Thomas Unit Justine Wound: Case Study

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)

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

I am a second year nursing student in my third week of the practicum placement on a surgical ward with my co-student and the morning shift registered nurses. We had just finished analysing the patients handover report (Levett-Jones & Bourgeois, 2015) and I had been assigned to work with the registered nurse. I was looking after Mrs. Brown (pseudonym) is 82 years old New Zealander was admitted to surgical ward on the 08/06/16 for multiple SCC removals from L) hand and L) foot with skin grafts.

When nursing comes to mind, it is common to think of only acute care nurses working the floor of the local hospital. However, nurses work in a variety of settings, one of which I was able to witness at St. Mary’s wound clinic. Of the five patients that I was able to interact with here, one of the most interesting was the case of a 33-year-old male patient who presented to the clinic with a venous leg ulcer. The ulcer, located on the lateral portion of the lower leg just below the patient’s calf, was draining a significant amount of serosanguinous fluid. Additionally, cellulitis infected the entire calf area, while the skin immediately surrounding the wound

At this time, the surgeon inspects the wound and the team conducts the count without interruptions (Norton et al., 2012). Among other required charting documentation are the nursing outcomes or Perioperative Nursing Data Sets (PNDS). These outcomes are responsibilities nurses are expected to implement while a patient is in their care. One item of the PNDS states "the patient is free from signs and symptoms of injury due to extraneous objects" (Rothrock, 2015, p. 207). It is the responsibility of the OR nurse to make sure facility policy is followed to ensure that a patient does not leave the OR with unintentional items remaining inside their operational site or sites. If there is a situation where an item is not located and the patient is stable, the OR nurse should have the surgical field halt activities. The team should then locate the missing item. When found, activities can resume. If the missing item is not found, then other facility protocols, such as intraoperative radiograph are obtained and reviewed by a physician to determine the location of the item. All these steps should be performed prior to the patient being closed or removed from the OR.

Waters, Renita Apr 4 2017 12:21PM Waters, Renita April 4,2017 10:05 AM TC Beth Orrick RN nurse from Bent Wood Nursing for information on Mr.Allen Union who was in Bent Wood for a wound on his feet. Ms. Beth explained Allen was getting OT, and PT and was on a walker. Beth stated Mr. Allen wanted to leave and go pay his rent and other bills yesterday he didn't return back. Beth stated she TC Mr. Allen at home and he refuse to come back for any more therapy. Beth explained to Allen he must have more treatment on the wound on his feet to heal and he did take Bent Wood walker back he took. I asked Beth was Allen on any medicine she commented he left all his medication. Beth stated Allen is a diabetic and has high blood pressure including a open

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.

Sharps injuries (mainly needlestick), carry the risk of serious infections. Healthcare providers are exposed to these dangerous and prospectively life-threatening infections. Ideally, most needlestick injuries together with other sharps injuries remain preventable. Sharps injuries remain an important area of study since it affects a large number of healthcare providers. For instance, according to the Centers for Disease Control and Prevention (CDC), about 385,000 needlesticks injuries take place yearly and hospital-based

This beautiful solid piece of metal is only available in one color, RUSTY! Its rust color gives it a slight disgusting smell but will assist you when you need to pick up or hang your coat it will serve you well killers who need a new way to kill, it’ll give you tetanus on contact with an open wound. When you act now you get the screw on attachment with the five shaped hook. But act fast because this offer is only valid for a limited time and it’s only $99.99 if you act now.

DOI: 12/23/2013. The patient is a 64-year-old male foreman who sustained injury when he was involved in a motor vehicular accident. Per OMNI, he has had multiple injuries to the right shoulder, right knee, back and right arm/elbow. He is status post arthroscopic surgery for the right shoulder on 05/30/2014.

On 6/14/16 I met Mr. Blake at the U of M wound clinic, Midland location. Mr. Blake said over the weekend, the white end cap fell off his pin to the third toe. Since that time he reports an increase in pain to that toe. Mr. Blake reported that he called Dr. Biddinger’s office and he was told to come in on 6/15/16. Dr. Taylor examined the foot. He removed some calloused skin around the toes. Dr. Taylor stated the wound is completely healed now. He does not need to come back to the wound clinic.

DOI: 1/14/2016. Patient is a 47 year old male senior information technology field services who sustained injury when his vehicle went off road. He had a transmetatarsal amputation of left foot with failed flap, status post further surgical excision debridement twice a week removing necrotic tissue.

There are bound to be some differences including better conditions. Nevertheless, the raft that Louie and his friends lived on for over 35 days, was poorly stocked. In different circumstances, if their friend, Mac, hadn’t ate their food supply, they still had both rafts, and if their raft was stocked properly, they might’ve been able to live in better conditions on the raft, and if not in better conditions than longer. Another reason, that there would be some differences would be because of the different time period and development in technology. They are bound to have new rafts that would be far superior and of finer quality than those of the past. As to Louie and his friends being found by the American’s sooner than the opposing side, we