Dorothy Wound Specialist: Case Study

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)

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

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.

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

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.

Tammy, I would agree there is a major difference between knowing how to perform a specific skill and knowing how to perform that skill effectively. I think it is great that you offer new nurses to your department an extensive orientation and training. Wound vac care can be tedious, depending on the wound, requiring much training and then follow-up training to ensure it is being performed correctly. The surrounding skin appearance of a wound bed is a good indicator of correct wound vac application. Your expertise in wound care with precise skin barrier methods prevented further complications with this already painful wound. When patients get, frustrated or are having a lot of pain related to a treatment or procedure, many times they will refuse

This beautiful solid piece of metal is only available in one color, RUSTY! Its rust color gives it a slight disgusting smell but will assist you when you need to pick up or hang your coat it will serve you well killers who need a new way to kill, it’ll give you tetanus on contact with an open wound. When you act now you get the screw on attachment with the five shaped hook. But act fast because this offer is only valid for a limited time and it’s only $99.99 if you act now.

On 6/14/16 I met Mr. Blake at the U of M wound clinic, Midland location. Mr. Blake said over the weekend, the white end cap fell off his pin to the third toe. Since that time he reports an increase in pain to that toe. Mr. Blake reported that he called Dr. Biddinger’s office and he was told to come in on 6/15/16. Dr. Taylor examined the foot. He removed some calloused skin around the toes. Dr. Taylor stated the wound is completely healed now. He does not need to come back to the wound clinic.

Today, I went with wound care. The wound care nurses see a number of patients. First, they compile a list of patients for the day. Then, split the patients amongst themselves. The priority patients are new patients for wound care. Each patient is seen once a week unless there are complications. If I remember correctly, wound vac patients are seen three times a week: Monday, Wednesday, and Friday. Also, the wound care nurse will see those patients’ who’s wounds are little more complicated more often throughout the week.

I will be sharing my comments concerning the article of Young, Hampton, and Martin (2013) titled: Non-invasive assessment of negative pressure wound therapy using high-frequency diagnostic ultrasound: Oedema reduction and new tissue accumulation.

Further Infection due to the effects of age, location of the wound, malnourishment, and diabetes mellitus.

At 6 hours, the wound closure in the control (Fig. 1a), diabetic (Fig. 1c) and diabetic groups supplemented with whey protein (Fig. 1e) was not visible. In contrast, wound closure in the diabetic rats supplemented with whey protein at 4 days after the injury (Fig. 1f) was greater than the diabetic rats (Fig. 1d) and nearly similar to the control rats (Fig. 1f).

The overall goal of the project is to improve patient understanding of his or her wound care discharge education, discharge instructions and follow-up comprehension at St. Joseph Health Network. In 1873, St. Joseph hospital opened its door to resident of Reading, Pennsylvania (PA). Throughout the years the hospital has had several challenges, new management, and relocated to a new state-of-the-art building in 1996. In 2015, the hospital become known as the Penn State Health St. Joseph under the management of a larger health care system known as Penn State Health. The health care network has a predominant inpatient wound care department and an outpatient wound care clinic.

A critical literature review exploring the effectiveness of using skin staples as opposed to sutures or skin adhesive as closing materials after orthopaedic surgery.