SR.N SPECIFIC DURATIO TEACHING A.

V AIDS
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CONTENT LEARNING
ACTIVITY
01 Introduction 2 min  Introduction:- Teacher Black
introduce the board
Certain patients are prone to oral problems topic
because of lack of knowledge.
Good oral hygiene includes daily stimulation of the
gums and brushing of the teeth.

 Definition:-
 “Oral hygiene cleaning the teeth and the oral Ask students to
Define the 3 min cavity of the patient. It includes the measures own perception
02) term of mouth to prevent the spread of disease from mouth about what is a Black
care and increase the comfort of the patient.” mouth care? board
 Performing mechanical cleansing of the teeth
and the mouth, for an unconscious patient
 PURPOSE:-
Discuss the Ask students
3) purpose of 7 min To maintain the healthy state of mouth, gums, teeth “why purposed
mouth care and lips. should
To remove food particles from and between the important?
teeth. Black
board
To stimulate appetite.
To provide a sense of well-being.
SR.N SPECIFIC DURATIO CONTENT TEACHING A.V AIDS
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ACTIVITY
 To remove dental plaque.
 To prevent sores and infection of the oral
tissues.
 To relieve discomfort resulting from halitosis
and taste.
Enumerate  To prevent gum inflammation and infection. Show chart to
4) the 3 min  To prevent the mucous membrane from the student and Flip book
indication of becoming dry. ask them read
mouth care  To prevent sordes, which results in ulceration. one by one
 To maintain the intactness and health of the
lips and oral cavity.
 To prevent oral infections.
2 min  To clean and moisten the membranes of the
mouth and lips. Rotary
5) method
Enlist contra  INDICATION:- Discuss with
indication  Seriously ill patient. students
 Patients with fever.
 Postoperative patients.
 Unconscious patients.
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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6) Enlist the 7 min  Patients breathing through mouth. Explain articles Articles
articles of  Paralyzed patients. purposes and
mouth care  Patients with infections and disease of mouth. uses
 Patients under anesthesia.

 CONTRA INDICATION:-
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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CONTENT LEARNING
ACTIVITY
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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CONTENT LEARNING
ACTIVITY
7) Described 3 min  SCIENTIFIC PRINCIPLES:- students OHP
scientific “which
principles principles are
 Principles of microbiology:- there in the
o Maintain the hygiene and prevent the bladder wash?”
bacteria’s and germs
 Principles of psychology:-
o Given psychological support to the
patients
o Given comfortable position to the
patients
 Principles of legal ethical aspects
o Do the procedure step by step and
followed the ethics of the procedures
 Principles of safety:-
o Doing procedure care fully to no any
harm to the patients and maintain the
safety of the patients
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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CONTENT LEARNING
ACTIVITY
08 Perform the 28 min
procedure
 Procedures:- Teacher
demonstrate
Articles

with rational  Nursing responsibility before the the steps of the

procedure:- procedure

 Check the physician order and nursing care

plan
 Prepared the patient
Prepared articles

 Nursing responsibility during the

procedure:-

 Explain the procedures of the patient

 Provide comfortable position to the patient
 Prepared the patients
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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 STEPS OF THE PROCEDURE:-
Procedure Rational
 Hand wash  To reduce and
transmission of micro
organism
 Connect irrigation
tube to the irrigation  Flushing the tubing
solution and flush the remove air and prevent
tubing with solution it from being instilled
into bladder

 connect the irrigation

tubing to the input
part of the 3-way
catheter Connect the
drainage bag and
tubing to the urinary
drainage port if not
place
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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CONTENT LEARNING
ACTIVITY
 Instill the prescribed  The bladder normally fill
amount of irrigate. If full when it contains 300
specific order not ml of urine
prescribed, fill up to
150 ml of irrigant.

 Clamp the irrigant  Prevent further

tubing instillation of irrigation

 If physician has
ordered the irrigant  Some irrigatation
in the bladder for a solution contains
measure length of medication and are
time clamp the meant to remain in
drainage tube and contain with the bladder
wait for the wall
prescribe length of  Assess the drainage
time open the volume, color clarity and
drainage tube and the presence of any clot
monitor the drainage debris
as it flows into the
drainage bag
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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 Adjust clamp on  Regulate the amount
irrigation tubing to of irrigant flowing in
allow the prescribe and out the bladder to
rate of irrigant to prevent distention or
flow into the damage to any surgical
catheter and bladder site.

 Monitor color clarity  Assess for bleeding

debris and volume as clotting blockage of
it flows back into the urine drainage or
drainage bag other complication.

 Tape the catheter  Prevent catheter from

securely to the thigh dislodging

 Assess patient
condition and
tolerance of
procedure
 SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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NURSING RESPONSIBILITY AFTER THE
PROCEDURE:-

 Give patient comfortable position

 Wipe and clean the perineal part of the patient
and catheter if some drainage of surrounding
the thigh it also wipe.
 CARE OF ARTICLES:-
 Discard the disposable article
 Reusable articles with tap water and send to
the sterilization for re use.
COMPLICATION:-
 Trauma to the wall of bladder.
8) Enumerate 2 min  Bladder spasm. Flash card
the  Bladder distention
complication  Infection
of mouth  Cystitis
care
 Urosepsis
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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ACTIVITY
 SUMMARY:- Teacher
In the class of students are able to understand summarized
definition, purpose, indication, contra indication, the topic and
step of procedure, and nursing responsibility of give
bladder wash. assignment to
the students.

RECAPITULIZATION:-
Teacher ask
o What is the definition of bladder wash?
following
o Which are the purposed of the bladder wash?
question to the
o What is complication of bladder wash?
students
 CONCLUSION:-
Bladder washwill alwaysused in health care
especially in hospitalization patients it is
important for the staff providing care for the to
be educate on bowel wash howimportant it is
to prevent infection from occurring
SR.N SPECIFIC DURATIO TEACHING A.V AIDS
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CONTENT LEARNING
ACTIVITY
 BIBLIOGRAPHY:-

Annama Jacob, rekha R, jodhavsohalitarchand

clinical nursing procedure the art of nursing practice
3rd edition, jaypee: the health science publishers new
delhi/London/Philadelphia panama 2015 page no:-
196-197

http://www.slideshare.net/ashish parihar/bladder-
irrigation-35289152
  INDICATION:-
 Urinary tract infection
 Post genitor urinary surgery
 Prostatic hematuria
 Pyelone phritis
 Bladder problem like bladder repetedly block
 Urinary retention
 Clot formation
 CONTRA INDICATION:-
 Traumatic injury to the lower urinary tract because of infection spread and injury not usually
heal
Bladder surgery done because chances to infection spread and etc…