Essay about Health: The Case of T.N., a Twenty Year Old Male

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

Before the model of change can begin, the nurse should develop a non-judgemental supportive therapeutic relationship with Mr Abraham which will enable  the nurse to know him better and see what his triggers are and what challenges he faces in his everyday life . The health professional should

I have significantly developed my skill in wound care assessment and dressing, in developing this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer assessment it provides a basis for deciding the effectiveness of the current treatment.

I get to see various types of wound, from pressure ulcer of different stages, unbelievable edemas, arterial and venous ulcers, diabetic ulcers, and many other wounds of uncertain causes. I have never expected to see those kinds of wounds. I have seen different drainage amount, color, and odor, various shapes and location of the wounds, and amputated edematous legs. I have learned also the different types of dressings and antibacterial ointments used. I had given the chance to observe a client on their high-tech hyperbaric oxygen therapy which makes the wound healing even faster. The most important lesson I have learned from the team members was, “DO NOT GET

1. A physician is called to the intensive care unit to provide care for a patient who received second- and third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory distress and is suffering from severe dehydration. The physician provides support for two hours. Later that day the physician returns and provides an additional hour of critical care support to the patient.

(2004) stated that, “motivation is a fire from within. If someone else tries to light that fire under

In this paper we will present critical analysis on the different views on nursing the wound dressing focusing primarily on the possible infections ranging from technique to use of silver to the overall impact made by these choices.

The emergency department RN evaluates Harmony and determines the percentage of body surface burned according to the Rule of Nines. Her injuries include deep partial-thickness and full-thickness burns on her lower abdomen and on both of her anterior and posterior lower legs.

According to the Agency for Healthcare Research and Quality (AHRQ), 2.5 million patients are affected by pressure ulcers and incur costs anywhere from $9.1 billion to $11.6 billion per year in the United States (AHRQ, 2014). As of October 1, 2008, the Centers for Medicare and Medicaid Services (CMS) will not reimburse hospitals for cases in which the pressure ulcer was acquired after admission (CMS, 2008). Because of this high cost, the number of patients affected each year, and insurances no longer reimbursing hospital acquired pressure ulcers (HAPU), an accurate skin assessment upon admission is critical to reduce costs, ease pain in patients, and lower incidences of pressure ulcers. This paper will address what leadership and management skills and functions are required of a wound care nurse who identifies a problem with the accuracy of skin assessments on newly admitted patients.

In this book I have learned many things about severe burns. I learned that you sometimes have to wear a mask to keep your skin from getting puffy and hard. A few years ago I had a friend that fell in a fire and burned her leg pretty bad. She had to wear a brace that was just like the mask Kelly wore but for a leg and she had to wear it for 1-2 years because of how severe her burns where. There is lots of things to know about burns and how they can affect your life if you are burned.

Mr. J.’s daughter noticed a red mark on her father who then reported this to the nursing assistant and her concerns were immediately dismissed. If the nursing assistant was properly trained in the use of restraints and had knowledge of patient outcomes, this patient would not have developed a pressure ulcer. The nursing assistant should have immediately informed the nurse and measurements should have been taken to prevent further breakdown of the patient’s skin which was not done. It is evident in reading this case that Mr. J developed a Stage I pressure ulcer from being retrained in one position with no assessment or release for an undetermined amount of time.

Situation: You are working the day shift on the medical-surgical unit in a small district hospital. Your assignment includes an 18-year-old female college student, admitted the previous night. She was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

Wound care nurses play a special role in the hospital environment, and hospitals without those specialized nurses may not be able to offer the level of care as hospitals that have these specialized professionals. "Wound care nurses, sometimes referred to as wound, ostomy, and continence (WOC) nurses, specialize in wound management, the monitoring and treatment of wounds due to injury, disease or medical treatments. Their work promotes the safe and rapid healing of a wide variety of wounds, from chronic bed sores or ulcers to abscesses, feeding tube sites and recent surgical openings" (Nursing Schools, 2012). While it may seem as if any nurse should be qualified to perform these functions, it is critical to realize that it is a specialized field. "Their main objectives are to assess the wounds, develop a treatment plan, clean wounds and monitor for signs of

One important aspect of nursing service is to safeguard and maintain the integrity of the patient's skin so-preserved and intact. Intervention in the patient's skin care will be one of the indicators of quality of nursing care provided. Damage to skin integrity can stem from injury due to trauma or surgery, but can also be caused due to the suppression of skin preformance long time which causes irritation and will develop into pressure sores or decubitus.

A burn is defined an “injury or damage resulting from exposure to fire, heat, caustics, electricity or certain radiations” (merriam-webster). The extent of tissue damage can be categorized by degrees. A superficial burn or first degree burn presents with redness and swelling on the epidermis. In a partial thickness or second-degree burn injury, there is redness swelling and