Therapeutic Communication In Wound Care

I showed the supernumerary nurse the proper way of preparing an NPWT using a non-touch sterile technique, started by slowly cleaning the surrounding skin prior to the application of the pressure dressing. Since it was the first time of the preceptee to perform a pressure dressing, I have provided my preceptee the principles of wound management so that it will reinforce the knowledge of the supervised nurse and skills on the management of wound using NPWT. I also provided the preceptee the protocols and the wound management chart to take note of the type of solutions to be used in managing a surgical wound. We also documented in the progress notes what we have performed, and informed the nurse in-charge on the frequency of dressing change in a week.

The timeline for this project is around six months. The final goal is designing a new educational training manual related to chronic wound management for nurses in the home health care agency.

Nursing interventions play an important part in the reduction of pressure ulcers. A nurse can help to reduce the risk of pressure ulcers by promoting activity, carrying out skin inspections and assessments, and by using pressure relieving devices (Lynn, 2005). Some patients may fear being dropped when moved using equipment (Rogers, 1999), thus it is important for the Nurse to communicate with the patient, this way the Nurse can explain how the equipment works and the patient can express any concerns that they may have. It is important to remember that not all patients like lifting equipment and

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,

Research participants were 386 nursing members with nursing technicians and auxiliaries. Both professional groups displayed knowledge deficits in pressure ulcer prevention recommendations. The nurses scored in the test 79.4% and auxiliaries and technicians scored 73.6%.Participants were expected to get 90% above for the test. These data of study verified that members of nursing team lack knowledge deficits with pressure ulcer prevention guidelines. Patients get pressure ulcers due to many reasons. Age, poor mobility, poor diet and altered elimination are important factors. Uneven pressure crated by wrinkled bed sheets and creases can increase the chances for developing new pressure sore for elderly patients. The article describes different study conducted on same theme results were scored by nursing team was below 80%.

Pressure ulcers are a good way for the BSN prepared nurse to teach and educate RNs with an associate degree or diploma and other healthcare staff involved in patient care. This can be accomplished by introducing evidence-based practice information to them. They can be taught how to use to the Braden Scale effectively. They can teach others how to correctly stage and document pressure ulcers. Another important factor is stressing the importance of positioning, pressure-relieving devices, skin care and protection, and nutrition (Agency for Healthcare, 2009).

Patient teaching is an essential part of the healing procedure. Deliberately knowing how to diet, exercise and sleep can have an impression on the patient’s physical and mental health and this is a vital tool to uphold one’s health and vitality.

By educating staff on nursing sensitive indicators and the issues that need to be addressed, could advance the quality of patient care throughout the hospital. In this case, educating hospital staff on ways to prevent restraint use and pressure sore prevention, the staff could have possible prevented the use of restraints and the pressure sore. Also, by educating staff on how to use restraints would be

Therapeutic communication is considered the heart of family nursing practice (Deane, & Fain, 2016). Knowing the different types of communication is vital for nurses, as it delivers an effective relationship between nurse-client affiliation. Effective therapeutic communication is the main key to success.

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

First off, I was very good at maintaining exceptional hygiene. This was achieved with good hand hygiene, and overall aseptic techniques. It is important to keep the patient free of infections and transmissions from the beginning of care to the end of care. As simple as it may seem, staying clean and keeping the patient clean helps prevent further degeneration of health status. It protects not only the patient, but myself and other patients and persons. Next, I was able to use my communication skills to relay information to the nurse, and to also draw information from the patient. In the acute care setting sometimes information is over looked. For example one can quickly miss transmitting information about an underlying disease that might be causing symptoms that are being presented. For example, a patient had come in with nausea and vomiting. She had a tender stomach and reported no medical background. However, further investigation found a poor healing pressure ulcer on the coccyx and a high blood sugar content. Which lead us to further question the patient about diabetes, which she determined she

As a nurse part of our responsibility is to use the nursing process and one of our biggest roles is to provide patient education. The nursing process consists of five steps: assess, diagnosis, planning, implementation, and evaluation. A step in this process is being used for every time we interact with our patients whether it is for skin integrity issues or patient education. As a nurse, we are constantly providing patient education even if it is just as simple as describing to the patient what we are about to do to them and our rational. Another similarity between patient education and the nursing process is that they both are highly individualized. Each patient has different health literacy needs and one plan for

The set up was similar to my clinical routine. On entering the room, my teammates and I greeted her and asked her how she was doing. She was alert and oriented. She sounded exhausted. She was having generalized pain. I asked her if she was feeling short of breath she said “no.” She was already on 3L of oxygen through nasal cannula with an oxygen saturation of 93%. Her skin was warm to touch and her pulse bounding. She had crackles throughout her lung field. During my clinicals, I learned to link my patient’s assessment findings to her labs and orders. I also practiced using the SBAR to contact the physician. I attended an interdisciplinary round at the oncology unit where the team was planning palliative care for a patient. I noticed that the team was more directed towards pain management and therapeutic interventions. The team also made sure to include the family and the patient in the care. During the simulation, we contacted the doctor for an order of morphine.

Working in a healthcare domain means providing the most effective and beneficial care for the incompetent patients. Particularly, to those who needs intimate nursing assistance such as dressing, bathing, eating, toileting and skin care activities ( Wurster 2007).This is especially true if the person is mentally, emotionally, and physically dependent like the clients in nursing homes. Nurses, health care assistants or support workers and other health care providers ought to educate themselves for improving quality of care and exceeding specific benchmarks in regards to pressure sores ( Wurster 2007). All the same the basic

Therapeutic Communication has a huge impact on patients, whether, we, as nurses, see it or not. It is very important for a nurse to gain a patient’s trust. Many patients are already filled with sadness, nervousness and unsure thoughts of their current situation. Such thoughts may make a person scared to trust or open up to a nurse or doctor. Developing a close rapport with a patient can help to create a safe, warming environment, resulting in a positive experience throughout their time in the hospital or even nursing home. In “Therapeutic Communication”, Anna Lauria opens saying, “What we say or do not say can influence whether a client is able to quiet his mind, relax his body and initiate a healing response” (Lauria). Being a nurse, we automatically have the opportunity to create a strong influence on patients’ lives during, and even after, their hospital experience.