Wound Care: A Case Study

According to the AAPC website and the guidelines for coding, repairs are classified and coded in the following manner.

Proper cleansing is perhaps the key component for acute and chronic wound management. Cleansing methods differ among health care providers and institutions, and many times is based on an individual’s experience and preference. Many cleansing solutions exist today. In this research, the author focused on the use of tap water versus sterile cleansing solutions such as Normal Saline and sterile water. Many cleansing solutions are safe and have been proven to provide effective results, whereas others may damage the tissue, destroy cells, increase infection rates and delay the healing process.

* 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

A wound can be described as damage to an area of the body, it can be internal or external, external wounds are damages that affect the skin and the anatomy of the skin. It is named by the type of forces that caused them. This essay briefly describes the current state of wound care in Canada, and also the projection wound care in Canada in the next 10 years. In order to understand where we are, we need to reflect on the genesis of wound care practice in

The founders of Wound Care Specialist determined that the rural population was under-served when it came to wound care services. This is when the wound care specialist was created and provided within critical access hospitals. This opportunity was defined by the need and financial ability based on what exactly the Wound Care Specialist would charge the facilities and the reimbursement to the facilitates so that it was a profitable venture for both sides. Their main concern was for the patients that would be seen and then their financial situation because the number one cause for failing businesses is not enough money. They need to see that both sides of the company will get profit from the Wound Care Specialists. The opportunity is to grow

Wound cleansing has been discussed about for many years, different solutions and techniques have been discussed to use, and it is an important part of preventing infection. Wound cleansing is described as the use of fluids to remove debris and dead tissue from the surface of the wound. The purpose of wound cleansing is to make the best possible conditions at the wound site, for uncomplicated wound healing. The most commonly used solution would be normal saline due to being an isotonic solution and it does not disrupt with normal healing process of wounds (Ljubic, 2013). Normal saline has just been

Implications of discharging patients who do not understand their wound care discharge instructions, and follow-up care can lead to several problems. The problems included: poor health outcomes, increased risk of infection, increased health care cost, decreased insurance reimbursement, low HCAHPS scores, non-compliance with health care recommendations, recurring hospitalizations, and increased morbidity. An example that involves several implications listed above would include a patient who is non-compliant with his diabetes care, does not understand his wound care instructions and how his diabetes effects wound care healing, does not have a follow-up appointment and the wound becomes severely infected requiring a long readmission stay in the

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

The victim is bed bound, has multiple wounds, a total care patient, some dementia, and relies on a caretaker for help with her ADLS. The victim's daughter removed her from her nursing home placement less than month after admission and isnt maintaining her basic needs. The victim is verbally abused; Ms. Bishop degrates the victim, lacks compassion and symphathy for her condition and providing proper wound care. The victim's wounds get worse and she has a new wound weekly, she's on given 2-3 bites of food before Ms. Bishop stops feeding her; Ms. Bishop feeds the victim whatever she eats. When asked about feeding tubes for the victim, Ms. Bishops lack education that they can be used in the home, and asked if she would have to care for it. When

Surgery is one of the most common medical practices across the United States. Patients of all ages that undergo surgical procedures are left with some sort of surgical wound. Every surgical wound can be classified by the type of surgical procedure and will have a type of wound healing. Although only approximately 2.6% of surgical wounds become infected, surgical wounds can manifest into serious complications for a patient (Harbarth, Hoffmeyer, Lew, Peter & Pittet, 2010). One of the major complications of a surgical wound is postoperative infection. Due to the potential of surgical site infections, surgical technologists are among the operating room (OR) personnel

The wound care clinical setting portrayed a comforting and therapeutic atmosphere that applied to both the waiting and treatment areas. The treatment area met the patient’s needs through the abundance of privacy curtains displayed and implemented within each patient interaction. The noise level of the facility was maintained at an acceptable level for the professional environment and the smell was clean with light fragrances. The lighting differentiated in the facility and corresponded to the patient’s desires. An example of these considerations included low lighting in the area which a two-and-a-half-hour Hyperbaric Oxygen therapy was being implemented. Overall the clinical setting embodied a comforting atmosphere through various features to adequately meet the patient’s needs.

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.

Infections are a significant problem in many medical and environmental situations. These infections are caused by an array of different microorganisms including bacteria, protozoa, fungi, yeasts, and viruses. The prevention of infections, and reduction or elimination of an infection once it is established is of importance,6 particularly in the area of skin and wound care. Environments that increase a patient's risk to infection include the surfaces of objects (internally and externally), fluids and fluid conduits. In healthcare, infections lead to longer hospital stays for patients and increased hospital costs. Even worse, a large number of patient deaths are attributed to infections.

Infections are the most common complication following surgical procedures and are associated with significant morbidity, mortality and increased cost in health care (Anderson, 2014). As a nurse working in a surgical capacity this is a concern for the patients. Working for a general surgeon, surgical site infections are not commonly seen in the office, however, it remains one of the top concerns for the well-being of patients. Many evidence based studies are aimed at nurses who provide care for patients in the pre, peri, and post- operative periods. Perioperative nurses prepare the skin for surgery to remove soil and microorganisms at the point of incision (Cowperthwaite & Holm, 2015). Surgical site infections are easy to reduce given the proper guidelines for prevention. This includes skin antisepsis, and surgical hand hygiene and technique.

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)