Solution Description
Intervention
When burn wounds present to a health care setting, they should be assessed and the provider should decide if it is treatable for their setting, or if a higher level of care is in order. For patients who present with deep partial thickness burns to a localized area such as the arm and hand, an initial cleaning of the wound should be performed. All blisters should be deroofed, and once the wound is cleansed, it should be placed in a hydrocolloid dressing (Zacharevskij et al., 2017). SSD cream should not be placed on these wounds.
The hydrocolloid dressing should be monitored for excessive exudate, and changed as needed for drainage. The hydrocolloid dressing can remain in place for up to five days if the drainage is minimal (Hydrocolloids, 2014). However, this is not a realistic expectation with a fresh burn wound, and should be expected to change daily for the first week (Vorstenbosch, 2017).
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They are dedicated to researching different options for wound care, and want to find the most beneficial dressing that promotes quick healing, decreases scaring, and improves functional capability (ABA, 2017). The ABA reports the average length of stay in a hospital for a burn wound in the United States is nine to eleven days (ABA, 2017). This is representing a localized burn wound versus a large burn wound. A majority of the population does not wish to be a patient in the hospital. Therefore, a dressing that provides the quickest healing time and greatest results is what would be wished for by a majority of the population.
Expected
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.
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.
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.
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
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.
• With these kinds of wounds in particular, early intervention can significantly increase the rate of healing and the likelihood
E codes represent an external cause that made a patient’s condition such as a motor vehicle accident or accidental overdose of a prescribed medication. E codes are assigned in addition to the diagnosis for the patient’s condition. E codes are never the first-listed diagnosis. Superficial or surface injuries include cuts, insect bites, blisters, and scratches. List separate codes for each kind of injury, unless there is a combination code that describes all of the injuries. Sequence the code for the most serious injury first. Don’t assign injury codes for normal, healing surgical wounds or surgical wound complications. A burn is an injury on the body that results from exposure to heat, electricity, or some types of radiation. ICD-9-CM classifies
Burn and Wound Care program provides an individual approach to care through intensive therapies, innovative methods and collaboration with multiple interdisciplinary teams.
Nancy was an 80 year-old woman who was cooking dinner for her and her grandson. When the unthinkable happened, the long sleeved shirt that she was wearing caught fire. She yelled for help! Her grandson came to her rescue and helped her. 911 were called immediately. When the paramedics arrived on the scene, they evaluated Nancy and took her to the hospital due to her injuries. She sustained burns to the anterior and posterior right upper arm as well as the anterior and posterior thorax. Parts of her skin were black and charred and some parts of her skin had blisters. She was admitted into the hospital where doctors did further testing and treatment to her burns. Due to Nancy’s burns, her skin was severely affected.
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.
According to Reeve et al. (2015), one of the most frequently performed procedures in the emergency department is wound cleansing of acute lacerations. The goal of cleaning a
12. When treating a serious wound, remove any clothing and wash the area around the burn.
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
I would inform the patient that most skin burns that are small and superficial will heal within one week and will not usually scar. After a superficial partial-thickness burn, the skin may become darker or lighter in color, but will not usually scar.
The skin is the largest organ of the body, and consists of two layers the dermis and epidermis. The skin acts as a protective barrier against microbes and the elements; it also helps regulate body temperature, and permits the sensations of touch, heat, and cold. However, the skin can be compromised by injury, a burn is an injury that occurs to the flesh or skin, and can be caused by heat, electricity, chemicals, friction, or radiation. Burns vary in their severity from minor partial-thickness superficial burns to full thickness third and fourth degree burns. For the purpose of this paper I will be focusing on major burns (e.g. full thickness third and fourth degree burns).