Wound Care Observation Paper

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.

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).

This is a 52-year-old male with a 9/24/2014 date of injury. A specific mechanism of injury has not been described.

I can relate to one of the points in your discussion. I work in a small community hospital in the Wound Healing Clinic. We are an outpatient addition to the hospital. We have one nurse who has the primary responsibility of the acute admissions wound care. Last year we were bought by a large health systems. Recently, we were informed that we, the Wound Center, are held responsible if a patient has a hospital acquired pressure ulcer (HAPU). As part of this new directive we were also informed that prevalence rounds were to be done weekly. This is what you described your facility does once a month. These changes place responsibility for care which our staff does not even provide, moreover the changes were never discussed with our clinical coordinator.

This beautiful solid piece of metal is only available in one color, RUSTY! Its rust color gives it a slight disgusting smell but will assist you when you need to pick up or hang your coat it will serve you well killers who need a new way to kill, it’ll give you tetanus on contact with an open wound. When you act now you get the screw on attachment with the five shaped hook. But act fast because this offer is only valid for a limited time and it’s only $99.99 if you act now.

The start of wound care services was brought to life in 2007, when the market need and found a niche to that people needed care for and created a well conceptualized technology that would create a wound care innovation to the world. It has grown since 2007 to over 95 clinics across the United States and create a great business model to grow and become a huge health care unit that hospitals and ER will buy to care for the different process listed above. The owners that created this have sold it now to grow this specialty and people understand the effort to save lives. The comprehensive of the variables of staffing and care for patient is great in areas of elders and of kids and injures. The innovation of creating this was great for the people with diabetes and with cardiovascular problem that need this care to continue there life and feel strong. They are doing great and growing over the past 8 years. Now in past years competition has risen in larger markets to increase wound care services but the innovation of this was great timing for this company that will successes in later years.

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,

A wound infection happens when a type of germ (bacteria) starts growing in the wound. In some cases, this can cause the wound to break open. Wound infections need treatment.

When the majority of the wound is not covered by necrotic tissue (at least 75%) our treatment should be focused on selective debridement. With this type of removal we will only be working with the necrotic tissue. Depending on the physicians order we may use this in our treatment. Another important aspect is wound cleansing. Every time the dressing is changed they should clean the wound. We should avoid using hydrogen peroxide, soap, povidone iodine because they could damage the healing process. The recommended solutions are water (drinkable tap or sterile) and normal saline. We should also consider using syringe irrigation to apply the solution. Finally, wound moisture is another important aspect we would need to take into consideration.

Identification of the Care that Mr Jones will require in relation to the safe management and promotion of wound healing

This paper is a summary of a workshop held to discuss the affects of aging on chronic wound healing, and discusses the limited research on wound management. The workshop was sponsored by The Association of Specialty Professors, the National Institute on Aging, and the Wound Healing Society. The workshop was attended by leading health care experts in the field of geriatrics, wound management, and skin again. Scientist and Program Staff from national organization were also in attendance. Those national organizations include National Institute on Aging, the National Institute of Diabetes and Digestive and Kidney Disease, the National Heart, Lung, and Blood Institute, and the National Institute of Nursing Research. The purpose of this workshop was to explore the process of wound healing in elderly patients. These processes included the molecular and cellular processes. Therapeutic approaches such as cellular and tissue-engineered remedies, negative pressure wound therapy, electrical stimulation, nutrition, hyperbaric oxygen therapy, and ultrasound therapy were discussed.

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).

Activity #3- Implement the use of assistive and adaptive devices such as splints, magic opener, wheelchair, reacher/grabber.

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

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