Wound Care Clinical Setting Analysis

The data collection was carried out as the participants came for wound dressing. The explanation was given to each patient regarding how the conventional group is being treated with povidone-iodine and the herbal group with formulation prepared by the researcher. The demographic variables were collected following the norms laid by diabetic protocol. The protocols included were, checking of vital signs, BMI, RBS, nail care, sensation checking by cotton wool tip and cold and hot water, monofilaments and plantar pressure checking. The wound measurement was made by using of Texas stage and grade scale and Wagner grade scale. This data collection was carried out at the pre-test level, post-test level 1 after 15 days and again post test level 2 after

Even in the hospital setting while in Basildon Hospital Stroke Rehabilitation (Lister Ward) and in Mountnessing Court Billericay (The Mental Health Placement), I have found caring for patients with open wounds very interesting and diverse. Considering my interests in wound care, I slowly realised following this career path is what would suit me.

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.

In summary, the experience of observing and reflecting on this video vignette, elevated my understanding of the range of techniques that enhances communication therapeutically, such as active listening, empathy, developing rapport and the use of non-threatening body language and tone of voice to alleviate patient anxiety and illicit patient cooperation. Moreover, the act of reflective contemplation gave me an understanding of what it means to be self-aware - to be able to recognise and arrest idiosyncrasies such as personal moral values and cultural beliefs so as to promote a healthcare environment that is patient-centred. As general workplace and healthcare resource pressures increases, it becomes even more relevant for healthcare practitioners and future clinicians to be versed in such techniques, so that despite the pressure, they are better able to manage their emotional and physical

The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for

In the UK, there are 200,000 patients, who have slow healing wounds, which costs National Health Services £2.3-£3.1 billions per year and it reduces patients’ quality of life and mobility (Posnett & Franks, 2008). In addition, patients may have sleeping difficulties due to painful wound (Posnett & Franks, 2008). Patients may become depressed, isolated and have impaired body image due pain and embarrassment of unpleasant wound odour (Santy, 2008).

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.

Perform sterile dressing changes as ordered, less than or excessive changes can affect the healing process and increase the risk for infection. There are also implications for infection control and delayed healing due to repeated wound exposure, and an increased risk of epidermal damage and irritant contact dermatitis by repeatedly removing adhesive products (Hollinworth, 2005). The wound should be packed with enough gauze to cover the open wound but it should not be packed in too tightly because that obstructs air getting to the tissues. Once the wound has been packed, a few dry pieces of gauze should be placed over the open wound followed by the abdominal pad. The area around the skin should be dry because moist skin can lead to breakdown and further skin complications. The last step of the process is to clearly label the dressing so that when other nurses and healthcare professional come to assess the client, they will know when and by whom the dressing was last changed by. The nurse should be explaining what he/she is doing as the application goes on, and teach the patient why sterile technique is necessary. By teaching, the nurse is informing the patient how he/she can be more involved in their own care and the importance of keeping their wound clean because it can lead to further and more

Further Infection due to the effects of age, location of the wound, malnourishment, and diabetes mellitus.

At 6 hours, the wound closure in the control (Fig. 1a), diabetic (Fig. 1c) and diabetic groups supplemented with whey protein (Fig. 1e) was not visible. In contrast, wound closure in the diabetic rats supplemented with whey protein at 4 days after the injury (Fig. 1f) was greater than the diabetic rats (Fig. 1d) and nearly similar to the control rats (Fig. 1f).

• Bedside reporting • Wound care • IV insertion & venipuncture • Telemetry monitoring • IV medication therapy • TPN administration • Central line dressing changes • Time management PROFESSIONAL EXPERIENCE WEISMAN CHILDREN’S REHABILITATION HOSPITAL OCTOBER 2017-PRESENT Registered Nurse Marlton, NJ • Assess and treat patients from ages 3 weeks to 21 years of age • Administer medications safely • Performwound care • Communicate effectively with report KINDRED HOSPITAL SOUTH PHILADELPHIA OCTOBER 2017 -PRESENT Registered Nurse Philadelphia, PA • Efficient with bedside reporting • Communicate with doctors and verify orders • Perform IV insertion and blood draws • Trained in central line dressing

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

There is a growing need for the education of healthcare workers, for them to efficiently cover and treat wounds and prevent contamination. Thus, there should be an evidenced approach in evaluating differences in the approach of treatment that medical practitioners use in various spheres. For this, it is important to examine some evidences on the different treatment of wounds that are being used nowadays in healthcare. This is crucial for medical practitioner training, while providing opportunity for developing proficiencies with regards to proper wound care, which may avert undesired patient outcomes in hospitals.

1SA1a. One of the inmates had a wound on the medial side of his left shin. He had been refusing the nurses to let them change the dressing all morning, but one of the nursing aids bartered a fluffier pillow in exchange for allowance for cares, which included a dressing change. He agreed. Upon unwrapping his bandages, it was apparent that the patient had re-wrapped the baggage wrap himself, at some point throughout the night. The problem was, it was rewrapped too tight. His leg was swollen around the bandage wrap. We loosened the bandage wrap, cleaned, and redressed the wound. The swollen leg indicated that he was already experiencing poor lymph exchange and poor blood circulation. further complications from these could have resulted in blood

Other three objectives need 3 minutes for each so that the wife will know signs and symptoms of infection as well as collect right materials for dressing change process. Since the wound needs to be packed and this is the first time the wife has ever done this job; she needs time to adjust her emotion and coordinate her hands in the dressing change. The wife has a college degree, can speak, read, and understand English well; therefore, learning and recognize signs and symtoms of infection do not cause her any trouble. Moreover, she can select the material just in three minutes.