Wound Management Plan 1 for Post-Operative Knee Replacement Infection

Verified

Added on  2023/04/24

|7
|662
|297
AI Summary
Read about the wound management plan for Mr. Noel Frost, a 65-year-old patient suffering from post-operative wound infection after total knee replacement. Learn about his medical history, wound type, dressings, diet, and mobility.

Contribute Materials

Your contribution can guide someone’s learning journey. Share your documents today.
Document Page
Wound Management Plan 1
Reason for this admission : The patient has undergone total knee replecament and
is suffering frompost operative wound infection
Name of patient: Mr. Noel Frost
Age: 65 years
Social History: Has a wife and two daughthers (married) and 5 grandchidren.
Occupation: Retired civil engineer who has been working a senior lecturer
Cognition: correct orientation to time and place
Principle diagnosis: osteoasrthritis
Medical History: osteoarthritis, hypertension, , Type 1 diabetes
Type of Wounds: wound in knee
Dressings: At right knee with crepe bandage, kept intact
Diet: through IV in the wrist
Elimination: 12 times a day
Mobility (pre-admission): 2 wheel-walker (around the house), crutches & WC
(outside house)
ADLs: Top half (100% independent)
Lower half (70% independent)
FOR OFFICIAL USE ONLY Holmesglen: fd/nursing æOct-2018 Delivery & 2\HLTENN006 - Apply principles of wound management\New Assessment 201 Mssessment Task 1-
Simple Wound\Wound Management chart.d00(

Secure Best Marks with AI Grader

Need help grading? Try our AI Grader for instant feedback on your assignments.
Document Page
Document Page
(5 z
z
WOUND CARE ASSESSMENT &
PLAN
Only One (1) Wound Per Form —
Circle or tick responses as appropriate
Legend for Wound Stages Location (circle site on
Stage Skin Integrity Appearance Exudate
Intact/Non Blanchable Erythema or Discolouratjon None
2 Superficial Loss Erythema, hot, painful or
oedematous Low / Mod
3 Loss of B/c tissue wit) cavity Sloughy, Necrotic, Red Low / Mod i High
4 Loss of s/c tissue with cavity, Red
Sloughy, Necrotic,
involving bone, muscle or tendon
Low / Mod / High
Unstageable Loss of tissue with cavitv,
unab'e to view base of wauhd Slough, Necrotic, Red Low / Mod i High
Suspected
Deep [6)
Intact but suspected to have
deep tissue involvement
Intact, Discoloured or blood
filled blister None
WOUND TYPE:Pressure injurya Burn Arterial ulcer
Venous ulcerMalignant Haematoma Diabetic ulcer
LacerationAbrasion Surgical Incision
BlistersSkin Tear a Omer
Date: Time: Date: Time: Time:
Dimensions: 4incles
10 inches Widdi
Depth
Length
cm
cm cm
cm
cm
cm
Stage:
Photograph:
Consent obtained Yes / No
Photograph Yes / No Photograph Yes No Photograph
Wound Swabs: Wound Swab Yes / No Wound Swab Yes / No Wound Swab
Results of swabs:
Nurse Review: Nurse Review Yes / No I Nurse Review No Nurse Review
Duration of Wound:
mths = Months
< 3 mths / 3-6 mths /
6-12 mths / 12+ mfrs
< 3 mths f 3-6 /
6-12 mths / 12+ mths
< 3 mths / 3-6 mths /
6-12 mths / 12+ mths
baldate: Amount:
Type:
a Nil a Mod Q
Heavy
a Low a
Mod Heavy Low a
Mod Heavy
Serous Purulent
Haemoserous
C) Serous a Purulent
Haemoserous
a Serous Pun.]lent C.I
Haemoserous
Drains Insitu
Odour: Q Offensive NÉE I C) Offensive Nil Offensive Nil
Colour of Wound and
Surrounds
colour a Pink
epitheiisation Cl Red -
granulating
Yellow - slough
Green - infectious
Black -necrosis
Colour (Tick)
Pink - epithetisation
Red granulating
Yellow -
slough Green
- infectious
aack -
necrosis
Colour (Tick)
Pink - epitheiisation
a Red - granulating
Yellow - slough
Green - infectious
Black -necrosis
Surrounding skin: Healthy
fragile O Macerated
Inflamed Q Discoioured
Other
Heatthy Dry/Scaly
Fragile Q Macerated
Inflamed Discoloured
Other
Healthy C] Dry/Scaly Fragile
Macerated inflamed
Discotoured
Cl Other
Suture Line: jaggered Q Clips / Sutures insitu Clips / Sutures insitu a Clips / Sutures insitu
Present on admission:
Comments:
Pain on dressing change
Severity Score (Score 1-
10): 3
RN Printed Name:
RN Signature:
Intermittent Intermittent
Document Page
Right knee
Crepe bandage
Aquacell or tegaderm
Pearson
David
Male
Twice a day
Saline,
Ringer’s solution
Hydrogen peroxide

Secure Best Marks with AI Grader

Need help grading? Try our AI Grader for instant feedback on your assignments.
Document Page
Document Page
Document Page
1 out of 7
circle_padding
hide_on_mobile
zoom_out_icon
[object Object]

Your All-in-One AI-Powered Toolkit for Academic Success.

Available 24*7 on WhatsApp / Email

[object Object]