Audrey Wound Infection: A Case Study

Data was collected from inpatient progress notes, outpatient progress notes, operative reports and anesthesia records. In all instances the same standard AMD was used. This dressing has been shown to decrease the risk of acute infection after total joint arthroplasty compared to dry gauze dressings. The AMD was left in place for a minimum of 5 days unless it became saturated and required a premature dressing change (Cooper & Bas 2015).

I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made

The ratings for this scale vary from no pain, a zero, to the worst pain one could possibly endure, a ten ('Misha' Backonja & Farrar, 2015).  This type of tool used for measuring pain is considered a self-assessment.  Meaning, the individual rates his/her pain on the provided scale.  All individuals who have received medical treatment, whether for a serious injury or a yearly physical, has been asked, “What would you rate your pain today, on a scale of one to ten?”.  This pain assessment tool is considered a fully ordered variable due to the individual having a wide range to rate his/her

Procedure Researchers will decide to select wound infections that occur after open heart surgery as a topic for their study, because it is significant for staff nurses to know the effect of wound infections that occurs with the adult patients. Researchers will obtain permission from the cardiac surgery center so that they could collect information from adult patients. They will also contact and meet with staff nurses in cardiac surgery center. Nurse educators will provide the form to all staff nurses working in the operating room. The form includes the title of the study, the purpose of the study, place of the work, duration of the study, potential benefits, potential risks, participant signature, and date. The reader can follow that consent

Step one, Geraldine pains will be monitored and documented at a regular interval by asking her to score her pain on a scale of (0-10) with 0 meaning zero pains and 10 being highly in pain. This will help in evaluating her cancer-related pain symptoms, which may involve viscera, nerve, or bone tissue. Use of rating scale aids helps in assessing level of pain and provides a tool for evaluating the effectiveness of analgesics, enhancing patient control of pain. Geraldine’s reported and unreported pain will be assessed. The discrepancy between reported and nonverbal cue can give us clues to the degree of pain, the effectiveness of

Hip fractures are one of the most common causes of extended hospital stay among the elderly, and approximately one third of patients undergoing hip arthroplasty surgery will die within the first year (Gregersen et al., 2012). The specialised nature of the orthopaedic ward is a complex environment for not only nurses,

It is essential to identify if John Taylor has pain at the time of the initial interview. If so, it is necessary to promote interventions to provide relief. The initial assessment will serve as a guide to develop the plan of treatment of pain. In the initial approach it is

Six steps in pain assessment of is history of pain such as surgery, fracture and injury. Verbal indicators such are as pain scale assessment, describe the pain. Nonverbal indicators are such as restless movement,

\section{Automatic Pain Assessment} The proposed pain assessment system consists of two main stages: 1) face detection and preprocessing and 2) pain expression recognition. We describe each stage in detail below.

Methods This was a retrospective cohort that evaluated 300 patients who underwent elective hip or knee replacements that received cefazolin, vancomycin and gentamicin or cefazolin and vancomycin for perioperative antibiotic prophylaxis. The RIFLE classification was utilized to

A contact wound is one in which the muzzle of the weapon is held against the body at the time of discharge. In contact wounds, gas, soot, and vaporized metal from the bullet and cartridge case, primer residue, and powder particles are all driven into the wound track along with

Bright during the simulation. Although the main cause of Mr. Bright’s angina is unknown, it could be associated to incomplete revascularization, restenosis, acute stent thrombosis, and stent stretch (Chang, et. al., 2016 p.1124). This would result to a decrease in blood-carrying oxygen going to the heart which is neccesary for systemic distribution. With regards to his routine care, it is vital to have a profound knowledge and skills in conducting a pain assessment. The PQRST (p-provocation, q-quality, r-radiation, s-severity, t-timing) method was used during the simulation process which was said to be the gold standard of pain assessment. Briggs (2010 p.36-37) mentioned that pain assessment tools such as PQRST aim to provide understanding and awareness for the identification of appropriate nursing intervention to the patient. Because pain is a subjective data, Briggs (2010 p.37-38) also stated the importance of pain assessment scale in determining the degree of pain being experienced by the patient. In relation to Mr. Bright’s case, the verbalization of pain at 6/10 was made when assessed by the nurse using the PQRST method, noting that 0 means no pain and 10 is the worst. He also mentioned tightness in his chest. In addition, he complained of pain in his teeth then to his jaw and

Fig. 1) Gibbs’ Model of Reflection. (BCU, 2005) My practical competencies have been obtained through working with a general and orthopaedic surgeon. Whilst working with my clinical supervisor, (a consultant orthopaedic surgeon) we decided it would be beneficial to review orthopaedic wound infections. I chose to concentrate on wound infections during a Total Hip Replacement (THR). Wound infections is a massive subject so I have selected specific areas to look at, which are:

The Braden Scale is standarted accepted tool to help nursing staff in nursing homes and acute cate hospital hospitals to assess the person who may at high risk for develping pressure ulcers. In hospital or nursing home setting, the braden scale work as to remind to nursing staff to take care of this part of patient's skin evaluation and helps in preventive measures can be properly recommended.

Infection is the most dreaded complication in orthopedic surgery. It causes increased morbidity and mortality and is a source of great harassment not only for the patient but the doctor as well. Incidence of Surgical site infection in USA is more than 2% [1]. Whereas in India the infection ranges