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.
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
The process of wound assessment requires accurate and appropriate interventions while dealing with the patients. There are some major components which the operator must consider to effectively access an infection, and they require a range of skills and knowledge. These factors are the knowledge of relevant anatomy and physiology, the understanding of the various factors that accelerate wound growth, and the ability to listen and understand the patient’s needs. In wound accessing, the doctor should have an idea concerning the number and location of wounds, the required treatments depending on the type of infection, the type of wound in accordance to various grading given, and the procedures to follow to achieve the treatment
Despite the sterile environment of the surgical theatre infections do occur. The patient’s body always has natural flora on the surface, sometimes these micro-organisms may migrate from the surface of the skin to the open surgical site (Carville, 2012). Wound management for Mr Brown will include assessing the wound site and surround tissue, looking for signs of infection redness, swelling, pain, increased temperature or ooze. As Mr Brown has a vacu drain institu the amount of exudate and color of exudate will be monitored and recorded. Large amounts of exudate may indicate wound complications, such as infection, abscess or a dehiscence of the wound (Carville, 2012). The dressing will remain intact until the date specified by the doctor, until the dressing is changed, regular monitoring of the wound site will continue.
A critical literature review exploring the effectiveness of using skin staples as opposed to sutures or skin adhesive as closing materials after orthopaedic surgery.
Over the last century, registered nurses' participation in wound management has actually varied from that of following rigorous dressing routines to autonomous practice (Moore, 1997). In the past, nurse education frequently enhanced the overall results at the time. An adherence to apprenticeship-style learning, where registered nurses frequently had minimal knowledge of the results of the dressing they were putting on a wound, contributed considerably to a theory-practice space or gap of research in wound management. Registered nurses were not actively associated with the decision-making procedure (Madsen, 1999).
The goal of the MTF Wound Allograft Expansion project is to fully implement the Wound Care Division, similar to the other divisions within MTF. The key factors of quality, client satisfaction, and providing information to healthcare organizations and providers are essential in ensuring the success of the venture (Kash et al., 2014). The Wound Care Division should be self-sufficient, both operationally and financially, within three years of implementation, showing an increased return from product reimbursement. The division should be vendors of 40% of all wound care facilities in the United States within three years of implementation. All operations of the Wound
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
Venous wound is another type of chronic wounds. Venous ulcers can either happen because the blood has difficulty or cannot return to the heart (Healthwise, 2014). Venous ulcers are basically damage in the skin above or below the ankles (Zaiontz& Sharon, 2014). The main cause of venous wounds is unknown, but venous ulcers will result in having hydrostatic pressure, which may cause edema (Zaiontz& Sharon, 2014). Although venous wound or ulcers are known to increase cytokines, decreased fibrinolysis as well as increasing inflammation (Zaiontz& Sharon, 2014). Venous wounds are usually very painful, although that it is not a life threat (Zaiontz& Sharon, 2014). Venous wound has risk factors that may delay the treatment, which are obese,
This research looks at all possible causes of pressure injury (PI) previously known as pressure ulcer, however, it probes the problem of nutrition deficiency as one of the overlooked underlying factors that hinders wound healing. It was found that out of 232 nursing home patients involved in the study, 59% are malnourished and 17 of those malnourished patients developed PI. In wound healing, proper treatment and different pressure relieving devices are utilized to help wound integrity, however, no matter how excellent a treatment may be, if nutritional status is unnoticed, wound healing is usually unsuccessful.
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
.As RILEY S. REES detected and enquired the impacts of a Tele Wound program on the utilization of service and economic outcomes among patients staying at home with chronic injuries.The Tele Wound program also contains a Web- based transmission of digital photographs along with a clinical rules and regulations. It makes homebound patients with chronic injuries or ulcer to be checked soon by a nearby plastic surgeon. Hence, it would improve economic performance for the clinics.It turned out to be boon to manage ulcers.
Meanwhile, another advanced method in the management of wound care, is the use of telemedicine, as Rolf Jelnes (2014) proposed. Clinicians in Denmark used telemedicine in 2005 as communications tool for the organization of new wound treatment (Jelnes, 2014, p.48). The following is a clear description of this communications
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,