Essay On Soil Avulsion

Barrett (2009) concurs that, the management of wound required dressing that can maintain a moist environment, absorbs exudates as well as remain in situ over number of days.

Immediately after the injury occurs, the individual needs to begin the basic steps of treatment. Although the steps seem minimal, they are crucial and must be administered. These steps consist of rest, ice, compression, elevation, and immobilization. In this injury you want to minimize the blood flow to the affected area. Resting reduces the risk of further injury. Ice should be applied 24 to 48 hours after the injury and will not only reduce swelling but any of the acute pain. Compression will reduce bleeding and reduce swelling, just as elevation will use gravity to reduce bleeding and reduce swelling by allowing fluids to flow away from the site of injury. There are many misconceptions about the way to apply ice,

Tylenol and Aspirin can be used for pain or fever. Note you should not give Aspirin to anyone under the age of 20.

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.

When the nails are being clipped there is a risk that the nail will be clipped to short & the quick (blood vessel which runs from the toe into the nail) will be cut which will lead to bleeding, however the bleeding can be stopped quickly & no long term damaged will be caused.

The diagnosis of acute paronychia is based on a history of trauma and findings on physical examination of nail folds. The digital pressure test may cause blanching of the overlying skin and clear demarcation of the abscess, by applying light pressure to the distal volar aspect of the affected digit. In case of severe infection or abscess, cultures should be obtained to identify the responsible pathogen and to exclude methicillin- resistant S. aureus (MRSA) infection.13

The area of the injury must be observed for how well the circulation to this area is. While preparing for treatment, nurses can use a chart called the “Braden Scale” which determines different factors that contributed to the injury, which will give them a better idea about which treatment plan they should follow. In DeWitt’s “Medical-Surgical Concepts and Practices” it describes the scale having 6 factors that can contribute to a pressure injury as in “sensory perception, moisture, activity, mobility, nutrition, and friction and shear” (DeWitt, 2013). It is easier to prevent pressure injuries than it is to treat them, that is why constant interventions are created to decrease the incidences of pressure injuries. A patient with an arterial pressure injury, depending on the severity will have a reduction in pressure over the area. Once the damage is done, the next measure is to relieve the pain and begin to start treatments. One simple way to help alleviate the pain is to dangle the affected area. This causes the blood to pull towards the feet increasing the blood flow to the lower extremities. One of the more tolerable treatments for an arterial pressure injury is to loosely wrap the affected area after receiving the cleaning. Other simple suggestions are to stop smoking, maintenance of high blood pressure, proper care if diabetic and change in diet.

Contact with open wounds- Sometimes when working in the salon, you may accidentally cut yourself or puncture yourself. This creates an open wound. Broken skin allows infection to pass more readily into your body. To prevent infection from entering through a wound, cover it with an adhesive bandage, finger cot, gauze pad, and/or gloves. Use an antibiotic ointment to aid in the healing process. If you are unable to protect your open wound by the aforementioned methods, remain at home until your wound heals and the skin is no longer broken as unbroken skin is the best defense from infection. If a client visits the salon with an open wound

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.

• Do not use any tobacco products, including cigarettes, chewing tobacco, or electronic cigarettes before your procedure or as directed by your health care provider. If you need help quitting, ask your health care provider.

Often when the body suffers some form of trauma, whether internal or external, evidence of it can often show in the nails. These lines are an example of the body producing evidence of a systemic problem, something which effects the whole body.

• After cleaning the wound, apply a thin layer of antibiotic ointment as directed by your child’s health care provider. This will help prevent infection and keep the dressing from sticking to the wound.

I showed the supernumerary nurse the proper way of preparing for an NPWT using a non-touch sterile technique, and slowly cleaned the surrounding skin prior to the application of the pressure dressing. Since, it was the first time of the mentee to perform a pressure dressing. I have provided my mentee the principles of wound management, so that it will reinforce the knowledge of the supervised nurse and skills, on the management of an NPWT wound. I also provided the mentee the protocols and wound management chart to take note of the type of solutions to be used in managing a surgical wound.

Looking back, the pain seemed to worsen upon my return to the kitchen but I put it down to walking and putting pressure on it, rather than hopping back in. Her reaction as she began to clean the toe told me it might be bad; she said she could see a part of my nail bed as a chunk of nail had been ripped up. My inability to wear certain shoes until it healed raced through my mind, as did the possibility of infection, because I’m in the garden very often, and also, whether all the tasks listed to be done over the weekend would be completed. Naturally, I began to worry. Walking into kitchen and seeing bloodied balls of cotton wool in a bag on the floor, (it wouldn’t stop bleeding), my husband felt that putting my foot up all weekend would be best. By now the pain was excruciating and I wondered what to do. Take medication? See a Doctor? Call my mother for advice? She’s a retired Nurse? This was going to be a problem and I had to find a solution.

Remove the bandage and you would see cute spots on your nail. You can try the leopard spots too.