Research Critique
This paper will be a research critique on the article “Frequent Application of the New Gelatin-Collagen Nonwoven Accelerates Wound Healing”, by Schiefer, J.L. and Rath, R, and each section will be examined using our textbook “Understanding Evidence-Based Practice”. The article’s main focus was on determining the effect of healing when using multiple collagen nonwoven applications to chronic wounds. Twelve mini-pigs where used to test this technique and the findings indicated that this method was promising, because the wounds had a faster healing rate when multiple application of gelatin-collagen nonwoven was used as treatment. Analyzing the articles components, we can see that although it does contain preliminary
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The first couple of paragraphs include an explanation of what is considered a complex wound and the current available treatments. It is beneficial that the authors include an explanation of what the problem is so that the reader can have a better understanding of why this issue is of concern. The paragraphs then transition towards the types of treatments available for the problem and a description of why the current treatments are not sufficient for restorative care.
This leads to the second portion of the background, which identifies why the topic is of concern and how the study can provide a solution. For instance, the specific purpose of the study is to evaluate whether multiple application of collagen nonwoven on wounds, is effective (Shiefer, J.L & Rath, R, 2016). The report did include the two purposes previously mentioned. However, as a reader there where some areas that the authors could have elaborated more on; for example, there was incomplete information of medical terms, that could aid in the reader’s understanding of the problems. Aside from that the authors’ presented an overall good health concern topic, that although complex wounds are not that common according to the statistics they presented, they can be very serious. The introduction was well organized and gave the reader a brief overview of the health
Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.
I have significantly developed my skill in wound care assessment and dressing, in developing this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer assessment it provides a basis for deciding the effectiveness of the current treatment.
The process of wound assessment requires accurate and appropriate interventions while dealing with the patients. There are some major components which the operator must consider to effectively access an infection, and they require a range of skills and knowledge. These factors are the knowledge of relevant anatomy and physiology, the understanding of the various factors that accelerate wound growth, and the ability to listen and understand the patient’s needs. In wound accessing, the doctor should have an idea concerning the number and location of wounds, the required treatments depending on the type of infection, the type of wound in accordance to various grading given, and the procedures to follow to achieve the treatment
Stechmiller, J. K. (2010). Understanding the Role of Nutrition and Wound Healing. Nutrition in Clinical Practice, 25(1), 61-68. doi:10.1177/0884533609358997
In this paper we will present critical analysis on the different views on nursing the wound dressing focusing primarily on the possible infections ranging from technique to use of silver to the overall impact made by these choices.
On assessment, the wound was slightly exudates, odour, sloughs and dry skin patches on the surroundings. Sprakes (2010) state that, holistic assessment of patient and the wound are essential in order to facilitate the wound healing process. Ousey and McIntosh (2010) points out that, chronic wounds are exacerbated by a sequence of misdiagnosis, neglect, incompetence or inappropriate treatment strategies. I observed that, M’s wound was with exudates and sloughs; this
Throughout the procedure, I was able to interact with the patient and communicate effectively with him, discussing his pertinent health history as well as his experience in dealing with his chronic wound. Such communication and patient interactions bring an abundance of positive feelings to any clinical situation. I also felt positively about the decision of the nurse and healthcare provider in the use of barrier cream to prevent further maceration of the peri-wound skin,
A full assessment of the wound should be carried out prior to selection of dressings. Any allergies should also be noted. The wound should be traced, photographed and measured providing data for comparison throughout the treatment. Consent should be gained prior to photographing the wound and the patient should not be identifiable from the photograph (Benbow 2004). All information should be documented in patients’ records, using the wound assessment tool. The pressure sore was identified as grade two
Problem Statement: In my qualitative evaluation of The Lived Experience of Having a Chronic Wound: A Phenomenologic Study, written by Janice Beitz and Earl Goldberg (2005), I found that the need or rationale for this particular study, as do most qualitative research papers, focused on how or what, as opposed to quantitative studies that focus on asking why? The problem statement is:
We have used the idea of equating different stages in the wound-healing process to occupations as a teaching tool since 1996. More recently we have been working on a section to include in one of the local primary care groups’ wound resource file. While working on this document we felt this information would be useful for a wider audience.
Education for the patient is significant. They need to know what to do as a patient to help themselves, and get back to their previous function (Branski, 2007). Education should not just go to the patient, but also the caregiver and family members. Dealing with complex wounds can be very stressful and difficult for just the patient to handle. Prevention is important for everyone in this process. It is covered in some of the basic wound healing education including dietary needs, cleanliness of wound, and need to maintain appointments (Cutroneo, 2008).
Wound healing is a complex and dynamic process, therefore, proper wound care is crucial in minimizing further infection and optimizing healing. Wound management is an integral part of nurses’ knowledge base. However, as advancements continue to be made, dressings have become very specific, varying for each type of wound. Having access to up-to-date resources is critical in helping provide proper and accurate care to patients.
Background. Surgical site wound closure can play a key part in the recovery of patients post-operatively. The use of closure material is usually according to the preference of the surgeon and is a frequently debated issue.
Wounds are classified as open and closed wound on the underlying cause of wound creation and acute and chronic wounds on the basis of physiology of wound healing.
The collagen secretion plays an important role in wound healing paradigm to regain the mechanical strength of injured tissue (Hsiao et al., 2012). The collagen content was determined in wounded skin tissue sections by measuring hydroxyproline content (a major constituent of collagen). NCs treated mice exhibited an increase in collagen content at day 8 post-wound than day 3 in acute wounds than different control groups (Fig. 6.20). Further, a reduction in collagen content was noticed in all the treated groups at day 14 post-injury. It might be due to the reason that at day 14 post-wounding, treated groups entered a phase of dermal remodeling where a balance was achieved