Surgical Wound : Results From Delayed Healing

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

This leads to the second portion of the background, which identifies why the topic is of concern and how the study can provide a solution. For instance, the specific purpose of the study is to evaluate whether multiple application of collagen nonwoven on wounds, is effective (Shiefer, J.L & Rath, R, 2016). The report did include the two purposes previously mentioned. However, as a reader there where some areas that the authors could have elaborated more on; for example, there was incomplete information of medical terms, that could aid in the reader’s understanding of the problems. Aside from that the authors’ presented an overall good health concern topic, that although complex wounds are not that common according to the statistics they presented, they can be very serious. The introduction was well organized and gave the reader a brief overview of the health

As per the researchers findings district nurses treated many kinds of wounds, but most often without proper medical diagnosis. There was no officially defined area of responsibility of the different professional groups. There was no proper wound treatment guidelines found most of the time.

Wound V.A.C. – KCI Protocol Emergency General Surgery Service Vanderbilt University Medical Center 10 / 2004

This report will discuss the risk of impaired wound healing, amongst patients in the community. Patients may be at risk due to increased age, malnutrition and underlying medical conditions (Timmons, 2003, White, 2008). However, this report concerns with patients’ knowledge deficit about the importance of nutrition, which may be the risk factor (Casey, 1998, Dealey, 2005, Timmons, 2003). In this respect, a management package in the form of a leaflet aimed at these patients has been prepared, (see appendix), which may improve patients’ knowledge. The report will evaluate how the risk could be minimised by using this leaflet.

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.

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

One of the best methods of reducing infection in patients with any type of wound is sterile technique with dressing change. Heavy colonization of infected sites is a risk factor for infections associated with any type of wound but mostly for wounds that penetrate deeper into the skin. Sterile site dressing is advocated to protect the open wound from contamination because it will come in to direct contact with the wound, and sterility is required in order to execute the application of the dressing successfully. The nursing process is an important principle to use when examining, treating, and maintaining any type of wound or applying wound

The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was developed in 2003 and updated in 2009 as a tool to utilize when assessing the methodology and quality of a CPG (Mohamed, 2014). An amended version of the AGREE instrument will be utilized to assess the quality and methodology of the Wound Preparation CPG published by the ENA. First the scope and purpose of the CPG will be discussed followed by stakeholder involvement. Next the rigor of development will be analyzed followed by recommendations and applications of the CPG. Lastly, the editorial independence and a summary will conclude this paper.

Does the use of closed-incision negative-pressure therapy (CiNPT) dressings on post-surgical patients reduce wound infections and other complications verses traditional dressings? Post-surgical infections and complications are a major problem

The goals are to contrast wound care methods of care, apply current wound care practices, and identify which method of care is best for newly discharged elderly patients with wound(s). Once an infection (wound) is under control,

According to, International Best Practice Guidelines; Wounds International, 2013, ‘With appropriate and careful management it is possible to delay or avoid most serious complications’. When wound care products are selected appropriately for the patients wound, and used as instructed, they are very effective. Best practice wound care requires the nurse to be able to follow infection control guidelines and choose the appropriate dressing to achieve optimal healing for patients. There are many dressings to choose from, but failing to correctly assess a wound and chose the right dressing will delay wound healing, potentially causing further distress to the patient and create further costs.

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

All of the wounds were completely closed for the final assessment on day 20. The main finding was that the laser group had greater wound contraction compared to the control group. On day 6, the laser group had a 152% greater contraction than the control group and on day 10, they had a 22% greater contraction. Wounds for both groups were healed by day 20, but the LLLT group appeared to facilitate the repair phase of healing. LLLT also had an indirect healing effect on the surrounding tissue with the treatment group showing greater improvements to the untreated wound compared to the control group.

A pressure ulcer is triggered when an area of skin and the tissues below are injured as the consequence of being positioned under a good amount of time and the weight causes cut down the blood supply to that area. The harm is connected to the extent and length of the heaviness, and can arise quickly if, for example, it occurs over uncovered bony areas such as the heels or sacrum. The prevention and treatment of PUs are a big nursing dare, mainly since the existence of injury rises the susceptibility of the patient to cause infections, impedes with quality of life, increases the holding rate in hospital beds and thus impedes with the hospital costs. It is usually documented that PUs are typically avoidable. Thus, there is an economic encouragement