Wound healing is a very important aspect of the postoperative process. Depending on many different factors pertaining to a postoperative wound; different steps can be taken to decrease a patient’s chance to develop an infection. The one goal a surgical team wants to achieve is to leave a less noticeable scar and no infection in a wound. There are different challenges and situations a Surgical Technologist and the surgical will have to work around. The wound healing process all depends on the type of wound and classification, complications that may arise, postoperative infections, and the role of the Surgical Technologist within the wound healing process. There are four classes of surgical wound types based on the wound’s level of …show more content…
143-157). Wound healing can have wide variety of complications.
“The complication of wound dehiscence/wound separation occurs because of excessive stress on wounds that have not yet healed. An example is coughing or vomiting without the use of abdominal splinting over an incision. Wound evisceration is the most serious complication of wound dehiscence. The wound completely separates, exposing underlying viscera. This most often occurs with abdominal incisions.” (“Wound healing”, 2005, p. 143-157).
Hemorrhaging is also a big concern during postop because it can happen right after surgery and can lead to hypovolemic shock. Those are a couple of example of what could go wrong postoperatively. The risk of infection is always present with the occurrence of a surgical wound. Since our bodies are covered with natural flora, opportunistic pathogen infection is always a concern. Infection can greatly affect the recovery time for a patient. A surgical will not heal affectively when infection is present. Surgical Technologist must be aware of the implications bestowed on them by being a part of a surgical team. We must understand the importance of aseptic technique and surgical conscience. You have to be knowledgeable of the surgery you are preforming, the procedures of that surgery, and the complication that may arise. Wound healing plays an important part in how the postoperative
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.
The assessment of the patient’s care needs is based on the type of infection. As such, nurses have the responsibility of providing a high quality health care to the patients. The postoperative assessment involves assessing the patient’s perceptions related to behavior and physiologic responses. It also involves the monitoring of the pain from the patient during the treatment period based on the operations performed. In postoperative assessment, the patient’s wound is monitored in relation to the healing frequency, pain felt, and the availability of some foreign substances like the body discharges. Obtaining the information relating to post operative assessment ensures that the patient is well taken care of by the nurse after operations, and avoids incidences of other circumstances that might hinder quick healing (Grocott, 2007). Once the patient gathers the information concerning the postoperative assessment, then a decision is made whether to seek medication from the same hospital or look for other alternatives. In the case of Sophie, it was clear that the nurses were not keen in following the postoperative assessment, therefore, causing the wound to obtain infections.
On assessment, the wound was slightly exudates, odour, sloughs and dry skin patches on the surroundings. Sprakes (2010) state that, holistic assessment of patient and the wound are essential in order to facilitate the wound healing process. Ousey and McIntosh (2010) points out that, chronic wounds are exacerbated by a sequence of misdiagnosis, neglect, incompetence or inappropriate treatment strategies. I observed that, M’s wound was with exudates and sloughs; this
Throughout the procedure, I was able to interact with the patient and communicate effectively with him, discussing his pertinent health history as well as his experience in dealing with his chronic wound. Such communication and patient interactions bring an abundance of positive feelings to any clinical situation. I also felt positively about the decision of the nurse and healthcare provider in the use of barrier cream to prevent further maceration of the peri-wound skin,
A full assessment of the wound should be carried out prior to selection of dressings. Any allergies should also be noted. The wound should be traced, photographed and measured providing data for comparison throughout the treatment. Consent should be gained prior to photographing the wound and the patient should not be identifiable from the photograph (Benbow 2004). All information should be documented in patients’ records, using the wound assessment tool. The pressure sore was identified as grade two
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
• Experienced by about 5 million Americans, non-healing wounds are serious and can lead to unnecessary scarring, infection, gangrene and even the loss of a limb. They can also affect patients emotionally, as they hamper health and negatively affect quality of life.
| |Use of aseptic technique for wound |Reduces the risk of pathogens to the |
The first couple of paragraphs include an explanation of what is considered a complex wound and the current available treatments. It is beneficial that the authors include an explanation of what the problem is so that the reader can have a better understanding of why this issue is of concern. The paragraphs then transition towards the types of treatments available for the problem and a description of why the current treatments are not sufficient for restorative care.
One of the best methods of reducing infection in patients with any type of wound is sterile technique with dressing change. Heavy colonization of infected sites is a risk factor for infections associated with any type of wound but mostly for wounds that penetrate deeper into the skin. Sterile site dressing is advocated to protect the open wound from contamination because it will come in to direct contact with the wound, and sterility is required in order to execute the application of the dressing successfully. The nursing process is an important principle to use when examining, treating, and maintaining any type of wound or applying wound
Management of post- surgical wounds. Performed several procedures including suture placements, drain placements/removals, wound dressings, e.t.c
Background. Surgical site wound closure can play a key part in the recovery of patients post-operatively. The use of closure material is usually according to the preference of the surgeon and is a frequently debated issue.
The post operative infection rate for patients having surgeries has slowly increased over the last several years and preventing surgical site infections (SSIs) has become a priority with many surgeons. The studies reviewed for this research have stressed the importance of prophylactic antibiotic therapy (Stefansdottir, et al. 2009) and that the timing of this dose being given is becoming the utmost importance; along with the importance of appropriate antibiotic being given. There is not a large study found for the need of post operative antibiotic therapy to be given, the studies found show that there is a question of the effect of the antibiotics after 24-48 hours post procedure. Surgical Practice (2006) reported of a study done in the
Keep the wound clean and dry for the first 10 to 14 days after surgery.
Wherever there is a cut or abrasion, there is always the chance of the wound becoming septic due to a bacterial infection. This is even more likely when the wound occurred from an iron object, because then there remains a chance of it becoming infected by tetanus