Wound healing is a very important aspect of the postoperative process. Depending on many different factors pertaining to a postoperative wound; different steps can be taken to decrease a patient’s chance to develop an infection. The one goal a surgical team wants to achieve is to leave a less noticeable scar and no infection in a wound. There are different challenges and situations a Surgical Technologist and the surgical will have to work around. The wound healing process all depends on the type of wound and classification, complications that may arise, postoperative infections, and the role of the Surgical Technologist within the wound healing process.
There are four classes of surgical wound types based on the wound’s level of contamination: clean (Class I), clean-contaminated (Class II), contaminated (Class III) and dirty-infected (Class IV) ("Healing and Wound Classification", 2007, p. 26, 28, 30, and 32). Clean (Class I) wounds occur under normal operating room conditions and sterile technique is maintained. Clean-contaminated (Class II) is present when there may have b...
Carlton, a 6-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot. His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton’s foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton’s mom put some gauze over the wound and prepared to take him to the local community health clinic.
The trauma-informed care lab was a very impactful experience for me as a student pharmacist and as a person. Prior to the lab, I have always believed that childhood experiences can influence a person’s outcome as an adult. While this belief humanizes those, who have made poor choices in life, it is difficult for me to vindicate every case I see. However, after seeing the statistical facts from the ACE study and especially the movie Healing Neen, I found it easier to show empathy and understanding to those who made those choices.
Many great historical figures of the scientific community have written on the subject of the same perplexing disease over the centuries (Angus, van der Poll, Finfer, Vincent 2013). Sepsis has been given many names, origins, and etiologies. In the 4th century, Hippocrates declared the disease the cause of organic decomposition, wound festering, and swamp gas (Angus et al. 2013). During the 19th century, Louis Pasteur theorized the disease was the outcome of a pathogenic microorganism in the bloodstream, which resulted in a body-wide infection (Angus et al. 2013). In the 21st century, the medical community made a breakthrough with the discovery of the disease’s link to the inflammatory response system and devised a plan of action to combat the high mortality rates among those infected (Angus et al. 2013). According to Hotchkiss, Monneret, & Payen (2013) the effects of sepsis are well documented, while the molecular processes it utilizes are still being explored; however, new studies are helping to expand our understanding of the centuries old disease.
The Beauty Industry being such a wide market of services and products include providing for the care of our skin, hair, selling of perfumes and cosmetics (“What is the Beauty Industry?”2014) and now developing more extensively into basic cosmetic surgery and treatments, now gives society a big opportunity to pamper and nourish themselves in more extensive ways. Throughout this essay, the branches of dermatology and dermal therapies will be explained; common skin disorders and specifically a treatment called ‘Ultrasonic Peeling’ and how it can potentially help with skin disorders imposed today will be explored and described in detail. After the investigation of what Ultrasonic Peeling is and how it works, I will also state my opinion on how well I think the treatment benefits its users, give my evaluation if I would consider using it, what I think the positives and negatives are and in scenario, assess whether it is a treatment that more salons should consider offering.
The Company publishes "Modern Methods of Antiseptic Wound Treatment," which quickly becomes one of the standard teaching texts for antiseptic surgery. It helps spread the practice of sterile surgery in the U.S. and around the world.
Education of the patient will begin. Depending on the size of the abscess and how extensive the procedure was the patient may need a relative or friend to drive them back home. Not only would the patient need a ride back home, they may need to be watched for 24 hours. As part of pain management pain medication may be given to the patient to decrease pain. Antibiotics may be given to fight or prevent infection caused by the bacteria. The patient will also need to list all medications that they are taking so there will not be any contraindications with the medications that the patient is given. Advise the patient that more than one follow-up appointment will be necessary in order to properly treat the wound. Before the end of the appointment, the medical assistant should give the patient written instructions along with an emergency number and the number to the practice incase the patient has any questions or concerns. Advise the patient to return to the practice if they experience any fever, chills, or the abscess returns. If red streaks appear around the wound tell the patient to call the emergency department immediately. After the the procedure and patient education has been completed, make sure all the step of the procedure has been documented in the patient’s record and all follow-up procedures have been
Because I provide the surgeon with medications, hemostatic agents and irrigation solutions it is crucial to know the proper usage of each, along with the side effects, patient's allergies, and contradictions of certain medications and their reactive
These infections are often associated with improper catheterization techniques. Surgical site infections occur after surgery in the part of the body where the surgery took place. These infections may involve the top of the skin, the tissue under the skin, organs, or blood vessels. Surgical site infections sometimes take days or months after surgery to develop. The infections can be caused by improper hand washing, dressing change technique, or improper surgery procedure.
Nature is the best Medicine. “Just feel the magic in the air and the power in the breeze, feel the energy of the plants, the brushes and the trees, let yourself be surrounded by nature at its best, calm yourself, focus and let the magic do the rest. “ - Sally Walker Many have said that nature is the best medicine for the soul. Have you ever noticed the simple bliss and purity nature holds? Never competing, never degrading, never giving up the purity it holds.
As an ICU nurse I constantly watch how patients develop pressure ulcers, a pressure ulcer is an area of skin that breaks down due to having constant friction and pressure, also from having limited movement and being in the same position over a prolonged period of time. Pressure Ulcers commonly occur in the buttocks, elbows, knees, back, shoulders, hips, heels, back of head, ankles and any other area with bony prominences. According to Cox, J. (2011) “Pressure ulcers are one of the most underrated conditions in critically ill patients. Despite the introduction of clinical practice guidelines and advances in medical technology, the prevalence of pressure ulcers in hospitalized patients continues to escalate” (p. 364). Patients with critical conditions have many factors that affect their mobility and therefore predispose them to developing pressure ulcers. This issue is significant to the nursing practice because nurses are the main care givers of these patients and are the ones responsible for the prevention of pressure ulcers in patients. Nurses should be aware of the tools and resources available and know the different techniques in providing care for the prevention of such. The purpose of this paper is to identify possible research questions that relate to the development of pressure ulcers in ICU patients and in the end generate a research question using the PICO model. “The PICO framework and its variations were developed to answer health related questions” (Davies, K., 2011).
In 1865 before an operation, he cleansed a leg wound first with carbolic acid, and performed the surgery with sterilized (by heat) instruments. The wound healed, and the patient survived. Prior to surgery, the patient would need an amputation. However, by incorporating these antiseptic procedures in all of his surgeries, he decreased postoperative deaths. The use of antiseptics eventually helped reduce bacterial infection not only in surgery but also in childbirth and in the treatment of battle wounds.
...ance in increasing the likelihood of a “good” scar. First, the placement of the sutures that will not leave permanent suture marks or the prompt removal of skin sutures so disfiguring “railroad track” do not transpire. In other words, eliminating the stitches may be more important tan placing them. The second important technical factor that affects the appearance of scars is wound-edge eversion. In wounds where the skin is brought accurately collected, there is a propensity for the wound to expand. In lesions where the verges are averted, or even hype reverted in an embellished manner, this tendency is reduced, possibly by reducing the tension on the cessation. In other words, the archetype lesion cessation may not be perfectly flat, but rather bulging with an apparent edge, to permit for subsequent dissemination of that wound. Wound-edge eversion always goes away.
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.
The normal wound healing process mainly consists of four main stages being haemostasis, inflammation, proliferation or new tissue formation, and tissue remodeling or resolution. For a wound to heal well the above mentioned stages should occur in a sequential and orderly manner. Disturbances, abnormalities and delays in any of the above stages may lead to impaired healing or even chronic wounds. In adults, this process of normal healing takes place in the following steps (1)rapid haemostasis (2)appropriate inflammation (3)mesenchymal cell differentiation, proliferation, and migration to the wound site (4)suitable angiogenesis (5)prompt re-epithelialization and (6) proper synthesis, cross-linking, and alignment of collagen to provide strength to the healing tissue.
Although the importance of aseptic technique has been continually reiterated, I have realised its substantial role in the perioperative environment. Aseptic technique refers to the practice of creating and maintaining a sterile environment used for sterile procedures (Laws, 2010a). This is incredibly important as repetitive minor breaches of the sterile environment is one of the major factors increasing the risk of surgical site infection (Harrop et al., 2012).