Apply The Principles Of Wound Management To The Clinical Environment

Apply The Principles Of Wound Management To The Clinical Environment

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Question:

Task Instructions:

You are required to write a wound management for Noel Frost (Case Study) who has undergone a total knee replacement surgery. This assessment requires you to fill out a wound management plan

please address the following:

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  1. Principle diagnosis of the patient which includes:
  • Presenting problem
  • Other medical conditions (including chronic health conditions)
  • Reason for admission to hospital
  1. Evaluation of the wound management plan including:
    • Wound bed status (include colour/s)
    • Wound measurements
    • Condition of surrounding skin (ie intact, breaking down)
    • Wound exudate (colour, consistency, odour)
    • Frequency of dressing change
  1. Physiology of the healing process taking into consideration the wound and any factors that may impact on the healing process (ie chronic health conditions, location of wound, age ofresident)
  • Expectation of healing process (elaborate more towards the physiology of healing process, ie. chronic health condition, age of the patient, location of wound) and also the type of wound healing (eg. Primary intention or secondary intension)
  1. Evaluation of the wound management plan including:
  • Dressing/s
  • Frequency of dressing changes
  • How the wound is cleaned
  • Progress being made
  1. Health education that may be provided to the resident in regards to their wound
  • Actual or potential impacts of the wound discussed. You may wish to consider inability to perform normal Activities of Daily Living and complication of post-op wound
  1. Pain management relating to the wound including:
  • Medication/s accurately discussed
  • Time, frequency and dose provided
  • Justification for using particular medication provided
  • Patient’s education about pain management
  1. Completed wound care assessment plan, wound chart and progress notes chart with allrequired details fill out (provided to students via Brightspace)

Case Scenario

Mr. Noel Frost is a 65 year old male who has been admitted into Bolton Clarke (community nursing). He had total knee replacement on 1st December 2018. The post-surgical course was complicated by a wound infection and he was treated with IV antibiotics for 3 days while in hospital. After 5 days, the IV antibiotics was changed to oral antibiotics to transition to home. Mr. Frost went home after been hospitalised for 10 days and will continue with community rehabilitation 3x a week. GP follow up was scheduled on 12th December 2018 for ½ staples removal.

Prior to the Total Knee Operation, Mr. Frost has been suffering from osteoarthritis for around 3 years. He is a civil engineer who has been working as a senior lecturer in the university. For the last 1.5 years, Mr. Frost has been using single point stick (SPS) to walk. The pain was quite excruciating at times especially when he is doing long standing.

Mr. Frost lives with a supportive wife. They’ve been married for 40 years and has been blessed with 2 daughters and 5 grandchildren. Mr. Frost found it harder to move around and this is the reason why he decided to have TKR surgery. He doesn’t like to be a burden and still very independent with ADLs.

On day 3 post-discharge from hospital (13th December 2018), you are sent to visit Mr. Frost at home. This will be the 1st visit from community nursing. You are required to do a compete wound assessment plan, remove other ½ of staples as per doctor’s order and dressing the wound as necessary.