Wound Care

2851 Words12 Pages
Case Study One
Identification of the Care that Mr Jones will require in relation to the safe management and promotion of wound healing

This essay will focus on the holistic care of Mr Jones, with particular attention to the management of his wound. The points that will be discussed and analysed are the role of the skin, wound assessment, the nutritional status of Mr Jones and the problem of his obesity. Added to this, an analytical discussion of the involvement of the multi-disciplinary team, the way that Mr Jones’ wound should be managed including the problem of infection and pain plus the suitable dressings, which could be used. Lastly, health promotion for Mr Jones will be addressed.

It is important that the role and functions of
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(Pinchcofsky-Devin, 1994) Hoban (2005) supports the idea that nutrition can be overlooked especially concerning surgical wounds.

The case study states that Mr Jones has spent the last six months on a diet that mostly consisted of junk food. This is an indicator that Mr Jones could be malnourished. It is very likely that the junk food he was consuming had low nutritional value yet high fat hence the 10 kilogram weight gain. The nutritional status of Mr Jones is detrimental to the healing of his wound. Manley and Bellman (2000) states “Tissue breakdown occurs when adverse factors such as malnutrition combine with the predisposing condition. It is then that healing may be impaired”. It can also be noted from the case study that Mr Jones has a very poor appetite, added to this the fact that he has undergone major surgery and may be having a high exudate loss from his wound indicates that he is at high risk of poor nutrition anyway irrespective of the fact that he could have been malnourished prior to admission (Gunnewicht and Dunford 2004).

In order for Mr Jones’ wound to heal, his nutritional status would need to be improved as part of his nursing care. An array of authors have noted that protein in particular is essential in wound healing. Lewis and Harding (1993), state that protein is like a building block in the process of constructing the wound bed. They also note that malnourishment of protein prolongs the inflammatory phase of wound

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