Summary Of Wound Management

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.

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)

A meaningful event from my clinical experience was during week six when one of my colleague and I along with the RN performed a wound care procedure on one of my client who had pressure ulcers on her coccyx area and wound on the right foot. It was my first time doing wound care on a client who has severe wound type. Client is a 90 years old female who has been admitted to the unit for Osteomyelitis, it is an infection of the bone, caused by bacteria breaking into the body’s tissues and entering the bloodstream through an open wound (LeMone, p.1382). The client said a dog bit her foot at a park few years ago and that’s how she got the wound. Client has a wound care dressing order that needs to be changed daily with Betadine soaked gauze for all areas,

The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now

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.

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.

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

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

It is important for AGNP to take thorough health history in diagnoses and management of cellulitis. AGNP should obtain information about past medical and surgical history, current medications, allergies, nutrition, hydration, skin integrity, mobility, cognition, and behavior. Risk factors for cellulitis include disruption of the cutaneous barrier and compromised venous or lymphatic system such as leg ulcer, traumatic wound, dermatoses, venous insufficiency, obesity, and previous history of cellulitis (Buttaro et al., 2013). AGNP should ask questions about location, onset, duration, degree of spread, and presence of pain. It is important to investigate whether there was a pre-existing wound or trauma to involved area as well

I can relate to one of the points in your discussion. I work in a small community hospital in the Wound Healing Clinic. We are an outpatient addition to the hospital. We have one nurse who has the primary responsibility of the acute admissions wound care. Last year we were bought by a large health systems. Recently, we were informed that we, the Wound Center, are held responsible if a patient has a hospital acquired pressure ulcer (HAPU). As part of this new directive we were also informed that prevalence rounds were to be done weekly. This is what you described your facility does once a month. These changes place responsibility for care which our staff does not even provide, moreover the changes were never discussed with our clinical coordinator.

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

Mr. Y’s second monologue reveals that he was given an antibiotic to prevent infection, but did not take the antibiotic as prescribed. He noticed his foot was red and swollen, has not felt like eating and thinks he may have the flu. According to Mr. Y’s symptoms, his second diagnosis includes cellulitis. Cellulitis is an acute bacterial infection of the skin and can occur anywhere on the body, but most commonly affects the lower limbs. Any compromise in the skin’s integrity, including an open wound such as an ulcer, can allow bacteria to enter and result in cellulitis (JCN, 2014).

The purpose of this paper is to discuss necrotizing fasciitis and discuss its treatments as well as practices that are currently being tested. This paper will also mention how to prevent necrotizing fasciitis. Necrotizing fasciitis is a flesh eating disease that attacks the subcutaneous layer of flesh. It is most common in patients with lowered immune systems as well as preexisting chronic diseases. Treatments include prompt surgery and debridement as well as the experiment hyperbaric oxygen treatment.

A critical literature review exploring the effectiveness of using skin staples as opposed to sutures or skin adhesive as closing materials after orthopaedic surgery.

is not available to me today, but he states that he was given a course of antibiotics