I feel that having a set schedule for Negative Pressure Wound Therapy dressing changes will benefit the outcome of the patient…
Inclusion criteria were addressed by a physician or resident that included assessing for complexity of laceration, location on the body, and if it had occurred within 3 hours from patient’s arrival. A signed a consent was obtained and data was collected through completion of a checklist noting the patient’s age, sex, site of laceration, type of injury, time of injury, time of injury from the time of repair, and technique of repair. The patient was given a self-addressed, pre-stamped envelope that was to be completed by the physician who took the sutures out. This physician filled out an explicit questionnaire using specific guidelines on wound assessment (pus, erythema, fever,) their clinical impressions (infection vs. no infection), and their management plan (topical/oral/IV antibiotic use, or need for referral to wound specialist). The follow up physician was unaware of which gloves were used in initial repair of the wound. The returned questionnaires where coded to collate with the initial assessment…
In our patients case follow up labs should be drawn to make sure that our interventions are working appropriately. A CBC with differential should be drawn to make sure the infection is subsiding and her WBC and neutrophils are returning back to normal. Continued blood sugars should be monitored. Fasting and one hour postprandial should be completed and be maintained within normal limits. Our patient should be educated on her Diabetes. She should understand that this disease process increases her susceptibility to infection and can cause any wound she receives to have some delayed healing. She should be educated on the importance of a healthy diabetic diet and keeping her blood sugars within normal limits. If she has never learned how to test herself, she should provide a return demonstration to either the nurse or the diabetic educator so she knows she is doing it properly. The patient should be provided with education regarding weight loss. She is obese and of short stature. This increases the risks for decreased physical activity, comorbidities like diabetes, and can delay wound healing. She needs to be provided with not only information on a healthy diet…
More investigative studies are needed to test the variation of tissue tolerance during prolonged surgery…
Identify a range of interventions that can reduce the risk of skin breakdown and pressure sores…
Identify a range of interventions that can reduce the risk of skin breakdown and pressure sores…
For healing to occur there have to be fours processes active to see through that the process is met. Hemostasis, inflammation, proliferation, and remodeling have to happen at a specific way following each other in a time sequence. These are the factors that might prevent the proper process of wound healing oxygenation, infection, age and sex hormones, stress, diabetes, obesity, medications, alcoholism, smoking, and nutrition. Studies have been done and are still being done on how to improve and prevent these factors from interfering with the normal healing process. The best way scientists have discovered is to use therapeutics to help promote the healing process in these conditions. I work as a CAN as a behavioral unit, which mostly consist of senior with behavior difficulties as well as a medical condition. Most of these patients are bed and wheelchair bound, so prevent pressure sore or ulcers, wounds is a hung part of my job as well. Some of the things we do to prevent these wounds are applying skin protectant ointment on the bottom every time they get changed, making sure all soiled brief and clothing are removed from them every two hours, repositioning every two hour, and transferring from their bed to wheelchair and to the couch to prevent pressure. I believe other healthcare settings use the same or perhaps slightly different approach on preventing the cost of trying to heal a…
Caring for patients with wounds is commonly encountered in a nurse’s career in most health care settings, whether it is in neonatal, mental health, community, or aged care. In the past, wound dressings were created to absorb all exudate, believing that dry wounds will reduce the risk of infection. Within the last fifty years, the concept of moist wound therapy has become the most effective approach to wound care. Before treating any wound, it is important to discover the underlying cause and consider other possible factors that may impact on the healing process and deliver a systematic and rational approach towards wound care assessment. Nurses must have a basic understanding of wound physiology, and must develop a systemic approach when they are selecting the most safest and effective dressing product available. Moist wound healing plays a vital role by accelerating epithelialisation by providing an environment as natural as possibly by using various synthetic wound care products The role and responsibility of the nurse and other members of the health care team have an ongoing duty to ensure that the basic principles and practice of moist wound healing are in place before treating any patients presenting wounds.…
Before beginning the teaching plan, I have asked client L.J his understanding of the Ostomy and the care it needs. I have identified that there is insufficient knowledge, this will help me have a better understanding of how much information to include. Client L.J’s learning need is help him have a better understanding of what the ostomy is and how it works, how it is effected by his diet, how to care for the skin, what to look for and how to clean and change the…
Wound dressing play a vital role in the healing process. Appropriate dressing must be used to ensure the…
The results of Kiecolt-Glaser’s research showed that the carer’s wounds took 9 days longer to heal than the volunteers matched to them. Their Cytokine levels were lower and the stress scales showed they were the most stressed.…
Chronic wounds, such as pressure ulcers, diabetic foot ulcers and venous leg ulcers, constitute an internationally recognised medical condition, affecting millions annually (Keogh, Nelson, Webster, Jolly, Ullman, & Chaboyer, 2013). Currently, healthcare systems are seeking out effective treatment options, such as hydrocolloid dressings, to promote healing of chronic wounds. The application of hydrocolloid dressing has been compared with other dressing types in recent literature to determine the most effective treatment for chronic wounds .Recent literature has indicated to an extent hydrocolloid dressing promotes wound area reduction however; its cost effectiveness remains unknown due to conflicting evidence. Therefore, this essay will discuss five relevant literatures to evaluate clinical effectiveness of hydrocolloid dressings in comparison to other treatments for chronic wounds. Parameters including wound healing effectiveness, dressing performance and cost effectiveness of five multicentre, randomised controlled and comparative studies will be analysed in reference to wound area reduction.…
We will finish lecturing on post-op/wound management on 2/4 at 0930. We will begin diabetes content immediately after that. For this learning experience, being present is a necessity. I will not be lecturing. Please come to class prepared with:…
Hack, A. (2003) Leg ulcers wounds - taking the patient 's perspective into account. Journal of Wound Care; 12: 8, 319-321.…
Patient education is a vital part of patient-centered nursing care. To promote learning and better health, the nurse utilizes the nursing process which includes: assessment, diagnosis, planning, implementation and evaluation (Potter, Perry, Stockert & Hall, 2013, p. 206). First, a thorough assessment of the patient’s learning needs, readiness to learn, and any barriers to learning needs to be completed. With this information, a nursing diagnosis and goals can be established and a plan can be developed. After the plan has been made, the nurse will implement the plan, and evaluate the effectiveness of the teaching. Effective patient education improves the quality of care, reduces health care costs, improve patient outcomes and leads to overall…