Critical incident The aim of this reflection is to describe my personal experience in wound care and its management. Gibbs (1988) reflective cycle has been adapted in order to provide structure to the reflection process. Description At the care home I had to nurse many client’s who had developed pressure sores. One particular wound stands out from the rest‚ it belonged to a lady in her late 70’s who was immobile and suffers from incontinence and slight dementia. Her wound was extremely large
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Unit 64 1.1 Pressure sores are the result of a constant deficiency of blood to the tissues over bony areas such as a heel. It may have been in contact with a bed over a long period of time. The surface of the skin ulcerates which can‚ in turn‚ become infected. Eventually deeper tissues are damaged. It’s common in heels‚ buttocks‚ sacrum‚ ankles‚ hips and spine. 1.2 Pressure points on the body are: sacrum‚ hip bone‚ ankles‚ heels‚ elbows‚ spine‚ ribs‚ back and head and ears. 1.3 The risk factors
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PRESSURE ULCER PREVENTION: USE OF SACRAL MEPILEX IN PREVENTING PRESSURE ULCERS IN THE ICU PATIENT: An Evidence-Based Project Elizabeth Bard‚ Melissa Carder‚ and Maria Medina Submitted in Partial Fulfillment of the Requirements for the Degree Master of Science in Nursing Nebraska Methodist College Department of Nursing Omaha‚ Nebraska Under the Supervision of Dr. Linda Foley May 2012 Abstract During the past few years‚ the interest
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breakdown AND the development of pressure sores. The skin is one of the largest organs in the body in surface area and weight. The skin consists of three layers: the epidermis‚ the dermis and the subcutaneous tissue. The skin has three main functions: protection‚ regulation and sensation. The skin is an organ has many functions 1. Protection. The primary function of the skin is to act as a barrier. The skin provides protection from: mechanical impacts and pressure‚ variations in temperature‚ micro-organisms
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The basic philosophy of palliative care is to achieve the best quality of life for patients even when their illness cannot be cured. Palliative care is provided through comprehensive management of the physical‚ psychological‚ social‚ and spiritual needs of patients‚ while remaining sensitive to their personal‚ cultural‚ and religious values and beliefs. Hospital palliative care services are often provided through an interdisciplinary team of health care professionals including‚ but not limited to:
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What are pressure sores? Pressure sores are areas of injured skin and tissue. They are usually caused by sitting or lying in one position for too long. This puts pressure on certain areas of the body. The pressure can reduce the blood supply to the skin and the tissues under the skin. When a change in position doesn’t occur often enough and the blood supply gets too low‚ a sore may form. Pressure sores are also called bedsores‚ pressure ulcers and decubitus ulcers. What are the symptoms of a pressure
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Management of a Pressure Sore This essay analyses the assessment tools used and care given to a patient with a grade 2 pressure ulcer on the lower part of the sacrum‚ and at potential risk of further skin breakdown. The essay begins with an overview of what pressure ulcers are and the prevalence and incidence of pressure ulcers. The paper goes on to evaluate the assessment tools used and the care plan that was implemented for the patient ‚ the essay then discusses the impact of the pressure ulcer on
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Pressure Area Care 1.1 The are three layers of Skin. The Epidermis‚ the Dermis and the Subcutaneous layer. The Skin is the bodies biggest Organ. Sizes varies. Skin also helps regulate Temperature‚ helps immune system. Also provides sensations of Touch‚ Heat‚ cold and pain in the sensory nerve endings. Pressure Sores are common where there is Less blood in the area affected during long periods of time. 1.2 Knees Thighs Ears Toes Back of Head The Sacrum Ankles Hips Shoulder blades Lower back (base
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Unit 4222-229 Undertake agreed pressure area care Unit 4222-229 Undertake agreed pressure area care Outcome 1 Understand the anatomy and physiology of the skin in relation to pressure area care The learner can: 1. describe the anatomy and physiology of the skin in relation to skin breakdown and the development of pressure sores Skin is the largest organ of the body‚ covering and protecting the entire surface of the body. The total surface area of skin is around 3000 sq inches or roughly
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the healing of pressure ulcers. Apart from providing appropriate wound dressing‚ various nursing interventions are needed such as relieving pressure by providing special pads or air mattresses and turning or repositioning the patient at least every two hours. Arranging pillows under the ankles‚ back‚ head and arms‚ regular cleansing and drying of the skin‚ and providing good nutrition to support the healing process are also important (Cohen‚ 2009). Optimal nutrition helps pressure ulcer healing
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