Reflection-Leg Ulcers

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,

At the care home I had to nurse many client’s who had developed pressure sores. One particular wound stands out from the rest, it belonged to a lady in her late 70’s who was immobile and suffers from incontinence and slight dementia.

Poor hygiene can cause skin complaints, unpleasant smells and bacterial or parasitic infections. This can

The issue at hand has already been identified as wound care teams being a main key in the prevention and the expensive and extensive treatment of pressure ulcers. Since the research at hand is in need of additions, this project hopes to implement new information. We would aim to conduct

HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton, MD, Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease, status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN, which puts patient into anaphylactic shock. 3. Continue with home medications. DETAILS OF PRESENT ILLNESS: Mr. Kinsey is an 87-year-old white gentleman with history of (1) Chronic atrial fibrillation, on Coumadin. (2) Chronic deafness,

The aim of treatment of wound management in Mr BW was to safely allow the exudation of pus to drain freely from the wound in order to expedite wound healing. At the same time, to consider the level of comfort, prevent further infection, increased mobility and ensure nutritional

The bacteria spread fast, leaving the leg unsalvageable. The question on all of our minds was why the patient had waited so long to seek treatment. Surely she was in a lot of pain, and that odor... why wait? The answer was purely financial. Money deterred her from seeking treatment which caused a

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

Sherman Red is an 80-year-old male who was diagnosed with diabetes six months ago and is now admitted to the local hospital for a diabetic ulcer to his right great toe. The toe is infected and the patient is diagnosed with possible sepsis. The scenario depicts a presentation of sepsis in the elderly. This shows how wound healing and care of a diabetic patient can be difficult if not followed closely. The complication that can result from a diabetic ulcer can be devastating. It is always important that a patient is in full compliance with the treatment to prevent other health problems. The infection of the wound could have been avoided if treatment was taken seriously. The nurse must conduct a head to toe assessment of the

And as a nurse, following the instruction on how it is done, applying the right medication and doing it on schedule are very important for a quick wound healing process and a quality patient care (Waugh, 2014, p. 354). Not only that, wound and total skin assessment at least twice a day, good documentation and multidisciplinary collaboration are essential (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 209). Prompt notification to the doctor for any wound progress, collaboration with the dietitian regarding the proper diet to help speed up the healing process, a clear instruction to the nursing aid that frequent patient turning and repositioning, and changing the diaper timely will aid in the wound healing and prevent further skin damage and the development of a new one (Smeltzer et al., 2010, p.

We have used the idea of equating different stages in the wound-healing process to occupations as a teaching tool since 1996. More recently we have been working on a section to include in one of the local primary care groups’ wound resource file. While working on this document we felt this information would be useful for a wider audience.

Wound size, color, amount of swelling, odor, and drainage must be monitored and reported if abnormal. It is critical to keep track of the healing process because infection can quickly run rapid through the wound. It is normal for the wound bed to be red, but if the borders are red and swollen, infection can be occurring. With the help of growth factors, the wound bed has cells working harder and the proper blood flow moving to the site (Bronneke, 2015). This helps prevent infection by getting the white blood cells where they need to go. Infection goes along with odorous wounds and yellow or green drainage as well. Not only are nurses inspecting wounds, but also administering or applying solutions to the damaged area. It is important to administer correct dosage and to the right area (Jacobsen, 2005). The incorrect amount can dramatically change the wound healing course. Wound care nurses are needed highly in this area to benefit the patient the

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

Modern day dressings have advanced extensively throughout the past few years, providing nurses with a wide range of dressings to choose from, all of which provide a different healing function. This wide selection of wound care products can lead to confusion, resulting in the wrong dressing selection and inappropriate usage of products. When choosing a wound dressing it will depend on odour, pain, exudate and prevention or management of wound

Mr. Smith is seen today for a facial laceration that occurred approximately 48 hours ago. The wound was initially closed with Steri-Strips and covered with a Band-Aid. Mr. Smith denies any visual changes, weakness, or numbness, or tingling in the facial muscles. He has not had any dizziness. He denies any signs or symptoms of secondary infection including fever, chills, or sweats. He reports that he moved the Steri-Strips yesterday because they were dirty.