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Wounds and treatment
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Wound
Wounds is a broad term that includes many other types. It is very important to know the proper and scientific method to care for wounds as well as knowing the types of them. Moreover, nurses must familiar with each type of wound, risk factors, prevention, and treatment. However, wounds may have a different range in skin breaks such as trauma, injury, cut, incision, and laceration. Skin prevention is the first step of preventing any break to occur in the skin. The various types of wounds, method of treatment and healing are mainly depending on their conditions. This assignment will include chronic wounds, which are diabetic ulcer, venous ulcer, and pressure ulcers.
Diabetic Ulcer
Diabetic wounds result from uncontrolled blood sugar that causes nerve and circulatory damage (Kifer, 2012). Diabetic ulcers usually found at the bottom of the foot and take the shape of a circular. The assessment of the diabetic foot is very significant. It plays major roles in preventing foot ulcers by
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Alzheimer’s disease considered a risk factor because of impairment of mental status (Berman&Slon, 2012). Due to their mental status, patients are unaware of prevention of pressure ulcers, which makes them more vulnerable to pressure ulcers. However, the dryness of the skin also considers as risk factors for pressure ulcers. Diabetes mellitus is also a risk factor of pressure ulcers as people with diabetes have sensation lost (Scemons&Elston, 2009). Age is an important risk factor because pressure ulcers are more common among older people as a result of the skin becomes more sensitive and fragile (Bedsores, 2014). Moreover, low blood pressure adds to the risk factor of pressure ulcers, incontinence of urine or feces also considered risk factors. Prolonged surgery, anemia, higher body temperature, and vascular disease are all risk factors for pressure
Your breath can have a sweet smell caused by the high levels of ketones in the body. Being a diabetic you are also prone to losing sensation in the lower extremities causing it to be difficult to notice any pain or injury in your feet. It can also cause your skin to dry and crack on your feet. It is extremely important to keep an eye on your feet to make sure no damage is done.
Risk assessment scales have been in situ for over 50 years within the adult sector. These scales consist of several categories, which are thought to be associated with the potential occurrence of a pressure ulcer. Factors such as mobility and incontinence etc. are considered. Each category of the assessment is added up to give a total. The score then suggests whether a patient is at low, medium or high risk of developing a pressure ulcer. Higher-risk patients are therefore more susceptible to develop pressure ulcers and interventions are implemented such as, Air mattresses or nutritional support which is hoped to reduce the occurrence of pressure
...ssure ulcers can be preventable if there is a systemic and multi-professional approach to their prevention and continuing assessment of skin integrity. Mary was determined and worked well with the physiotherapist; she was up and on her feet within a week of returning. Staff had to prompt her to move around the ward, which at times was hard for her due to her anxiety. Mary was deemed high risk for falls, so was put on a prevention of falls chart in conjunction with the pressure area chart and repositioning chart.
Sayar S.,Turgut, S., Dogan, H., Ekici, A., Yurtsever, S., Dermirkan, F., Doruk, N., Tsdelen, B. (2009) Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers. Journal of Clinical Nursing 18, 765-774.
Thomas, D. R. (2001). Issues and dilemmas in the prevention and treatment of pressure ulcers: A
Education on the use of risk assessment scales in practice is identified as a recommendation along with the continued use of nurses clinical judgment being used combined with a risk assessment tool. This, along with surveillance for complications, is very relevant when considering the diabetic foot. Living with foot ulceration has been linked to diminished wellbeing, quality of life and physical health in patients. Identification of the patient’s pain status is vital when treating patients with diabetic foot ulceration and addressing the challenges of either pain or no pain.
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.
Pain and suffering is something that we all would like to never experience in life, but is something that is inevitable. “Why is there pain and suffering in the world?” is a question that haunts humanity. Mother Teresa once said that, “Suffering is a gift of God.” Nevertheless, we would all like to go without it. In the clinical setting, pain and suffering are two words that are used in conjunction. “The Wound Dresser,” by Walt Whitman and “The Nature of Suffering and Goals of Medicine,” by Eric J Cassel addresses the issue of pain and suffering in the individual, and how caregivers should care for those suffering.
Diabetic Neuropathy is a group of neurological disorders caused by nerve damage resulting from the effects of type one and type two Diabetes. There are several types of neurological diseases, each affecting the individual differently. Each disorder presents with it's own symptoms, prognosis, and risks. It is important for the diabetic patient to receive adequate education from their physician on the basic signs and symptoms of neuropathy. Early identification and frequent check ups can impact the effects of neuropathy greatly.
High chances are, you are reading this because you have purchased one of our “Rising Popularity” products, Stinging Nettle Root Extract. Let me give you the full assurance that you are on the way to reaping the benefits this herbal helper has to offer. This herbal plant, Stinging Nettle, has for the past years, been changing how people feel towards natural remedies. Stinging Nettle, as its name suggests, is armed with sharp needle-like spines on the leaves and stem. It can cause pain when our skin comes into contact with it. However, when in contact with sore areas, it has the ability to relieve pain.
In providing quality patient outcomes, current evidence based research has to be an important part of this process. With every new research proposal, a solid foundation has to be the basis for that specific research. The following paper is a literature analysis of current studies that support the use of negative pressure wound therapy (NPWT) in healing diabetic foot ulcers in adults. This paper will also discuss what search methods were used, strengths and weaknesses of each study, and the validity and relevancy of the research on the issue of non-healing diabetic foot ulcers in healthcare today.
Needle Stick Injuries among Nursing Students 1. Introduction A penetrating swab wound from a needle that may result in contact to blood or other body fluids called needle stick injury. Needle stick injuries are very common and often severe between nursing students. Many students injured themselves on hospital placements in lack of supervision and insufficient information which may result in serious health issues.
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.
Be sure that your shoes are comfortably fitted into your feet. Visit your health care provider if you have foot problems like calluses, athlete's foot, increasing numbness and infection. Diabetes causes nerve damage or peripheral neuropathy and because of this persons with diabetes are more likely to have foot problems. Foot injuries are hardly noticed because nerve damage leads to numbness or loss of feeling. Injuries can be easily infected and become deep tissue
In developing countries like Ethiopia postoperative wound healing still remains a problem to surgical patients and a challenge to clinicians despite that much effort on wound care management has been provided. Ethiopia still suffers from a lack of qualified health workers. Increased burden of diseases affects the quality and supply of effective health services, which has seen postoperative patients get inadequate wound treatment and wound (dressing) care management in surgical wards, resulting to wound healing delay and complications