Wound Care - 3321 Words

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.†¦show more content†¦After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula. Lori is going over Mr. Baker’s preoperative checklist. The informed consent form has been signed by Mr. Baker. Lori knows that it is the responsibility of the _____ to tell the patient about the surgery, including risks, benefits, expected outcomes, and alternatives. A. Preoperative nurse B. Surgeon. C. Anesthesiologist D. Circulating nurse As part of Lori’s assignment, she is observing Mr. Baker’s surgery. She is to follow the circulating nurse. What will Lori learn is the role of the circulating nurse during the surgery? Answer: Rationale: After the surgery, Mr. Baker is taken to the PACU, the endotracheal tube is removed, and Mr. Baker responds to his name. During the time in the PACU, Lori monitors respiratory status closely due to what factors? Select all that apply. A. Anesthesia can have a depressing effect on respirations. B. Mr. Baker has a history of smoking. C. Mr. Baker has an abdominal incision. D. All of the above. Lori is developing Mr. Baker’s care plan and adds the nursing diagnosis potential for infection. Why would Mr. Baker be at high risk for developing an infection? Answer: Rationale: Mr. Baker’s nurse asks Lori to apply a thromboembolic device (TED) hose and aShow MoreRelatedWound Care883 Words   |  4 PagesWound care (Pressure Ulcer) Descriptions 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. The preparation and application of aseptic techniqueRead MoreWound Care2851 Words   |  12 Pagesthe Care that Mr Jones will require in relation to the safe management and promotion of wound healing This essay will focus on the holistic care of Mr Jones, with particular attention to the management of his wound. The points that will be discussed and analysed are the role of the skin, wound assessment, the nutritional status of Mr Jones and the problem of his obesity. Added to this, an analytical discussion of the involvement of the multi-disciplinary team, the way that Mr Jones’ wound shouldRead MoreResearch on Wound Care2591 Words   |  11 PagesWound Cleansing: Water or Normal Saline? Ashtin Plummer MidAmerican Nazarene University Wound Cleansing: Water or Normal Saline? Wound cleansing has been discussed about for many years, different solutions and techniques have been discussed to use, and it is an important part of preventing infection. Wound cleansing is described as the use of fluids to remove debris and dead tissue from the surface of the wound. The purpose of wound cleansing is to make the best possible conditions at theRead MoreHoney As A Homeopathic Wound Care2859 Words   |  12 PagesHoney As A Homeopathic Wound Care â€Å"If the bee disappeared off the face of the earth, man would only have four years left to live† (Maeterlinck 317). When Maurice Maeterlinck wrote The Life of a Bee, he truly realized the bee’s importance to our environment, however did he recognize the importance of their honey to medicine. Many people will argue that old-fashioned treatments are less effective than modern medicines. While traditional medicines are simple and more easily applied, inRead MoreWound Care Education739 Words   |  3 PagesWound Care Education Abstract The purpose of this paper is to identify a patient health issue that would benefit from patient education. During the clinical rotation at Jackson South the group identified a need in wound care especially for patients with other underlying health issues such as diabetes. A large percentage of patients had wounds that would require patients to properly care for them once discharged. The group identified a lack of patient knowledge on how to care for these woundsRead MoreUse of Maggots for Wound Care3450 Words   |  14 Pagesinfected lesions. Key words: Debridement; Healing of lesions; Larva; Wound infection Introduction Chronically infected lesions are clinically common and troublesome to treat, especially in aged patients with systemic diseases such as diabetes mellitus and paraplegia. They make a signiï ¬ cant impact on the health care system because of the long-term care required and the associated cost. The therapeutic utilization of maggot for wound healing dates back to the beginning of civilization. This kind ofRead MoreAdvanced Target Marketing: Wound Care1179 Words   |  5 PagesAdvanced Target Marketing Citrus Memorial Wound Care facility provides comprehensive healing of chronic and acute non-healing wounds and offers hyperbaric oxygen therapy in an outpatient setting. The center utilizes a multidisciplinary approach to wound care. A team approach is used to provide patients with the most optimal wound treatment possible. The clinic optimizes its ability to provide patients with the best care possible by using advanced wound healing products including bioengineered skinRead MoreWound Care2731 Words   |  11 PagesReflective 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) During the course of this piece of work, it is my intention to outline and discuss a clinical audit that I undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection (Driscoll, 2000). The audit, which focused upon the completionRead MoreThe Start Of Wound Care Services759 Words   |  4 PagesThe 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 nowRead MoreWound Care Management : The Elderly Modern Medicine And The Benefits Of Natural Medicines2549 Words   |  11 PagesWou nd Care Management in the Elderly Modern Medicine and the Benefits of Natural Medicines: Community and Residential Aged Care Setting A wound by definition is a breakage in the skin, there are varying causes of this however the most common recurring wounds in the elderly population are pressure areas and skin tears (Wild, Rharbania, Kellner, Sobotka Eberlein, 2010). Due to comorbidities, wound healing is often compromised therefore the healing process can be prolonged which can lead to a chronic