The data collection was carried out as the participants came for wound dressing. The explanation was given to each patient regarding how the conventional group is being treated with povidone-iodine and the herbal group with formulation prepared by the researcher. The demographic variables were collected following the norms laid by diabetic protocol. The protocols included were, checking of vital signs, BMI, RBS, nail care, sensation checking by cotton wool tip and cold and hot water, monofilaments and plantar pressure checking. The wound measurement was made by using of Texas stage and grade scale and Wagner grade scale. This data collection was carried out at the pre-test level, post-test level 1 after 15 days and again post test level 2 after
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
Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him.
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.
Over the last century, registered nurses' participation in wound management has actually varied from that of following rigorous dressing routines to autonomous practice (Moore, 1997). In the past, nurse education frequently enhanced the overall results at the time. An adherence to apprenticeship-style learning, where registered nurses frequently had minimal knowledge of the results of the dressing they were putting on a wound, contributed considerably to a theory-practice space or gap of research in wound management. Registered nurses were not actively associated with the decision-making procedure (Madsen, 1999).
During community placement, my mentor and I visited M (patient), a 75years old lady, who was presented with a Pressure Ulcer, on the heel of her right leg. On arrival, my mentor asked me to manage M’s wound. However, I have observed and participate in carrying out this skill (wound care) with my mentor on several occasions. I explained the procedure to M and gained her consent to carry out the procedure.
I can relate to one of the points in your discussion. I work in a small community hospital in the Wound Healing Clinic. We are an outpatient addition to the hospital. We have one nurse who has the primary responsibility of the acute admissions wound care. Last year we were bought by a large health systems. Recently, we were informed that we, the Wound Center, are held responsible if a patient has a hospital acquired pressure ulcer (HAPU). As part of this new directive we were also informed that prevalence rounds were to be done weekly. This is what you described your facility does once a month. These changes place responsibility for care which our staff does not even provide, moreover the changes were never discussed with our clinical coordinator.
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
Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197)
Performs patient teaching on surgical topics including DVT prevention and importance of skin preparation. While assessing a patient, Ms Davidson noticed that a patient has an open wound. She offered to clean and bandage patient wound. She
Write one-paragraph responses to 4 of the following 6 questions below. Each paragraph should be 5 to 10 sentences (or about 70 – 150 words), and written in your own words.
DOI: 1/14/2016. Patient is a 47 year old male senior information technology field services who sustained injury when his vehicle went off road. He had a transmetatarsal amputation of left foot with failed flap, status post further surgical excision debridement twice a week removing necrotic tissue.
When the majority of the wound is not covered by necrotic tissue (at least 75%) our treatment should be focused on selective debridement. With this type of removal we will only be working with the necrotic tissue. Depending on the physicians order we may use this in our treatment. Another important aspect is wound cleansing. Every time the dressing is changed they should clean the wound. We should avoid using hydrogen peroxide, soap, povidone iodine because they could damage the healing process. The recommended solutions are water (drinkable tap or sterile) and normal saline. We should also consider using syringe irrigation to apply the solution. Finally, wound moisture is another important aspect we would need to take into consideration.
In order to fullfill my healthcare competency in evidence-based practice, the leadership goal that I have formatted is to obtain my certification in wound management. I will begin to work towards attaining my wound certification by discussing my future goal with the Director of Nursing, in hopes to find financial resources and the support needed to complete all requirements. I would like to obtain my certification in wound management by January 30th 2016. One of the resources that will be an excellent guide is the assistance of house doctors. In my current position, I have been able to schedule joint visits with providers in the patient’s home, for assessment and coordination of wound management on the patients we currently serve. Also, our current computerized system for completion of visit note entries has a very detailed wound management field. In persuing wound certification I will be able to acquire more knowledge in wound management, applying the education to wounds on patients who are at risk of developing wounds, have existing complication for non healing wounds and on achieving agency wide goal for improving non- deteriorating wounds. With medicare and medicaid keeping track of wounds and posting outcomes for the public to review, this will be an asset for my current place of employement.
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