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Case Study on Holistic Wound Management

   

Added on  2020-10-22

7 Pages1686 Words370 Views
Case Study

INTRODUCTIONWound management refers to an ongoing process of wound treatment with the help ofproviding appropriate environment of healing by direct and indirect methods along withprevention of skin breakdown. It can be considered as complex procedure in which skin andtissues repair themselves after an injury (Pavletic, 2018). The present report is based on givencase studies related to Mr. Will Jackson and Mrs. Miriam Gold including their health woundsand health condition. It will focus on wound management plan by conducting holisticassessments of patients and evaluation of type of wounds present in both cases. The woundmanagement plan, health education about wounds and pain management is give below. CASE STUDY 1Holistic assessment of patientAccording to given case, Mr. Will Jackson is a 77 years old man who has been admittedto the ward for pain management, SOB and wound management. However, the medical historyof this patient includes IHD previously CABG (2 years ago), COPD, ETOH, GORD, posturalhypotension and T2DM on insulin. The assessment has been done with the help of carrying outCT Scan which results into NAD along with analysing a massive bruise on face due to fall athome with head strike. Regarding types, it is examined that he has a diabetic foot ulcer, arterialulcer seems to be infected and has 2 small pressure ulcers on his sacrum bone. The diabetic ulcer refers to a common complication of poorly controlled diabetes whichresults into breakdown of skin tissue and exposing layers underneath. Arterial ulcers created as aresult of damage to the arteries due to lack of blood flow of tissue. Pressure ulcer refers to woundthat develops when constant pressure or friction on sacrum of body damages skin (Bano And et.al., 2017). The investigation of wounds is required to determine kind of infection in order toadvice accurate medication for the same. Principles of wound management consist haemostasis,cleaning the wound, analgesia, skin closure and dressing & follow up advice. Evaluation of each type of woundThe diabetic ulcer is yellowish in colour and surrounding skin appears to be red whereasarterial ulcer is seems to be infected with pus appearing red on surrounding skin. It is advised towound swab to be taken and send to pathology and analyse that it is infected. The sacral ulcercause severe pain when patient tries to lying in supine position.1

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