Mission, Governance, And Financing

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.

For my practice I was fortunate to be able to work at the Bethany in Cochrane. This facility was well kept and has much of the equipment to properly and holistically care for their residents. While in practice, I was able to help with a variety of tasks, including morning care and bed making. An essential element of morning care was a skin assessment, typically to look for bruises, dry spots, and most importantly, ulcers. Ulcers are painful and can decrease quality of life (Ricci, 2013).

While University Hospital is already on the brink of completely preventing pressure ulcers I would still recommend implementing all of the current practices but also add new additions to the team. Currently, we have a wound care team that diligently treats at risk and affected patients. Adding a nutritionist into the team to guarantee treatment from within along with prescribed medications. This will make the team and the strategies multidisciplinary. In addition to that, each treatment should be customized for each patient in regards to cost options and best treatment for their health. The project would also have to be performed repetitively without error to ensure that it is actually helpful. Patients’ skin should continue to be examined thoroughly in common places where ulcers could arise, the standardized pressure ulcer risk assessment should be used, and the proper care should be distributed once evaluated. The team should continue to record its progress and also provide company update emails to inform the facility, as well as send the appropriate data to the higher ups for public posting.

The process of wound assessment requires accurate and appropriate interventions while dealing with the patients. There are some major components which the operator must consider to effectively access an infection, and they require a range of skills and knowledge. These factors are the knowledge of relevant anatomy and physiology, the understanding of the various factors that accelerate wound growth, and the ability to listen and understand the patient’s needs. In wound accessing, the doctor should have an idea concerning the number and location of wounds, the required treatments depending on the type of infection, the type of wound in accordance to various grading given, and the procedures to follow to achieve the treatment

When nursing comes to mind, it is common to think of only acute care nurses working the floor of the local hospital. However, nurses work in a variety of settings, one of which I was able to witness at St. Mary’s wound clinic. Of the five patients that I was able to interact with here, one of the most interesting was the case of a 33-year-old male patient who presented to the clinic with a venous leg ulcer. The ulcer, located on the lateral portion of the lower leg just below the patient’s calf, was draining a significant amount of serosanguinous fluid. Additionally, cellulitis infected the entire calf area, while the skin immediately surrounding the wound

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

A wound can be described as damage to an area of the body, it can be internal or external, external wounds are damages that affect the skin and the anatomy of the skin. It is named by the type of forces that caused them. This essay briefly describes the current state of wound care in Canada, and also the projection wound care in Canada in the next 10 years. In order to understand where we are, we need to reflect on the genesis of wound care practice in

The recommendations for change to practice at the level of the provider would include first treating the underlying problem that Mrs. Smith was admitted for. According to the literature, a progressively worsening diabetic foot ulcer requires implementing a multitude of strategies to prevent amputation of the limb. Adequate wound management, including debridement if required, and offloading techniques should be instilled for Mrs. Smith. Furthermore, education by the provider would be of critical importance for Mrs.

Pressure ulcers often occur in hospitals and nursing homes (Ayello. A. E., 2012). As a result, the patient’s stay is extended and their medical bill inflates, in addition to their quality of life feeling diminished by the pain and infection (Ayello. A. E., 2012). Prevalence rates for pressure ulcers exist by 11.9% in acute care, 29.3% in long-term acute care,

Implementation stage consists of: (1) tracking, (2) collaboration, (3) planning, and (4) management. It will take place during the second month. During this stage, skin condition record (Appendix A), multidisciplinary team checklist (Appendix C), and chain of communication guide (Appendix D) will be implemented. All clinicians involved during this stage must utilize these documents. This stage involves bedside nurse, nutritionist, physical therapist, wound care nurse, and an intensivist. Primary nurse will track pre-admitted and developing pressure ulcers in patients. Skin condition record will be used to assess and document description. Staff nurse will follow chain of communication protocol afterwards. Collaboration will take place once a pressure ulcer is

Education for the patient is significant. They need to know what to do as a patient to help themselves, and get back to their previous function (Branski, 2007). Education should not just go to the patient, but also the caregiver and family members. Dealing with complex wounds can be very stressful and difficult for just the patient to handle. Prevention is important for everyone in this process. It is covered in some of the basic wound healing education including dietary needs, cleanliness of wound, and need to maintain appointments (Cutroneo, 2008).

The clinical issue to be explored is the use of negative pressure wound therapy (NPWT) in the treatment of ulcers. A valuable journal containing articles pertaining to this topic is the International Wound Journal. It is a peer-reviewed journal used by various healthcare providers, including nurses, doctors, podiatrists, surgeons and others, seeking to gain up-to-date information on the prevention and treatment of wounds (Wiley Online Library). It has aided in enhancing the standards provided in wound care by health care professionals. Examples of subject matters covered are diabetic wounds, burn wounds, scar prevention and treatment, wound healing therapies, education and training and more (Wound Source). The journal is therefore

PROCEDURES: I. Indications for V.A.C. Therapy A. For patients who would benefit from sub atmospheric (negative) pressure therapy for promotion of wound healing B. For patients who would benefit from drainage and removal of infectious material or other fluids from wounds under the influence of continuous and/or intermittent sub

Wound care needs to be performed so the patient’s foot can heal without further complication. The nurse should assess and report signs and symptoms of impaired wound healing. The nurse can also promote wound healing by ensuring the patient maintains proper nutritional status, protecting the wound from injury with appropriate dressings, and decrease stress to the wound area (Ackley, 2014). It is important for the nurse to teach the patient how to care for his wound at home. The nurse can educate the patient on how to prevent additional infections in the future. Diabetics must take extra precautions to prevent foot injury due to neuropathy and slow healing.

To develop and implement evidence based practice related to management of the skin and wound, and prevention of pressure ulcers