Principles of Wound Management in the Clinical Environment

APPLY PRINCIPLES OF WOUND
MANAGEMENT IN THE CLINICAL
ENVIRONMENT

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
Question 1 Wound Types............................................................................................................1
Question 2. Wound Management Techniques.............................................................................5
Question 3. Laboratory results.....................................................................................................6
Question 4. Development of contemporary management strategies...........................................7
Question 5. Standards..................................................................................................................7
TASK 2............................................................................................................................................8
1. Define wound dehiscence........................................................................................................8
2. Wound healing physiological and biochemical processes.......................................................8
3. Factors that can affect optimal wound healing........................................................................8
4. Pain and comfort management................................................................................................9
5. Strategies for prevention of disease spreading and minimise cross infection.........................9
6. 4 members of the Interdisciplinary team involved in care strategies for wound healing........9
7. Interventions appropriate for wound healing techniques and products.................................10
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11

INTRODUCTION
Wound management is a term that includes complete spectrum of holistic clinical measures,
interventions, methods in patient care with wounds (Pavletic, ed., 2018). There are various kinds
of wounds that are required to be known by the nurses so that proper treatment of the wounds
can be done in such a manner that complications related to the wound can be avoided. This this
assignment different types of wounds will be discussed, different types of wound management
therapies and questions related to a case study of Sarah Victor who has an abdominal
hysterectomy and was readmitted to the hospital with wound dehiscence.
TASK 1
Question 1 Wound Types
a) Surgical incisions
Define: It is a kind of cut which is made though soft tissue and skin for a procedure or operation.
Causative factors: there are various factors that lead to surgical incisions, but one of them is
requirement of operation for treatment when surgeon makes incision with surgical instrument.
Special nursing considerations: Proper dressing over incision, changing of dressing regularly,
cleaning of surgical incision (Park, Hwang and Yoon, 2017).
Complications: If infection occurs over surgical incisions, it can cause redness of skin, pain,
drain pus, hot on touch.
Treatment method: Prescription of antibiotics to reduce pain and reduce infection chances, Time
to time dressing, specific exercise to heal wounds.
b) Arterial Ulcers
Define: It is a kind of wound cause by poor perfusion to lower extremities. Overlying tissue or
skin are oxygen deprived.
Causative factors: Some of the common factors are: obesity, limited joint mobility, diabetes
mellitus, renal failure etc.
Special nursing considerations: Clean wounds, apply antibiotics or ointments on affected region,
provide special instructions to patients.
Complications: When left untreated it can lead to serious complications like: tissue necrosis,
infection, amputation of affected limb.
Treatment method: provision of various kinds of related therapies such as compression therapy,
increase circulation in affected arterial ulcers part either surgically or medically.
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c) Venous Ulcers
Define: Wounds that are caused by abnormal vein function. Many times, people either inherit or
have a tendency for abnormal veins (Suntar and et.al., 2017).
Causative factors: Most common factors are: blood clots, obesity, injury or ageing or when there
is break in skin.
Special nursing considerations: Focus on promoting healing by applying gauze pads that
moisturized with sterile water, usage of get for promotion of healing.
Complications: infection is one of the main complications associated with it that can result in
pus, fever, swelling, increased pain.
Treatment method: Leg elevation, compress wound, if required surgery by removing unhealthy
tissue.
d) Mixed Ulcers
Define: Result of combination of arterial and venous Ulcers and if not treated properly then it can
either worsen or can reoccur.
Causative factors: Mostly Mixed Ulcers occurs from venous and arterial ulcers that has not be
controlled and in increasing.
Special nursing considerations: Making patients exercise in order to reduce weight and increase
blood flow, monitor diabetes patients blood sugar level.
Complications: Risk of infection that can lead to septicemia or cellulitis, immobility can result in
ulcer worsening (Rosenbaum and et.al., 2018).
Treatment method: reducing weight can reduce this Ulcer, in case of diabetes: blood sugar level
should be reduced and in worse case by surgery affected tissue can be removed.
e) Malignant wounds
Define: It is a kind of cancerous lesion of the skin that might be draining. It can either be an open
area or cavity on skin surface.
Causative factors: Mostly Malignant wounds occurs because of spreading of cancer from skin to
another site or because of primary cancer such as breast cancer that cause Malignant wounds
Special nursing considerations: prevention of infection from the wound from one body part to
another, reducing pain, bleeding and bad odour by doing proper dressing to the wound.
Complications: Poor treatment can increase chances of infection that can result in decreased
quality of life.
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