcer. // || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">Nurses will be given the opportunity to observe demonstration of different treatment modalities for decubitus ulcers and will have the opportunity for return demonstration || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">PowerPoint on different treatments for different stages of decubitus // || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">[] || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">Quiz Matching treatment to decubitus || · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses will be able to competently and professionally document the decubitus ulcer in the patient's permanent record // <span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">Upon completion, students will be able to: · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Use correct terminology regrading decubitus ulcers and their treatment // · //<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Document in the patients permanent record about the decubitus ulcer in a professional manner. // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Nurses are given case studies and will document professionaly and competently decbuitus ulcer assessment and treatment on "mock" patient records. // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">PowerPoint and Handout showing correct terminology and professional documentation // || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">[] || <span style="background-color: #ffffff; font-family: Arial,Helvetica,sans-serif;">Writing exercise from case studies onto "mock" patient records, will be assessed by instructor for professionalism and competency ||
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Staging decubitus ulcer // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"><span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">The goal of this lesson is:
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Effecitively treat a decubitus ulcer // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"><span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">The goal of this lesson:
 * <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;">//<span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 9pt;">Professional documentation of a decubitus ulcer // || <span style="background-color: #ffffff; font-family: 'Arial Black',Gadget,sans-serif;"><span style="font-family: 'Arial','sans-serif'; font-size: 9pt;">The goal of this lesson is: