Correct Wound Skin Care

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.

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)

A meaningful event from my clinical experience was during week six when one of my colleague and I along with the RN performed a wound care procedure on one of my client who had pressure ulcers on her coccyx area and wound on the right foot. It was my first time doing wound care on a client who has severe wound type. Client is a 90 years old female who has been admitted to the unit for Osteomyelitis, it is an infection of the bone, caused by bacteria breaking into the body’s tissues and entering the bloodstream through an open wound (LeMone, p.1382). The client said a dog bit her foot at a park few years ago and that’s how she got the wound. Client has a wound care dressing order that needs to be changed daily with Betadine soaked gauze for all areas,

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

The team members had provided safety and comfort to their clients and followed good nursing practice. They identified their clients, and followed proper hand hygiene and used gloves to avoid contamination. They provided each room with the needed supplies, which made their work more efficient. They labelled all the bottles and sprays they used in caring the wound, and used all the equipment properly. They provided privacy to their clients by always closing the door during the entire wound care period. The team members were focused on client’s goals and understood how their role contributes to the achievement of those goals. They understood what needs to be accomplished and have the resources needed to be successful. They also encouraged each other to work for the common good. And most of all, they were all very nice and accommodating to me, which made my experience a good one.

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.

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

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).

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

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

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

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

In order to achieve an effective healing of a wound, an appropriate material must be used to cover the wound to prevent any infection. Due to new techniques, a wound dressing material is expected to have very satisfactory properties in enhancing a healing of a wound. The wound healing time, wound type, mechanical, physical, and chemical properties of the dressing must be taken into account when designing an effective wound dressing (Zahedi, Rezaeian, Ranaei-Siadat, Jafari & Supaphol, 2009). When choosing a suitable wound dress, there are several factors that must be taken into consideration, such as creating an effective bacterial barrier, having no toxic or irritant particles, protecting periwound area, producing as minimal pain as possible

According to Bastable and Doody (2007) an objective is a specific, single one-dimensional behavior. Objectives are used to form a map to provide directions on how to achieve a particular goal. In this lesson the students will have two goals. The first is for the student nurses to be able to identify all the supplies necessary to change a sterile dressing and to be able to correctly assess when a dressing needs changed or reinforced. The lesson plan will contain the following objectives: