Audrey Wound Infection: A Case Study

Through basic observations, health professionals are able to evaluate the performance of an individual’s health status. In relation to Casey, it is noted in her Observation Chart that in the time span of two hours the patient’s health status had changed from being relatively normal (to the patient) to an increased respiratory rate, heart rate and temperature as well as a decrease in blood pressure. It is also noted that the patient has a score of 8 in the pain scale (compared to the score of zero two hours previously), relating to the lower abdomen. Programs such as Between the Flags acknowledges the fact that the early recognition of deterioration of patients can reduce harm to patients through designing and implementing systems which provide a structural response in the event of a deteriorating patient, such as Rapid Response and Clinical Review. There are two phases involved in the rapid response, which includes the afferent phase and the efferent phase. The afferent phase focuses on the overall monitoring and recognising the deteriorating patient whereas

While during round today on Thomas Unit Justine P disclosed that she had been collecting sharps all day. Justine were able to pull several pieces of plastic ware (Spoon/ Fork), a stitch from her injured wound, from her bra also and a rubber band. Campus Supervisor was able to retrieve all items from her. Also Justine disclosed that she removed all the stitches from her wound and began to embed new items into her wound. Nursing was contacted for assessment.

The patient states that she continues to have pain, every single day. Her shoulder pain has started to radiate up to her neck. Shoulder pain is rated to a 9/10 without medications, and 5/10 with medication.

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,

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

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

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.

SC called the Rose. SC asked about her weight status. Rose said she is now gaining weight. Dorothy’s when the wound specialist on April 13, 2017. The wound specialist start her on health shakes with protein twice a day. Rose noted her weight 110. Dorothy weight has increase 10 pounds. Rose also note that Dorothy being going to a wound specialists to promote healing. She noted that her wound has not being healing. That is another reason why wound specialists put her on protein shakes. Dorothy has been to the dentist on last week. There was not cavity and the dentist set appointment for next year Dorothy weight has increase 10 pounds. PROGRESS MADE ON OUTCOME because she gaining weight and she is free from cavity

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

2. One of the important factors that you need to establish is how much pain the person is feeling. This can be difficult as we all have different pain levels. Several methods have been developed to measure pain but the most common one is to ask the person to describe it on a scale 1 to 10, with 1 being the mildest to 10 being the worst pain they have ever felt. It is about individual experience and you need to react to the level at which that person describes their pain as one persons pain thresholds may be different to another.

From 11 years and differentiate between them and others and use words that refer suffering, whether physical or psychological type. Moreover, it is important to translate the scales in ratings that suit the analgesic ladder for pain control. Although the scales have different scores, they tend to go from 0 to 10 and may be staggered as follows: 0: no pain, 1-3: it would be a mild

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 the bullet. (DiMaio 1998)

Hip fractures are one of the most common causes of extended hospital stay among the

(REARDON, ANGER & SZUMITA, 2015.). There are two ways to assess pain which they have been used for long time. The first way is Visual analog Scale. The second way is Numeric Rating Scale which means patient should rate their pain in scale of (0-10) zero is no pain and 10 is the worst pain. REARDON, D. P., ANGER, K. E., & SZUMITA, P. M. (2015). However, “the nurse also judged patiens’ pain based on their appearance and mobility, and investigated any potential complications by conducting physical examination. The nurses often rechecked the pain levels in order to clarify and ensure that the recorded pain levels corresponded to the causes of the pain and suffering” (Chatchumni, Namvongprom, Eriksson, & Mazaheri, 2016) patients also may report no improvement for their pain even though with high dose of opioid and ask for high dose of opioid while the nurses noticed them sleeping or

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: