Nursing Essay Assignment

Added on - 04 Oct 2020

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Nursing Essay
TABLE OF CONTENTSQUESTIONS...................................................................................................................................11. Physiological basis for appearance of wound.........................................................................12. Sources of wound contamination............................................................................................13. Rationale for the choice of antibiotic and action mode of Dicloxacillin antibiotic................24. Wound healing process...........................................................................................................3REFERENCES................................................................................................................................5
QUESTIONS1. Physiological basis for appearance of woundThe appearance of laceration can be from mild to serious. The epidermis is broken andskin layer is torn. Mary's wound is accompanied by purulent discharge. This type of wounddrainage is thick and has milky appearance. Its colour can be white, green, brown or yellow.Purulent drainage indicates the severity of infection around wound site. Usually liquid seepingcan be considered normal in laceration but the continuous flow and increase in the liquiddischarge indicates that drainage is purulent type and need to be addressed immediately (Kannusand et.al., 2018). However, it can be said that when Mary gottrod on a broken glass bottle, herwound dilating blood vessels would have started causing purulent discharge.The wounds make it easy for bacteria's and germs to enter beneath the broken skin. Theseinfections causing elements spread throughout the tissue and leads to swelling and pain. Thesame has been observed in case of Mary. Her wound was swollen and it was warm whentouched. When Mary was encountered with injury, it can be said that her white blood cellsimmediately engaged in debris removal. A sequence of biochemical pathways makes attempts torepair the wound. Firstly, the platelet's make actions which causes homoeostasis or clotting ofblood. Through the process of phagocytosis, the dead cells and bacteria are cleared.However, at the time of incident Mary bandaged wound by using her handkerchief.Therefore, it is possible that handkerchief may have infected bacteria which stick to dead cellsand entered into tissue. This is the major cause of infection in Mary's wound which was swollen,red and warm. If bacterial infections do not take place then, wound appearance may change tonext phase due to the growth of new tissues by process of proliferation in which woundcontraction takes place to reconstruct the injured blood vessels. In the final stage of woundhealing tissues are remodelled so that wound is cured completely (Cho and et.al., 2015).2. Sources of wound contaminationThe two possible sources which have contaminated Mary's laceration can be endogenousas well as exogenous.Endogenous sourceIn this type of infection, the patient become infected from the bacteria present in ownbody. Usually these bacteria's causes infection after particular biological alteration such as1
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