Skin Injury: Interventional Procedure

·  What conclusions did the study reach? Are the conclusions appropriate? Why or why not?

This is a 52-year-old male with a 9/24/2014 date of injury. A specific mechanism of injury has not been described.

Tammy, I would agree there is a major difference between knowing how to perform a specific skill and knowing how to perform that skill effectively. I think it is great that you offer new nurses to your department an extensive orientation and training. Wound vac care can be tedious, depending on the wound, requiring much training and then follow-up training to ensure it is being performed correctly. The surrounding skin appearance of a wound bed is a good indicator of correct wound vac application. Your expertise in wound care with precise skin barrier methods prevented further complications with this already painful wound. When patients get, frustrated or are having a lot of pain related to a treatment or procedure, many times they will refuse

Paradise Hills Medical Center’s radiation department, made a radiation overdose on 22 oncology patients. The error was attributed to a flaw in the radiation equipment

It’s very specific and detailed with the information that is available, which will greatly help when explaining the key elements in preventing and treating skin cancer in depth. This source does kind of vaguely repeat some general knowledge about skin cancer, so the unique information that is pulled from it may be scarce.

I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made

In analyzing the results of the study, Eyer et al. (2009) found that younger patients had a higher rate of

A contact wound is one in which the muzzle of the weapon is held against the body at the time of discharge. In contact wounds, gas, soot, and vaporized metal from the bullet and cartridge case, primer residue, and powder particles are all driven into the wound track along with the bullet. (DiMaio 1998)

Both clinicians who are enquiring clinical questions and researchers who are conducting in-depth searches for systematic reviews come across a few

According to Komen (2009) side effects from radiation therapy will vary related to the area treated and may include skin irritation, breast changes or swelling, fatigue, dry cough or difficulty swallowing, and lymphedema. The American Society for Clinical Oncology (2013) go on to add more specific side effects such as with the skin itching, dryness, blistering, and peeling. They also mention long term side effects such as developing a secondary cancer from the radiation treatment although the risk is low and the benefits for treating the current cancer greatly outweigh the risk. Another more site specific side effect

During my first round of research, I found out that there are two types of skin graft procedures, split-thickness and full-thickness skin. Slip-thickness skin grafting is the procedure that I am the most familiar with. In this approach, donor skin is taken from the back or butt region and is transplanted to the wound. The back, butt, and inner thigh are areas of the body where surgeons take healthy skin to transplant because the public rarely sees these areas. The full-thickness skin graft is a more evasive method that involves the removal of muscle, blood vessels, and skin from the donor site. Some common complications that arise from skin grafting are infections, rejections, poor cosmetic appearance, and graft failure.

Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him.

Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197)

Radiation therapy can be used anywhere in the body to treat any kind of cancer. Depending on what type of radiation therapy, it can have some side effects. The most common ones include fatigue, hair loss near the treated area, and skin darkening in the area exposed to a beam of radiation. ("Radiation Therapy for Cancer,” 1) There are also safety concerns that patients have when they are treated with radiation therapy. Many people that receive radiation therapy treatment, worry about exposing family and love ones to radiation, as well as the side effects. Radiation effects on the normal tissues are divided into acute and chronic effects (Schreiber). Acute effects occur during the course of therapy and during the post therapy period (approximately 2-3 weeks after the completion of a course of irradiation) (Schreiber).

Radiation Therapy is used to treat cancer in patients very comonly. Radiation Dermatitis is a common side effect from this treatment that ranges from mild rash to severe ulceration. It is also called radiodermatitis, x-ray dermatitis, radiation skin damage, or a radiation burn. According to Therapeutics in Dermatology radiation dermatitis was at one time considered to be a major problem in conventional radiography in the 1970s but now with the development of high energy accelerators it is starting to become more rare. Radiation dermatitis usually has a latency period of about 10 years which means that it does not usually show up until years after the x-radiation has been administered to the usual cancer patients.