Wound Care Practice Case Study

Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.

I have significantly developed my skill in wound care assessment and dressing, in developing this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer assessment it provides a basis for deciding the effectiveness of the current treatment.

The main priority of the Veterans Affairs system is getting zero pressure ulcers. To achieve this goal, staff must be knowledgeable of the basic principles of skin disease, preventions, and treatments when providing care for the elderly patients. They provide education and training on the current evidenced-base practice on pressure ulcer preventions. The approach that has been effectively used is the care bundle (AHRQ, 2014). We

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).

On assessment, the wound was slightly exudates, odour, sloughs and dry skin patches on the surroundings. Sprakes (2010) state that, holistic assessment of patient and the wound are essential in order to facilitate the wound healing process. Ousey and McIntosh (2010) points out that, chronic wounds are exacerbated by a sequence of misdiagnosis, neglect, incompetence or inappropriate treatment strategies. I observed that, M’s wound was with exudates and sloughs; this

Pressure ulcers that occur in the long term care setting are increasing in the number of incidences each year in the United States. Consequences and complications of pressure ulcer development include pain, sepsis, cellulitis, bone, and joint infections. Pressure ulcers are also associated with an increased morbidity and mortality rate, negative emotional and physical effects on patients and caregivers, and are the second leading cause of litigation in long term care facilities. The cost of treatment for pressure ulcers in the United States is estimated at 11 billion dollars annually. This has led to many programs that focus on education and intervention to prevent the development of pressure ulcers, even being addressed in public initiatives such as Healthy People 2010. Appropriate information and education for healthcare providers, patients, and families has proven to be a key factor in the prevention of pressure ulcer development. Wound management is an area of healthcare that must include a comprehensive plan for the best outcome. A care plan that includes a well-educated care team composed of various disciplines working together for holistic care of each patient has seen the best results for patients who suffer from pressure ulcers.

Throughout the procedure, I was able to interact with the patient and communicate effectively with him, discussing his pertinent health history as well as his experience in dealing with his chronic wound. Such communication and patient interactions bring an abundance of positive feelings to any clinical situation. I also felt positively about the decision of the nurse and healthcare provider in the use of barrier cream to prevent further maceration of the peri-wound skin,

Pressure ulcers are a commonly seen problem among elderly hospitalized patients. Despite new findings about the causes and approaches to treatment, the incidence of these wounds is still increasing. Scott, Gibran, Engrav, Mack and Rivara (2006) revealed that during the thirteen years of their study, the incidence of pressure ulcer development has more than doubled. As our elderly population becomes greater in number, and older in age, this problem is expected to escalate. It is of great importance for the patients as well as for the

I have been working as an NP for two years with home bound adults and geriatric patients, and it is very common to provide treatment for pressure ulcer/skin breakdown/ bedsore. Many of these patients develop the skin break down after just a short hospital stay, while others develop it in the home environment. Among the common factors that contribute to pressure ulcers are debility, immobility and poor nutritional intake. Pressure ulcers have been a significant health problem, especially among the geriatric population (Jaul, E. (2010).

A full assessment of the wound should be carried out prior to selection of dressings. Any allergies should also be noted. The wound should be traced, photographed and measured providing data for comparison throughout the treatment. Consent should be gained prior to photographing the wound and the patient should not be identifiable from the photograph (Benbow 2004). All information should be documented in patients’ records, using the wound assessment tool. The pressure sore was identified as grade two

Skin tears are traumatic wounds, which usually occur on the extremities of the elderly. Not to mention the amount of deaths that occur when skin breakdown doesn’t get treated. The article, “Preventing in –facility Pressure Ulcers, “ states that, “60,000 U.S. patients will die from complications related to hospital-acquired Pus”. (Preventing, 2013). When you think about all the different diseases and illness that can kill someone, pressure ulcer don’t normally come to mind. If we have less skin breakdown with the elderly, we can keep our facilities safer, less life-threatening problems, and have a more successful career as a nurse. There are many ways that you can treat pressure ulcers or skin breakdown in general, but people need to realize what patients are at more risk to develop skin integrity, the ways to prevent skin breakdown from the beginning, and how to treat skin tears when they appear before they can say that they know what skin integrity is. This concept paper will provide the key points on what to know about skin integrity. Who is more at risk, how to prevent them from occurring, and what to do if it does happen.

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 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.

Christus St. Elizabeth Outpatient Wound Care Clinic is primarily a community health agency that serves the Beaumont and Southeast Texas area. Its mission statement is “to extend the healing ministry of Jesus Christ” (“Our Mission, Values, and Vision”, 2016). As a not-for-profit agency, Christus St. Elizabeth Wound Care Clinic works with numerous agencies to make a profound effect in the lives of patients and to promote a positive change in the community. A mixture of Third party payers such as insurance companies and government-sponsored programs, such as Medicare and Medicaid, reimburse the agency for services. This agency also allows self-pay by clients if insurance or other measures are not available to them. Christus St. Elizabeth receives millions of dollars in both state and federal funding, such as Medicare and Medicaid and Workers Compensation. Other alternative sources of funding come from donations (“Consolidated Financial Statements and Supplementary Information”, 2016).

Working in a healthcare domain means providing the most effective and beneficial care for the incompetent patients. Particularly, to those who needs intimate nursing assistance such as dressing, bathing, eating, toileting and skin care activities ( Wurster 2007).This is especially true if the person is mentally, emotionally, and physically dependent like the clients in nursing homes. Nurses, health care assistants or support workers and other health care providers ought to educate themselves for improving quality of care and exceeding specific benchmarks in regards to pressure sores ( Wurster 2007). All the same the basic