Wound Healing Clinic: Clinical Analysis

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.

planned intervention, the type of study you will conduct and how you plan to evaluate the

Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197)

A meaningful event from my clinical experience was during week six when one of my colleague and I along with the RN performed a wound care procedure on one of my client who had pressure ulcers on her coccyx area and wound on the right foot. It was my first time doing wound care on a client who has severe wound type. Client is a 90 years old female who has been admitted to the unit for Osteomyelitis, it is an infection of the bone, caused by bacteria breaking into the body’s tissues and entering the bloodstream through an open wound (LeMone, p.1382). The client said a dog bit her foot at a park few years ago and that’s how she got the wound. Client has a wound care dressing order that needs to be changed daily with Betadine soaked gauze for all areas,

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

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

The team members had provided safety and comfort to their clients and followed good nursing practice. They identified their clients, and followed proper hand hygiene and used gloves to avoid contamination. They provided each room with the needed supplies, which made their work more efficient. They labelled all the bottles and sprays they used in caring the wound, and used all the equipment properly. They provided privacy to their clients by always closing the door during the entire wound care period. The team members were focused on client’s goals and understood how their role contributes to the achievement of those goals. They understood what needs to be accomplished and have the resources needed to be successful. They also encouraged each other to work for the common good. And most of all, they were all very nice and accommodating to me, which made my experience a good one.

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.

I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made

During community placement, my mentor and I visited M (patient), a 75years old lady, who was presented with a Pressure Ulcer, on the heel of her right leg. On arrival, my mentor asked me to manage M’s wound. However, I have observed and participate in carrying out this skill (wound care) with my mentor on several occasions. I explained the procedure to M and gained her consent to carry out the procedure.

Researchers will decide to select wound infections that occur after open heart surgery as a topic for their study, because it is significant for staff nurses to know the effect of wound infections that occurs with the adult patients. Researchers will obtain permission from the cardiac surgery center so that they could collect information from adult patients. They will also contact and meet with staff nurses in cardiac surgery center. Nurse educators will provide the form to all staff nurses working in the operating room. The form includes the title of the study, the purpose of the study, place of the work, duration of the study, potential benefits, potential risks, participant signature, and date. The reader can follow that consent

Tammy, I would agree there is a major difference between knowing how to perform a specific skill and knowing how to perform that skill effectively. I think it is great that you offer new nurses to your department an extensive orientation and training. Wound vac care can be tedious, depending on the wound, requiring much training and then follow-up training to ensure it is being performed correctly. The surrounding skin appearance of a wound bed is a good indicator of correct wound vac application. Your expertise in wound care with precise skin barrier methods prevented further complications with this already painful wound. When patients get, frustrated or are having a lot of pain related to a treatment or procedure, many times they will refuse

In light of how incredible our body is to be able to regenerate quickly for most, that is not what happens for others. Many diseases or large body wounds can take years to make it through one stage. Some may not ever heal. Wounds such as diabetic, venous stasis, ischemic, or pressure ulcers have a lack of blood flow making it almost impossible for them to heal naturally (Cutroneo, 2008). Large area burn victims also fall into this category. Their body is trying to compensate for fluid loss and maintain homeostasis, but wound healing ends up being very difficult to do on their own (Jacobsen, 2005). Many attempts are used to heal these including gene therapy, hydrotherapy, hyperbaric oxygen therapy, and topical antibiotics to just name a few. There are many courses of therapy to heal these wounds, and some work better than others depending on the wound and person.

• 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

A critical literature review exploring the effectiveness of using skin staples as opposed to sutures or skin adhesive as closing materials after orthopaedic surgery.