The management of wound healing in various health care settings can vary according to what treatment is performed, in our scenario a patient has come to us in regards to a complication that has occurred after a resurfacing procedure. This essay will discuss the procedure that has occurred and the issues and implications surrounding the procedure in terms of infection control. How the wound was created and what should have occurred during the repair process and what isn’t expected to occur. Possible causes of delayed wound healing will also be looked at and how we expect to manage in this situation, we will also discuss how we could prevent this from reoccurring.
A resurfacing procedure is considered to be any treatment that removes a layer of skin or layers of skin. Resurfacing treatments can include and are not limited to micro-dermabrasion or the more intense dermabrasion, laser resurfacing with different types of laser or intense pulsed lights and chemical peels ranging in different depths (Philips & Hughes, 1998). After any type or resurfacing procedure, whether it would be a chemical peel or micro-dermabrasion, collagen formation is activated in the papillary dermis and elastin is produced in the papillary dermis (Phillips & Hughes, 1998). Some infections that can occur through having treatments such as micro-dermabrasion or chemical peels are bacterial infections. Bacterial infections can occur due to the fact that the barrier is impaired and the types of infections that can occur are herpes simplex, staphylococcus, streptococcus and pseudomonas (Khunger, 2007). Laser resurfacing has its own list of complications that can occur. In terms of removal of skin laser resurfacing can remove an approximate amount of 1.0cm of skin...
... middle of paper ...
...).it is also very important that when treating all patients that we use a new set of gloves for each patient and the use of sterile gloves for wound dressings, open wounds and surgical procedures. If we were to apply a dressing for our client we need to use sterile gloves as the wound is open and we would want to prevent bacteria from entering (Flores, 2008). It is also important that we use as much disposable equipment as possible with our client and that all equipment is properly disinfected for each patient (Capriotti, 2003). We would also need to educate our client on the same principles, the client has to be very diligent as well in terms of their hand hygiene and to avoid touching the treated area as much as possible and if the wound is open to apply some sort of dressing to avoid it from becoming contaminated (Collawn, 2001 & Martin-Madrazo et al., 2009).
Ahmed M, Nadeem Alam S, Khan O, Manzar S 2007. Post-operative wound infection: A surgeon’s dilemma. Pak. J. Sur. 23(1):41-47.
Evaluation of the wound related to the nutritional aspect. The best coverage to be used is then chosen.
Complications of wound healing, there are various complications one can go threw during the process of wound healing. These types of situations can turn into life threatening situations and one must be able to recognize the seriousness of these signs and stop things that can arise before complications can turn vital. Wound bleeding may ooze, bleeding may indicate slipped sutures and trauma to blood vessels or tissues. Dehiscence may occur; this is when wound layers separate, patients may experience this after complications
Florman S, Burgdorf M, Finigan K, Slakey D, Hewitt R, Nichols R. Efficacy of Double Gloving with an Intrinsic Indicator System. Surgical Infections. Vol 6. No 4. 2005
The curcumin (69±8.7), laser (85±12), and laser + curcumin (88 ±7.9) treated groups significantly enhanced wound closure, compared to the control group (139.8 ±20.2), (One-way ANOVA, LSD test for all groups, p=0.000). We have observed that the curcumin treated group had significantly enhanced wound closure, compared to the l aser + Curcumin group ( LSD test, p=0.033)(Figure2).
Through histologic examination, there was no evidence of osteogenesis nor cementogenesis after flap debridement procedure, meaning that wound healing from such procedure is tissue repair rather than tissue regeneration. The clinical significance of such repair can be explained through the other study from the same group of researchers, by Froum et al., which also observed the healing response after open flap debridement with re-entries of the surgical sites after 6 to 7 months of healing. Clinical observation revealed a mean of 3.3mm of pocket depth reduction which consisted of an average of 1.4mm of clinical attachment level gain, and a mean 2mm of gingival recession, meaning the gingival margin had an apical shift after surgery. The osseous defect depth possessed a 2mm reduction, which is the combination of 1.2mm bone fill and 0.8mm of crestal bone resorption on average. The authors concluded that favorable healing response is positively correlated with frequent maintenance visits and proper plaque
Hospital-acquired infections (HAIs) are a major threat to patient safety at a global level. Hand hygiene is a most important measure that reduces hospital-acquired infections and improves patient safety (World Health Organisation, 2009). Although many hand hygiene initiatives, programs, policies and evidence-based guidelines are developed worldwide, some programs are facing challenges regarding compliance. For example, the “Bare Below the Elbow (BBE)” policy in the United Kingdom, imposes various restrictions on clothing and accessories for healthcare workers (HCWs) during their clinical activity. This essay will use current literature regarding the BBE policy and argue that BBE improves hand hygiene, which is essential for good infection control practice. This is demonstrated by five randomised, controlled studies that evaluate bacterial transmission, handwashing efficacy and patient perception regarding BBE attire.
Facial laser resurfacing is a type of facial laser treatment which is practiced for eliminating old age. This treatment is used generally for areas around the eyes and mouth regions in addition to minimizing the irregularly pigmented skin and scars. You can get a vibrant, young look after facial laser resurfacing is done. In Facial la...
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
This phase generates the necessary actions that are vital in preparing the wound for healing. The body is attempting to remove the triggering stimulus (if present), limit the tissue damage, and set the stage for repair and regeneration of the wound (Rowan et al., 2015). If natural biological healing does not progress satisfactorily, it can lead to a chronic wound with chronic inflammation, though this is most often associated with other disease conditions or a compromised immune system. On a larger scale, this is a significant, world-wide issue of concern for present and future research, because these types of non-healing or persistent wounds impact on the quality of life for an estimated 40 million people worldwide and are costly in many ways (Zhao, Liang, Clarke, Jackson, & Xue,
...s and hoses, control buttons, switches, hand pieces, and X-ray units (Collins). After every patient’s visit, the operatory is to be sterilized and disinfected. All areas that were that were not covered with a barrier, or if the barrier was compromised, must be wiped down with surface disinfectants similarly used in hospitals. OSHA requires disinfectants to be potent enough to fight against HIV and HBV infections (Collins). If there is any blood present on a surface, tuberculocidal type disinfectant should be utilized.
If you decided to go for laser resurfacing, you need to consult your trusted dermatologist to check if your skin type is good for this kind of treatment. Go to a doctor who has undergone proper training, good skills and expert facial scar revision surgery. Your medical history will be reviewed and your current health status will be checked before going for the treatment. Avoid any blood thinning medications such as vitamin E, aspirin and ibuprofen a week or 10 days before
When a wound is determined as non-healable, as described by Sibbald et al (1), it should not be treated with a moist treatment and should be kept dry in order to reduce the risk of infection that would compromise the limb. It is also important to consider the patient 's preferences and try to control his pain, his discomfort in activities of daily living and the odour that their wound may produce. In this case, special attention must be given to infection prevention and control. Some charcoal dressing would be interesting in the care of our non-healable wounds at St. Mary 's Hospital.
...e process, the medical assistant will blot the closure with gaze. This will remove any blood from the area being sutured. Keeping the area clean and sterile is vital. After suturing, the area is cleaned and a sterile bandage applied. The patient is instructed to not get the area wet, return in 3 day for dressing change. I the patient feel any irritation, swelling, or see redness around the area, please call the doctor’s office. We do not want the area to get infected. Bleeding, swelling, fever, pain are all things that should be reported. The patient is instructed to return in 7 days for suture removal. However, any concerns prior to that time should be reported to the doctor’s office.
Laser skin resurfacing may not be for everyone. If laser resurfacing is the best treatment for you, we may ask you to avoid taking any dietary supplements, aspiring, vitamin E or ibuprofen for 10 days before the treatment. If you smoke, you should quit at least two weeks before treatment because smoking inhibits healing. If you have issues with fever blisters or cold sores, you should inform our specialist. The treatment is an outpatient procedure, and you can go home afterwards.