The standard treatment at that time was cautery, which was performed by using a burning iron to stop the hemorrhage followed by the use of scalding oil, which would destroy the so thought poison that was in the gunpowder. They believed that bullets were poisonous and therefore used this oil, but all the oil did was prevent the proteins from decomposing which would result in a breakdown of cohesion between the tissues. Only at the dawn of the Renaissance did the treatment of wounds really change.
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
Once the dressings were securely on and the procedure had been finished, I removed my apron and gloves and disposed of them in the plastic bag, along with everything thing else I had used and then washed my hands again. After leaving the patients home I discussed my practical experience with the Nurse who informed me that I although I had carried out the procedure well it was actually carried out using a clinically clean technique rather than the Aseptic Non Touch Technique as I had thought. As I had used the same gloves to remove the dirty dressings from the leg ulcer and then apply new sterile dressings I had not maintained the Aseptic Non Touch Technique. The Nurse informed me that this was perfectly suitable for the procedure I carried out as the wound was still kept as clean as possible and dressings and equipment used were sterile.
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.
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.
The REAL Truth Behind How They Treated Wounds in the Civil War! (the answer may shock you)
During community placement, my mentor and I visited M (patient), a 75years old lady, who was presented with a Pressure Ulcer, on the heel of her right leg. On arrival, my mentor asked me to manage M’s wound. However, I have observed and participate in carrying out this skill (wound care) with my mentor on several occasions. I explained the procedure to M and gained her consent to carry out the procedure.
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
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)
The first civilization dealt with disorders and provided detailed information about wound management were ancient Egyptians. Wound infections evidently appeared in times of World War I that accounted a significant mortality and morbidity rate among injured soldiers. Currently, around 11 million people worldwide require medical treatment for wound infections, 300,000 die every year. Scientists highlighted the concept of introduction micro-organisms into wounds resulting in an infection. The infected wound was successfully treated with a wide-spectrum antibiotics that can eradicate the pathogenic micro-organisms. Due to extensive use of antimicrobial drugs such as β-lactam, methicillin, vancomycin, etc, new strains with high resistance have
During my clinical simulation laboratory session 6: wound management, we all learnt about surgical wound dressing. However, what I found during the procedure was that maintaining sterile zone during surgical wound dressing is very challenging: there are complex procedure to ensure sterile zone and one simple mistake can result in restarting the whole process. Unfortunately, I made a mistake during the procedure and had to start again; it was very frustrating and time consuming process. However, there must be the reason behind this procedure so I decided to do some research and find out the consequences of poor surgical asepsis for wound management procedure.
During my community placement I was given many opportunities to dress wounds, replace catheters and attend to PEG’s, all of which are done using the ‘Aseptic Technique’. For procedures such as pressure sores, leg ulcers, simple grazes’ removing drains or sutures, the ‘clean technique’ is used which is a modified aseptic technique and aims to avoid introducing micro organisms to a susceptible site and also to prevent cross contamination to patients and staff, it differs from an aseptic technique, as the use of sterile equipment and the environment are not as crucial as would be required for asepsis (Gough 2009).
* Hand washing is the most important method of preventing the spread of infection by contact (Ayliffe et al 1999). The Nottingham University Trust Policy on Hand Hygiene (2009) states that there are three types of hand hygiene, the first is ‘routine hand hygiene’ which involves the use of soap and water for 15 – 20 seconds or the application of alcohol hand rub until the hand are dry. The second is ‘hand disinfection’ which should be used prior to an aseptic procedure by washing with soap and water and applying alcohol hand rub afterwards. The third is ‘surgical hand washing’ which is the application of a microbial agent to the hands and wrists for two minutes. In addition to which a sterile, disposable brush may be used for the first surgical hand wash of the day although continued use will encourage colonisation of microbes. The third example is the most appropriate to any O.D.P undertaking the surgical role as it is the best way for the surgical team to eliminate transient flora and reduce resident skin flora (World Health Organization 2010). The first and second are important to any O.D.P undertaking any other role within the Operating Department as this is the best way to reduce the transient microbial flora without necessarily affecting the resident skin flora
Cellulitis is inflammation of the skin resulting from infections such as Staphylococcus or Streptococcus bacteria. It can result from trauma, infection of an open wound, and occurs most commonly in the lower extremities. (Wilson & Hopper, 2015)
The literature search comprised of database of Cinahl, the Cochrane Library, Medline, Google researcher and British Nursing Index (BNI). Inquiry terms utilized, were proof based practice, ordinary saline, faucet water, wound care, and wound contamination. Research was likewise made in the library to obtain books and diary articles. Hunting down the viability of intervention to increase compliance with wound cleansing using tap water contrasted with normal saline, most articles the writer chose were orderly audits utilizing (Sackett's progressive system of levels of confirmation, 2000).