Case Study Review: Wound Management and Pain Management

Running head: CASE STUDY REVIEW
CASE STUDY REVIEW
Name of Student:
Name of University:
Author’s Note:

1CASE STUDY REVIEW
Table of Contents
Case study number 1........................................................................................................................2
Holistic assessment......................................................................................................................2
Principle of wound management.............................................................................................3
Evaluation of wounds..................................................................................................................3
Expected healing process.............................................................................................................4
Wound management plan............................................................................................................5
Health education to the patient....................................................................................................5
Pain management.........................................................................................................................6
Case study number 2........................................................................................................................7
Holistic assessment......................................................................................................................7
Evaluation of the wound..............................................................................................................7
Health education to the patient....................................................................................................8
Pain management.........................................................................................................................8
Reference.......................................................................................................................................10

2CASE STUDY REVIEW
Case study number 1.
Holistic assessment
Mr will Jackson is 77 year old patient who is suffering from rectal cancer since 5 years.
He has related issue of ETOH, COPD, GORD, T2DM and postural hypotension. He had
undergone CABG because of heart disease. He was hospitalized for severe pain, management of
wound and SOB. On examination, it was noted that he had stage three pressure ulcer on sacrum
bone. He had arterial ulcer situated at right lower leg and diabetic ulcer on left toe. He also
suffered third degree burn which happened on his left arm.
Diabetic Foot Ulcer- Diabetes foot ulcer are the sores which is caused by complication of
neuropathic and arteriopathy. There is nerve damage in the foot which make the person loss in
sensation. Jackson is having foot ulcer on his left toe (Armstrong, Boulton & Bus, 2017).
Arterial Foot Ulcer- It is sore caused by poor perfusion of blood lower extremities. This leave
the skin deprive of oxygen leading to damage of arteries and open wound. The ulcer is located in
the lower right leg of the patient. The wound swab has reflected its infection.
Pressure Ulcer- They are skin injury due to prolonged pressure on particular body part. The
patient is having stage 3 ulcer on sacrum bone. As the patient was diabetic, has worsen the
pressure ulcer
Second Degree Burn- The skin gets burned due to extreme heat where the epidermis get badly
affected. Patient got this burn because hot coffee got spilled over his left arm.
Principle of wound management
The principle underline by following points:

3CASE STUDY REVIEW
 Haemostasis- Is the step to stop bleeding by pressure or suturing.
 Cleaning of the wound- done to reduce the infection.
 Analgesia- given to reduce pain.
 Skin closure- help in faster healing of wound by skin adhesive strips or staples.
 Proper dressing- reduce contamination and enhance healing
Evaluation of wounds
Diabetic Wound Ulcer- On evaluation, wound is 3cm in diameter and 2cm deep. It was
noted that wound bed is reddish which shows occurrence of infection. Minor exudate is noticed
in the wound bed. The skin is slightly breaking around the wound. Hence, wound need quick
assessment.
Arterial Ulcer- The wound is 2×3cm in size. The wound is pinkish and surrounded skin is intact.
Clear watery fluid is observed in the wound. The wound shows sign of infection and MRSA test
need to be done.
Pressure Ulcer- The wound is deep and open. No exudate was noticed in the wound. It was seen
that wound bed is humid and red in colour. The skin surrounded by the wound is unbroken.
Hence, it is at stage two of pressure ulcer.
Burn Injury- The burn is not open and caused severe blisters. The skin not broken but it has got
inflamed.
Expected healing process
The process of healing of wound depends on age, diet of patient, type of wound etc.
There are four stages of wound healing. They are haemostasis, inflammation, proliferation and
remodelling (Gonzalez et al., 2016).