Wound Management
Module Title Wound Management
Module code NURS09106
Banner No B00209786
Tutor Vicky Wilson
Assignment Assignment 2
Word Count 3222
Submission Date 3rd May 2011
Introduction.
The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now has right-sided hemiplegia. Patient X resides with his elderly wife, son and daughter-in-law in a first floor flat, being cared for by his wife and daughter-in-law.
Incontinence of urine has become an issue following admission with patient X failing to make staff aware of his need for the toilet. He has loss of appetite and would rather stay in bed than mobilise. Personal hygiene has also become an issue, with patient X only wanting his wife or daughter-in-law assisting him. A small red area was noticed on his right hip two days after admission. This was discovered when Patient X was being showered. Nursing staff although it was raised during patient handover did not follow this up. By day four a large, deep cavity had developed on his right hip, filled with yellow slough. This is where patient X is complaining of a pain.
Assessment.
Good practice and best practice suggests that we do in fact owe those we care for, a duty of care. This duty in its widest sense according to Fullbrook (2007) is a duty not to cause harm. Fullbrook (2007) also claims we should review the concept of risk assessment, how we act so as to avoid causing harms or allowing harms to occur, by undertaking an assessment of risk, prior to any events
Module code NURS09106
Banner No B00209786
Tutor Vicky Wilson
Assignment Assignment 2
Word Count 3222
Submission Date 3rd May 2011
Introduction.
The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now has right-sided hemiplegia. Patient X resides with his elderly wife, son and daughter-in-law in a first floor flat, being cared for by his wife and daughter-in-law.
Incontinence of urine has become an issue following admission with patient X failing to make staff aware of his need for the toilet. He has loss of appetite and would rather stay in bed than mobilise. Personal hygiene has also become an issue, with patient X only wanting his wife or daughter-in-law assisting him. A small red area was noticed on his right hip two days after admission. This was discovered when Patient X was being showered. Nursing staff although it was raised during patient handover did not follow this up. By day four a large, deep cavity had developed on his right hip, filled with yellow slough. This is where patient X is complaining of a pain.
Assessment.
Good practice and best practice suggests that we do in fact owe those we care for, a duty of care. This duty in its widest sense according to Fullbrook (2007) is a duty not to cause harm. Fullbrook (2007) also claims we should review the concept of risk assessment, how we act so as to avoid causing harms or allowing harms to occur, by undertaking an assessment of risk, prior to any events
References: Benbow, M. (2002) The skin. Nursing Times 98 (26): Bryant, R Collier, M. (1993) Assessing a Wound. RCN Nursing Update. Nursing Standard 7(20): p 3–8. Dealey, C. (1994) The Care of Wounds. Oxford:Blackwell. Dealey, C. (2005) The Care of Wounds. 3rd ed. Oxford:Blackwell. European Tissue Repair Society (ETRS) (2003) ETRS Working Group Statements. ETRS Bulletin, 10 (2&3) p10-13. Fletcher, J. (2007) Wound Assessment and the TIME Framework. British Journal of Nursing, Vol. 16, iss. 8, 26 Apr 2007, p 462 – 466 Fullbrook, S Goldman, R.J., Salcido, R. (2002) More than one way to measure a wound: an overview of tools and techniques. Advances in Skin and Wound Care. 15 (5), p 246-243. Harding, K. (1996) Wound Assessment. Journal of Wound Care Resource File. Macmillan Magazines: London. Keast, D.H., Bowering, C. K., Evans, A.W., Mackean, G.L., Burrows, C., D’souza, L., (2004) MEASURE : A proposed framework for wound assessment. Wound repair and regenoration, 12 (3) (suppl) S1- S17. Malnutrition – Diagnosis. NHS Choices. (2009). http://www.nhs.uk/Conditions/Malnutrition/Pages/Diagnosis.aspx Mani, R (2003) Chronic Wound Management Miller, M., Glover, D. (1999) Wound Management. Theory and Practice. NT Books, London Moffat, C.J Moffat,C.J., Franks,P.J., Hollingworth, H. (2002) Understanding Wound Pain and Trauma: An International Perspective, In European Wound Management Association (EWMA) Position Document, Pain At Wound Dressing Changes. MEP, London. Myers, B A (2008) Wound Management Principles and Practice. 2nd ed. New Jersey: Prentice Hall Health. Nazarko, L. (2005) Nursing & Residential Care, Vol 7, No 7 Rainey, J Shepard, A. (2003) Nutrition For Optimal Wound Healing. Nursing Standard, Vol. 18 (6), pp.55-58. Scottish Intercollegiate Guidlines Network, SIGN (2010). http://www.sign.ac.uk/guidelines/fulltext/120/section4.html Vowden, K., Vowden, P Siana, J. E, Frankils, S., Gottrup, F. (1992) The Effect of Smoking on Tissue Function. Journal of Wound Care, 1 (2), 37-41. Sorenson,L.T. (2003) Smoking and Wound Healing. EWMA Journal, 3 (1), 13-15. Young, T. (1997) Practice Nursing , Vol 8, No 13 Bibliography Bale, S. (2006) A pocket guide to clinical decision-making in wound management. Aberdeen:Wounds. Best, C. (2008) Nutrition:a Handbook for Nurses: Chichester, West Sussex, U.K., Hoboken John Wiley & Sons, Ltd. Available:Net Library Bryant, R Burch, J. (2008) Stoma Care Chichester, West Sussex, Hoboken, NJ John Wiley & Sons, Ltd. Available :Net Library Fawcett, J.and Garity, J Judd, H. (2007) Wound care made incredibly easy. 2nd ed London: Lippincott, Williams and Wilkins Lippincott Williams & Wilkins (2007) Wound Care Made Incredibly Easy! USA: Wulters Kluwer Health: Ousey,K.and Mc Intosh,C(2007)Lower extremety wounds;A problem based approach . : John Wiley & Sons Ltd, Chichester Scemons, D.and Elston, D.(2009) Wound Care 3rd ed. Wright. J. (2006) Maintaining Optimum Nutrition. Journal of Community Nursing. Vol.20 (11), pp.44-50.