Anatomy and Physiology of Integumentary System Pressure Ulcer Burn Injury Scabies SKENARIO TUTORIAL Students task: Method of study: Students task: Method of study:

33 SKENARIO – SKENARIO TUTORIAL:

1. Anatomy and Physiology of Integumentary System

2. Pressure Ulcer

3. Burn Injury

4. Scabies

2. SKENARIO TUTORIAL

34 TUTORIAL 1 1. General Learning Objective: After this tutorial, the student shall be able to understand the anatomy and physiology of integumentary system of the integumentary system SKENARIO 1 “Scratch”

2. Students task:

Make questions as much as possible related to the scenario

3. Method of study:

Small Group Discussion SGD employing the seven jump steps A 5 years old girl complained itchy at her body when the climate is cool. The physician diagnosed her with urticaria because of allergy with cool. The girl often scratched her skin until her skin injured and bleeds. When she took a shower, she complained pain at her injured skin. Nurse suggests the parents to give honey and habatus sauda to her daughter. 35 MINIMAL THEORETICAL QUESTION AND ALTERNATIVE ANSWER 36 TUTORIAL 2 1. General Learning Objective: After this tutorial, the student shall be able to describe nursing care management for clients with pressure ulcer. SKENARIO 2 “Pressure Ulcer”

2. Students task:

Make questions as much as possible related to the scenario

3. Method of study:

Small Group Discussion SGD employing the seven jump steps A 85 years old man stay on bed at home for about 6 months. During home visit, nurse found there were abrasion, blister, and erythema at his sacrum. This presure ulcer was classified into pressure ulcer degree 1. The epidermis is peeled off. The nurse assessed the risk for pressure ulcer with Braden Scale and the score was 11. The nurse suggests the family to mobilize the patient every 1 hour, put olive oil cream to the wound, and provide high protein nutrition for the patient. Two weeks later, the patient was brought by his family to the primary care because the pressure ulcer worsened. The nurse assessed the pressure ulcer and found presure ulcer degree 3. The nurse then change the nursing diagnosis form impaired skin integrity to impaired tissue integrity. 37 MINIMAL THEORETICAL QUESTION AND ALTERNATIVE ANSWER 38 TUTORIAL 3 1. General Learning Objective: After this tutorial, the student shall be able to describe nursing care management for clients with burn injury. SKENARIO 3 “ Burn Injury”

2. Students task: