Wou Wound Healing Essay

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.

As cited by Jarvis (2012, p.203), “the skin is the sentry that guards the body from environmental stresses and adapt it to other environmental influences.” Maintaining the elderly patient’s skin integrity requires a holistic care approach. As a nurse, one of our best practices is performing a thorough skin assessment of the whole body of our patients. A detailed head-to-toe skin assessment and clear documentation can help the interdisciplinary team in generating individualize plan of care. I perform a thorough assessment by inspecting the patient’s skin color, temperature, texture, moisture, and for presence of wounds. I ensure that the information I obtained from the skin inspection is clearly documented in the patient’s chart and plan of care, and any skin changes are communicated to the physician or nurse practitioner.

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

Skin repair is an important physiological process which is essential for homeostasis, restoring barrier function and preventing infection (Martin, 2009; Boateng and Catanzano, 2015). Wound healing is defined as a complex, dynamic and the specific biological process associated with the phenomena of tissue regeneration and growth (Mazumder et al., 2016). Regeneration can be defined as a tissue that significantly damaged either completely or partially removed and tissue's original function and cell types must be functional and structurally restored (Mazumder et al., 2016). The process of healing comprises a cytokine, blood cells, extracellular matrix and growth factor (Joao De Masi et al., 2016). The growth factor is a protein that activates and

The process of wound healing is often broken down into three phases: the inflammatory, the proliferative and the remodeling. The first phase (acute inflammation) prepares the wound site for healing. Summarize what happens during the next two phases – the proliferative and remodeling. (Refer to the video: Wound Healing Process.)

And as a nurse, following the instruction on how it is done, applying the right medication and doing it on schedule are very important for a quick wound healing process and a quality patient care (Waugh, 2014, p. 354). Not only that, wound and total skin assessment at least twice a day, good documentation and multidisciplinary collaboration are essential (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 209). Prompt notification to the doctor for any wound progress, collaboration with the dietitian regarding the proper diet to help speed up the healing process, a clear instruction to the nursing aid that frequent patient turning and repositioning, and changing the diaper timely will aid in the wound healing and prevent further skin damage and the development of a new one (Smeltzer et al., 2010, p.

In light of how incredible our body is to be able to regenerate quickly for most, that is not what happens for others. Many diseases or large body wounds can take years to make it through one stage. Some may not ever heal. Wounds such as diabetic, venous stasis, ischemic, or pressure ulcers have a lack of blood flow making it almost impossible for them to heal naturally (Cutroneo, 2008). Large area burn victims also fall into this category. Their body is trying to compensate for fluid loss and maintain homeostasis, but wound healing ends up being very difficult to do on their own (Jacobsen, 2005). Many attempts are used to heal these including gene therapy, hydrotherapy, hyperbaric oxygen therapy, and topical antibiotics to just name a few. There are many courses of therapy to heal these wounds, and some work better than others depending on the wound and person.

All nurses involved in wound management need to understand the wound-healing process, as this should underpin their care plans. While treatment options will be influenced by the current stage of healing, it is important to note that the stages can vary in length of time and overlap, which can create difficulties in recognition.

The majority of the time when someone gets a cut or a burn, they just slap a Band-Aid on it and go on with their day. Then a few days later they are caught wondering why the wound is not healing and why it is getting worse. The reason their wound is not healing is because they did not use the equitable technique to clean and bandage the laceration. It is very important to know how to clean a wound properly. The process includes the proper cleaning, medicating, and bandaging procedure.

TGF-beta: promotes wound healing at the end of a response; comes from most immune cells or

Wound cleansing has been discussed about for many years, different solutions and techniques have been discussed to use, and it is an important part of preventing infection. Wound cleansing is described as the use of fluids to remove debris and dead tissue from the surface of the wound. The purpose of wound cleansing is to make the best possible conditions at the wound site, for uncomplicated wound healing. The most commonly used solution would be normal saline due to being an isotonic solution and it does not disrupt with normal healing process of wounds (Ljubic, 2013). Normal saline has just been

Post-surgical infections and complications are a major problem for patients and hospitals. Post-surgical complications can reach as high as 66% for high risk patients. Surgical site infections and other complications delay recovery of the patient resulting in longer hospital stays and increased healthcare costs. Does the use of closed-incision negative-pressure therapy dressings on post-surgical patients reduce wound infections and other complications verses traditional dressings?

Implications of discharging patients who do not understand their wound care discharge instructions, and follow-up care can lead to several problems. The problems included: poor health outcomes, increased risk of infection, increased health care cost, decreased insurance reimbursement, low HCAHPS scores, non-compliance with health care recommendations, recurring hospitalizations, and increased morbidity. An example that involves several implications listed above would include a patient who is non-compliant with his diabetes care, does not understand his wound care instructions and how his diabetes effects wound care healing, does not have a follow-up appointment and the wound becomes severely infected requiring a long readmission stay in the

GHK peptide is a naturally occurring gene in the body that is present in plasma and saliva. It is bonded well with cooper giving it the name GHK-Cu. Unfortunately, this peptide declines with age. The plasma level is about 200 ng/mL at the age of 20, but declines to 80 ng/mL by age 60 (Pickart, 2015). This gene is an important asset to our bodies as it “accelerates wound healing and contraction, improves the take or transplanted skin, brings vitality to fibroblasts after radiation, and also possesses anti-inflammatory actions (Pickart, 2015).” It is proven heal diabetic and ischemic wounds because of its ability to increase blood vessel formation. Another therapeutic GHK-Cu is used for is to reduce inflammation in COPD patients (Pickart, 2015). It helps regenerate lung elasticity and remodel the collagen properties.

Chen and Dragoo (2013) argue that minimal information exists concerning the administration of NSAIDs after injury and surgery. They point out that tissue healing needs many physiological routes. The authors restate that injuries like high tibial osteotomies and bone-tendon-bone anterior cruciate ligament (ACL) reconstruction necessitate bone-union, whereas rotator cuff repairs, and labral repairs, and hamstring ACL surgeries rely on soft tissue-to-bone therapy. The authors pointed out that soft tissue healing is needed for extensive injuries like MCL tears and subsequent meniscal and Achilles tendon reconstructions (Chen & Dragoo, 2013). The administration of NSAIDs in orthopedic operation is contentious and a topic of ongoing