Throughout I will maintain all individuals who were involved confidentiality in accordance with Nursing And Midwifery Council; the code of conduct (NMC,2010) states that all practitioners must respect people’s right to confidentiality
To adhere with the Nursing and Midwifery Council, Code of Conduct (NMC, 2008) all patient details have been changed, to protect their identity from being revealed.
venous leg ulcers and diabetic foot ulcers. Canadian Association of Wound Care (CAWC) has published
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
Living with annoying venous painful wound leg ulcers is so miserable, it seems it would be endless, leads you wanting to be alone and having unwanted life. In spite of current mountainous researches work in the management of this type of wound, still the problem persisted and continuously affecting certain populations. Venous legs ulcer has great impact in life; physically, mentally and psychosocially.
The RPNAO guideline places emphasize on health history and medical status within recommendation 1.1 and 1.7. (1) Through the health and psychosocial history, the clinician can understand what conditions may affect wound healing, lead to further stress on the patient, or place the patient at risk for infections. Within this category, the history of ulcer development is discussed along with current or past treatment plans. (1) The authors experience has shown a thorough and focused interview can take 5-10 minutes and establishes both the patient and family members’ knowledge, expectations, values, and
Pressure ulcers are defined by the National Pressure Ulcer Advisory Panel (NPUAP) as a site of “injury to the skin and/or underlying tissue usually over a boney prominence, as a result of pressure, or pressure in combination with shear and/or Friction” (NPUAP, 2017). A Hospital Acquired Pressure Ulcer (HAPU) is a pressure ulcer that was obtained while at the hospital. These can change the patients plan of care and can lead to pain, loss of function, extended hospital stays and increased cost. HAPU is considered a medical error so there for Medicare is no longer reimbursed for stage II to IV HAPU unless they were determined to have been present at admission or within 2 days after admission (Kandilov, Coomer, &
Pressure ulcer has caused thousands of deaths in Australia every year. It is very common in elderly people due to poor nutrition intake, fragile skin, reduced mobility and illnesses. Sally is an 82 year old resident who has been under affected by diabetes for years and has recently developed a leg ulcer. Her leg ulcer has become a serious health problem and is causing Sally a lot of pain while decreasing her quality of life. Sally’s leg ulcer has made her no longer socialize like she used to; she could barely move or leave the house and also suffered lot of pain in her lower leg. Emotionally, she become harder for her husband to deal with, she get anger more easily and enjoy her life less. Physically, it is harder for her to do her daily living
Pressure ulcers are considered one of the most avoidable problems in healthcare, however they still remain a problem in both acute and long-term settings. Pressure ulcers have been around for many years and have been knocking a huge dent in healthcare cost every year. In 2008, the Center for Medicaid and Medicare declared that they will no longer reimburse hospitals for hospital acquired pressure ulcers (stage III and stage IV) (Waugh, 2014). Over the years, many prevention guidelines have been implemented, however interventions are not being performed consistently. Because of the inconsistency many pressure ulcers are acquired in the hospital which impedes the safety and quality of care of the patients.
A pressure ulcer is a localized injury involving extended pressure against the skin and underlying tissue. Pressure ulcers are common hospital acquired conditions and can worsen if proper care is not provided. The higher the pressure is exerted on the skin, the quicker a pressure ulcer will form. It is important for healthcare providers to be very familiar with the guidelines that prevent and treat pressure ulcers. Even though pressure ulcers occur, these injuries are 100% preventable with the correct nursing care.
The clinical issue to be explored is the use of negative pressure wound therapy (NPWT) in the treatment of ulcers. A valuable journal containing articles pertaining to this topic is the International Wound Journal. It is a peer-reviewed journal used by various healthcare providers, including nurses, doctors, podiatrists, surgeons and others, seeking to gain up-to-date information on the prevention and treatment of wounds (Wiley Online Library). It has aided in enhancing the standards provided in wound care by health care professionals. Examples of subject matters covered are diabetic wounds, burn wounds, scar prevention and treatment, wound healing therapies, education and training and more (Wound Source). The journal is therefore
Within the United Kingdom (UK) circa 200,000 people have a chronic wound. Financially, this has a major impact on the National Health Service (NHS) as it is estimated to cost £2.3-3.1 billion per year to care for these patient’s (Posnett and Franks, 2008). Chronic venous leg ulceration (CVLU) is defined as damage to the skin below the knee that remains unhealed for >4 weeks (Scottish Intercollegiate Guidelines Network, (SIGN), (2010). This is commonly caused by chronic venous insufficiency, whereby the valves in the veins of the legs become damaged and allow the blood to flow backwards. The increased pressure in the veins causes the vein walls to stretch which pushes the valves apart and damages the skin (Anderson, 2009). Other risk factors
Commonly used techniques in clinical practice for healing and preventing foot ulcers are offloading and footwear. The goal of this article was to assess the medical, scientific literature to have a
The underlying cause of the ulcer must be addressed to prevent the risk of a venous leg ulcer recurring following treatment. Recurring chronic leg ulcers are almost inevitable unless the appropriate preventative measures are taken.
Pressure ulcers (PU) are defined as the localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction (NPUAP, 2014). PU is a common condition in long term care facilities (LTCF) and affects about affect 1.3 million to 3 million adults in the United States and are associated with decreased quality of life; impaired function; complications, such as infection; poorer prognosis; and increased costs of care (Chou et al., 2013). PU mainly affects individuals who are of older age, with cognitive impairment, physical and mobility limitations, with comorbid conditions and who are malnourished.