Wound Care Reflection

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.

The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now

I get to see various types of wound, from pressure ulcer of different stages, unbelievable edemas, arterial and venous ulcers, diabetic ulcers, and many other wounds of uncertain causes. I have never expected to see those kinds of wounds. I have seen different drainage amount, color, and odor, various shapes and location of the wounds, and amputated edematous legs. I have learned also the different types of dressings and antibacterial ointments used. I had given the chance to observe a client on their high-tech hyperbaric oxygen therapy which makes the wound healing even faster. The most important lesson I have learned from the team members was, “DO NOT GET

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.

The practical nature of Wound Capture provides interesting opportunities for using and commercializing the application. To move forward with the application further development would be necessary. Partnering with a healthcare organization could provide the opportunity to secure funding to customize the documentation and system integration to a specific organization’s electronic records and documentation standards. Another opportunity might be grant funding to partner with a group of wound care specialists to further develop the application. Alternatively, working with a company that employees developers and provides mobile based systems to health care organization could provide necessary labor for the project and provide a potential

One of the very first patients scheduled for the day was a woman that I had seen previously during my time at the clinic. When I saw her before she had a wound vac on her left buttock from an abscess that had broken open causing a very large wound. The site was probably 10 inches long and at least 3 centimeters in depth. When I saw the patient now she did not need a wound vac and her injury was practically all the way healed. It was amazing to see how much progress she had made in such a short amount of time.

The article by Fernandez and Griffiths (2013), compares the use of tap water to other cleaning solutions when cleaning wounds. The current practice found in the article was using normal saline because of its isotonic properties and its ability to not affect the healing process of the wounds. Current literature states that clinicians should caution when using on wounds that have exposed tendons or bone and that normal saline should be used in this case. So with that in mind, the authors conducted a study based on tap water effects in wound care.

Wound care nurses play a special role in the hospital environment, and hospitals without those specialized nurses may not be able to offer the level of care as hospitals that have these specialized professionals. "Wound care nurses, sometimes referred to as wound, ostomy, and continence (WOC) nurses, specialize in wound management, the monitoring and treatment of wounds due to injury, disease or medical treatments. Their work promotes the safe and rapid healing of a wide variety of wounds, from chronic bed sores or ulcers to abscesses, feeding tube sites and recent surgical openings" (Nursing Schools, 2012). While it may seem as if any nurse should be qualified to perform these functions, it is critical to realize that it is a specialized field. "Their main objectives are to assess the wounds, develop a treatment plan, clean wounds and monitor for signs of

You are correct, I am behind. I have on several occasions while covering patients in Port Charlotte, asked to draw peripheral lab bc particular RN (s) lacked the skill to do. The week continued with wound vac (s) that a particular nurse wasn’t comfortable doing, plus an additional vac and a daily IV and wound care. On Consecutive days I had said pts on the same day, (PICC line x2, IV x2 wound vac, and wound care with labs, and still I drove to Port Charlotte to cover patients. Never complaining and getting home at 8 pm. I did however refuse to meet a nurse to do lymphedema teaching to apply sleeves, bc of exhaustion. BC quite frankly in order to perform independently in home care you have to be indecent thinkers and perform the same. Understand I do the responsibility but I can honestly say that no other nurse would have done the same.

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

While reading chapter one of the book “Nutrition Essentials for Nursing Practice” (2014), I developed interest on the physical symptoms suggestive of malnutrition. According to Susan G. Dudek a nursing diagnosis has to be based on a patient first nutritional assessment (p.9-11). Dudek stated in her book the four steps of a nutritional care process in which assessment is the primary stage of this concept. However, since the word assessment incorporates the patients physical findings, poor or delayed wound sores can be determine by the inadequate malnutrition of a human being (2014).

At the same time when it comes to skin wound it takes longer time to heal but it’s tends to recur which is known as a chronic wound. This will happen when you have a deep injury, surgery – incision which is making a cut during the surgery. There is lots of barrier during this healing process for example dead skin and foreign material can interfere with the healing process. Then poor diet can also affect this because our body needs good nutrients to heal the wound properly and also it takes more time to heal the wound for elderly people. Then it is always important to clean the wound, and then this should be done very gently and also clean it when you have a shower. Dressing is another important part of healing the wound. Then make sure don’t

Bearing in mind that wounds can be anything from a minor laceration, a disease process complication, to severe trauma, not all wounds are created equal. However, most of the time, the wound protocol is generic, grouping all of the mentioned wounds together. Research has been done on effective education for the patient and caregiver, what type of cleanser to use and when, who to consult and why, when to follow up, where to conduct wound care, and the emphasis on standardization. Yet no one has set forth guidelines to cover all types of wounded patients, regardless of underlying conditions.

The healing of wounds—particularly chronic wounds—is currently an important area of research. With more than 6.5 million patients in the United States dealing with chronic wounds, and $25 billion spent yearly on treatments (Sen et al, 2009), a better understanding of the wound healing process is beneficial to a wide range of patients dealing with wounds related to accidents, burns, and disease processes. It has been suggested that therapeutic strategies to promote wound healing might focus on immune system modulation (Julier, 2017). The overall progression of a healing wound involves multiple types of cells, cellular processes, and growth factors (Strbo, 2014). However, significant contributions come from the response of the innate