Pathogram: Chronic Respiratory Failure Essays

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

History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen.

He was admitted to the ICU because he had surgery to redone his stoma He was intubated because of respiratory failure after his abdominal surgery. his condition is very critical because the fluid from his wound vac and colostomy is dark red and patient is in distress. He was on constant monitoring for a change in his

Abnormal result: the patient usually want to know, how they get this infection or can become serious disease

Persistent fever of 100.4° or greater, including a fever that requires control with medications such as Tylenol or Motrin

Wound cleansing is characterised by the use of fluids to remove loosely adherent debris and necrotic tissue from the wound surface (Towler 2001). Unlike wound irrigation which is performed by a steady flow of a solution across an open wound surface to attain wound hydration, removal of inflamed materials deeper from the wound base and assisting with the visual examination. An irrigating catheter or syringe and solution may be used to flush the ulcer free of debris (Fernandez et al. 2001; Horrocks 2006; Khan and Naqvi 2006). Regardless of its importance, Magson-Roberts (2006) reported that this procedure is done as a ritual with scant literature available to support this process. Initial PU care involves debridement, wound cleansing, dressing application and several more other interventions such as repositioning, nutritional support, use of pressure relieving and lifting equipment. It has to be noted that cleansing or irrigation will have little effect on the organisms within the wound bed and the surrounding

On admission, the body temperature was 39ºC. Physical examination revealed an ill-appearing well-developed girl with mild pallor, and anicteric sclera. The patient had right upper quadrant abdominal tenderness with no distension or hepatomegaly. Relevant laboratory data included white blood cell count of 13.780/μL with 78% neutrophils; hemoglobin, 10.9 g/dL and C-reactive protein was 325 mg/L. Liver function tests, blood urea nitrogen and electrolytes were within reference ranges. Chest radiograph was normal.

Three days prior to admission, the patient suffered from fever, cough, and colds. He didn’t receive any medications or even consulted a physician.

The patient is 101-year- old who is a bed bounded. He has very weak muscle and cannot perform his ADLs. He has a history of PVD, hyperlipidemia, diabetes mellitus type 2, CVA and coronary artery disease. All the above factors interfere with the normal blood flow; thus, the patient has developed a pressure ulcer. Furthermore, the patient has developed an infection that characterized by redness in the area and pain.

At today's visit, I am here to follow up for his functional decline. The patient is nonverbal, lying in bed. He is unable to express his needs. The patient affects appears brighter today. The patient’s wife reports that the continue to decline functional. He is now pocketing his food and medications in his mouth. She states that his hypotension, shortness of breath and congestion has improved. The wife reports that she was notified by the wound care center that the patient’s wound culture was positive for bacteria. He is schedule to start Bactrim DS antibiotic. He remains

This patient is a 48-year-old male who required inpatient hospitalization due to acute on chronic hypercarbic respiratory failure secondary to asthma/COPD exacerbation. She was presented to the emergency department with complaints of shortness of breath accompanied with cough and chest pain and was admitted for further treatment and evaluation.

that the infiltrate is of an infectious origin, which include the new onset of fever, purulent sputum,

A breakage in the normal arrangement of the cells with or without damage resulting in impairment or functional loss is termed as wound. The nurses and physical therapists play a critical role in wound care management and is effective as it helps in reducing the amputation rates and minimizes the related complications and expenditure. Standardized protocols are needed to provide best healthcare and practices (Health Service Executive, 2009). The potential of different solutions and techniques in wound cleaning and preventing the spread of infection is still debated (Fernandez, 2007). Normal saline is mostly used for cleaning wounds, as it is isotonic in nature and does not interfere in the healing

- Presents as back pain, fever and chills, recent bacterial infection, IVDA, or immune supression

Bearing in mind that wounds can be anything from a minor laceration, a disease process complication, to severe trauma, not all wounds are created equal. However, most of the time, the wound protocol is generic, grouping all of the mentioned wounds together. Research has been done on effective education for the patient and caregiver, what type of cleanser to use and when, who to consult and why, when to follow up, where to conduct wound care, and the emphasis on standardization. Yet no one has set forth guidelines to cover all types of wounded patients, regardless of underlying conditions.