1. 503B Contribute to client assessment and developing care plans
I was handed over the resources to teach the subject:
503B Contribute to client assessment and developing care plans
The power points just delivered the content.
I wanted to change them to allow for more student engagement.

2. This slide used the picture of the scales to indicate fluid balance.
Students were asked to put the words in that were signs and symptoms of dehydration from own knowledge and then shared knowledge.
It summarised the following 3 slides

3. Dehydration Over hydration
Bounding Pulse rate
Increased Cardiac Output
Elevated BP
(Systolic & Diastolic)
Pitting Oedema
hands, feet, lower legs, sacrum, back and lower arms
Dry sticky mouth
Headache
Tiredness
Irritability
Confusion
Dry skin
Low urine output

4. Hydration Hydration is defined as the normal state of fluid balance.
A normally hydrated adult is:
Alert
Has moist eyes and mucous membranes
Has a urinary output appropriate for the fluid ingested
Specific Gravity around 1.010
Has an adequate state of skin hydration as measured by skin turgor

5. Dehydration
Dehydration is a state in which the bodys’ fluid intake is not sufficient to meet the fluid needs of the body resulting in a fluid volume deficit
Dehydration may represent a decrease in total body water eg. excessive fluid loss or when water shifts from the vascular space (plasma) into the interstitial space

6. Over-hydration
Over hydration causes circulatory overload and electrolyte
dilution imbalances.
Symptoms include:
Increased Bounding Pulse rate
Increased Cardiac Output
Elevated BP(Systolic & Diastolic pressures)
Pitting Oedema of hands, feet, lower legs, sacrum, back and lower arms

7. The following picture of an empty body asked students to identify the input and output themselves,
It summarised the following 2 slides.

8. Input Fluid Output Nasal Gastric Vomitus Oral Gastric Suction
Drainage from wounds or tubes
Urine
Diarrhoea
Nasal Gastric
Oral
Soup, jelly, ice cream
Water/ Juice,
Coffee/ Tea
Feeding tube
IV Fluids including Blood & it’s components

9. Intake Includes Soup (oral fluids) Ice-cream (oral fluids)
Jelly (oral fluids)
Water / Tea / Coffee / Juice etc (oral fluids)
Nasal Gastric or Feeding tube fluids
IV Fluids including Blood & it’s components

10. Output Includes Urine Diarrhoea Vomitus Gastric Suction
Drainage from wounds or tubes