Traditional Incision and Drainage Protocol: is Wound Packing Truly Beneficial? Kirby Cranford, Rachel Perry, Heather Pastva, Brien Hollingsworth, Melissa James, Rebekah Burr Medical University of South Carolina Physician Assistant Class of 2017 PA 695: Research Methods for Health Professionals Introduction The practice of wound healing through incision and drainage dates back to 1400 B.C. in ancient Egypt (Broughton et al., 2006). With over two millennia worth of advances in medical technology and the revolution of antibiotics, the ancient practice of wound healing evolved to shape protocols used today. One of the most common, current practices for treating abscesses involves incision and drainage followed by packing …show more content…
The additional practice of packing is also accepted despite the limited evidence supporting its practice. The practice of packing is believed to prevent dead space formation and promote wound healing. Traditional teaching states that packing is necessary for the theoretical reason that the use of the packing material helps to prevent the layers of skin from resealing too quickly and impedes the reformation of the abscess. However, packing materials have actually been shown to prevent drainage from the wound and therefore, hinder the abscess from healing. Altogether, packing has been linked to more pain, increased rates of infection, and prolonged healing times for patients (Kessler, Krantz, and Mojica, …show more content…
Additional studies have joined the investigation of wound packing, focusing on the need for its use during incision and drainage for specific abscesses. These studies also examine various differing factors between packed vs. non-packed groups, such as healing times, abscess reformation, infection rates, and pain. This data is currently evolving and just now reaching the national stage (O’Malley, Dominici, et. al). The purpose of our research is to examine the efficacy of wound packing through the review of multiple randomized double blind controlled trials and to clarify its role in medical practice. This research hopes to also provide resources to educate patients, students, and practitioners in regards to the role of packing in modern medical practice and potential alternative treatment options. Although history is an excellent source for wisdom and knowledge, one cannot become complacent and fail to constantly question current practices in order to ensure the best outcomes for
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
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,
| |Use of aseptic technique for wound |Reduces the risk of pathogens to the |
The first couple of paragraphs include an explanation of what is considered a complex wound and the current available treatments. It is beneficial that the authors include an explanation of what the problem is so that the reader can have a better understanding of why this issue is of concern. The paragraphs then transition towards the types of treatments available for the problem and a description of why the current treatments are not sufficient for restorative care.
Reece Eggert Mrs. Wilkeson English 12 1 March 2024 Macbeth Argument Many people find themselves with a strong sense of guilt while seeking their own personal power. Such is established within William Shakespeare’s 1606 tragedy, Macbeth. In the play, Macbeth attempts to control the future by actively seeking out and acting upon the prophecies of the witches and to bury the past by committing further atrocities to hide his guilt, illustrating the idea that the perilous pursuit of power can lead to the inescapable burden of guilt. Macbeth attempts to control the future by actively pursuing the prophecies foretold by the witches in the belief that they hold the key to securing his position as king. Initially, he is consumed by ambition, willing
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.
Throughout the 300th anniversary on the settlement of Jamestown, many writer, artists, and playwrights capitalized on the revitalized interest of Pocahontas. Plays such as A Princess of Virginia: A Drama by Kate Tucker Goode and juvenile novel adaptations such as Edward S. Ellis’ Pocahontas: A Princess of the Woods perpetuated the growing myth of a pure hearted Indian maiden who welcomed christianity and saved John Smith’s life. As the popularity of Pocahontas’ story grew, so did the realisation that it could create profit.
The clinical issue to be explored is the use of negative pressure wound therapy (NPWT) in the treatment of ulcers. A valuable journal containing articles pertaining to this topic is the International Wound Journal. It is a peer-reviewed journal used by various healthcare providers, including nurses, doctors, podiatrists, surgeons and others, seeking to gain up-to-date information on the prevention and treatment of wounds (Wiley Online Library). It has aided in enhancing the standards provided in wound care by health care professionals. Examples of subject matters covered are diabetic wounds, burn wounds, scar prevention and treatment, wound healing therapies, education and training and more (Wound Source). The journal is therefore
Caring for patients with wounds is commonly encountered in a nurse’s career in most health care settings, whether it is in neonatal, mental health, community, or aged care. In the past, wound dressings were created to absorb all exudate, believing that dry wounds will reduce the risk of infection. Within the last fifty years, the concept of moist wound therapy has become the most effective approach to wound care. Before treating any wound, it is important to discover the underlying cause and consider other possible factors that may impact on the healing process and deliver a systematic and rational approach towards wound care assessment. Nurses must have a basic understanding of
Wound infections are a common type of infections that may contribute to longer hospital stay. Most of these
Surgical wound that results from delayed healing in a gastro-surgical ward is one of the most challenging tasks for us. Any dehisced wound that is complicated by wound infection and in relation to malnutrition, age, and different comorbidities are one of the dilemmas that are regularly happening in our ward. Wound management in our ward will require a rigid assessment in every shift of the day, this will require proper wound assessment and referral to the healthcare team when there are any changes to the wound or there is no progress in the healing for wound. Various changes of dressings are also used to pack the wound, and this will also depend on individual nurses that are assessing the wound. There is also a common practice of trial
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
Caregivers are trained to provide aseptic wound care, patients are closely monitored compared to their own home setting, and physicians are always nearby to reassess wounds as needed. So where do these infections come from? Literature reviews have opened the gateway to further questions and investigations in order to answer this question. Comparing multiple studies listed in table 1, there are still many unanswered questions as to where infections originate. Most studies are looking into various prevention methods and the organisms present postoperatively, but do not address the question of why these infections are occurring. Strengths and weaknesses in all studies show that one needs to evaluate the studies carefully before consideration for implementation as
For wound check offs, I had to practice cleaning and dressing four different types of wounds. The wounds include an open abdominal wound, necrotic thigh wound, heel wound and stump wound. In the clinical setting, I had the chance to do two dressing changes, both times were an open abdominal wound, this is explained in the greatest accomplishment. The last check off was injections. We had to give two injections but there were three types all together, subcutaneous, IV push and intramuscular. In the clinical setting, I gave two subcutaneous injections and I did an IV push of Pepcid through a central line.
“Marijuana is a greenish-gray mixture of the dried, shredded leaves and flowers of Cannabis sativa—the hemp plant” (What is marijuana?) Researchers say, “Marijuana is the third most popular recreational drug in America, behind only alcohol and tobacco, and has been used by nearly 100 million Americans” (About Marijuana). “The main mind-altering chemical in marijuana is delta-9-tetrahydrocannabinol, or THC” (Marijuana). Marijuana is not harmful to the human body; there has never been a known death because of marijuana. Marijuana is also known as; cannabis, weed, and pot. Why is marijuana illegal if it is far less dangerous than alcohol or tobacco? "The smoking of cannabis, even long-term, is not harmful to health. ... It would be reasonable