Wound Care Management: Best Practices for Nurses

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WOUND CARE MANAGEMENT
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2. 1.2.1
Practicing hand hygiene through washing hands and forearms before assessing and managing
wound care. Nursing personnel should wear surgical gloves for infection control and prevention
(Baranoski & Ayello 2016). Ensuring that they receive recommended vaccinations as it into
lowered transmissions and risks. Maintaining a clean, sanitary environment and adhering to
infection prevention procedures. Carrying out surveillance to be able to receive data on infection
patterns.
3. 1.3.1
The dressing absorbs exudate so that the moisture level around the wound is controlled. Taylor
(2018) note that dry gauzes dry wound by strongly absorbing exudate. To debride the wound by
removing slough. The dressing applies pressure to the wound to avoid fluid collection in the
tissue. Pressure dressings are applied in the treatment of burns.
4. 2.1.1
Wound assessment is the checking of the wound treatment modalities and healing rate. Before
addressing the wound, the patient is assessed overall using H.E.I.D.I step. Ryan (2014) notes that
H is history, that is medical, pharmacological, surgical and social; E is examination where the
patient is wholly examined. I is for investigations which entails blood types if there is a need for
scans and X-rays. I is implementation which involves the plan care. Wound assessment is carried
out through considering parameters such as the tissue type, the wound exudate ( i.e., volume and
type), periwound condition, the level of pain and the size of the wound.
5. 2.2.1

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A much slower healing process sometimes associated with pain is associated with patients who
suffer from depression and anxiety compared to those who have a positive attitude. Both
psychological and emotional considerations are felt in varied ways with patients nursing wounds
(Australian Wound Management Association 2010). The psychological considerations that affect
the wound come about due to experiences such as shame on the family burden, anxiety about
health and finance outcomes, grief due to change in body image, isolation from friends/ family
and depression on diminished quality of life.
6. 2.3.1
Wound infection is a complication in wounds that cause delayed healing and nurses have the
obligation and responsibility to determine the infection through carrying out wound bed
preparation that is effective through utilizing topical antimicrobials. Osteomyelitis is a chronic
wound that spreads to the underlying bone and tissues. Nurses are charged with ensuring that
such wounds are attended to through antibiotic therapy (Maani, Hoffman, Fowler, Maiers,
Gaylord & DeSocio 2011). With issues such as periwound dermatitis is skin damage linked to
moisture, the nurses are supposed to use dressing absorbent to handle exudate and use skin
sealants to prevent skin breakdown.
7. 2.4.1
I will first explain to the family, then family and patient that burn infection as the growth and
multiplication of microorganisms within the wound. I would describe that cross-infection is the
transfer of microorganisms between individuals and objects. The risks of infection include not
securing the dressing and incontinence. Management of the burn infection will entail treatment.

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Carry out debridement to remove dead skin and cleanse it with cetrimide solution. Perform daily
dressing and wound inspection. Record the process of infection management for stakeholder use.
8.
3.1.1
1.
In ballistic wound assessment, there is a need to practice ‘A, B, C, D,’. Airway – Check if the
patient is breathing. Basic maneuvers are used to open an airway which will later assist to supply
oxygen using a facemask. Breathing – Determination of if the patient is still breathing as asserted
by Bogie (2011) is carried out, and if not, then mouth to mouth breathing is performed or
supplying oxygen using a facemask. Circulation – Check if there is blood loss and also pressure
can be applied on the wound to prevent blood loss. The victim's pulse can be monitored at the
wrist. Disability – A quick check of deformity is performed through neurology. Exposure – All
clothes are removed to examine the entire body for entry and exit wounds. Undressing done with
caution
2.
Intrinsic factors
Age affects wound healing in a way that as one age the critical wound healing phases diminishes
and also due to the epidermal skin layer are prone to injury because it becomes thinner during
aging. Wound healing is challenging and completed due to the immune system that is
suppressed. A reduced sensation on the skin affects wound healing in that affected individuals
are prone to injury because the skin is not effectively sensitive.

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Extrinsic factors
Poor nutrition is a crucial cause of difficulties with wound healing. Ng, S-F, and Leow (2015)
notes that alcoholism and anorexia causes lead to malnutrition while on the other hand, obese
individuals have an inadequate blood supply, therefore, inadequate oxygen required for tissue
repair. Stress causes challenges in wound healing due to alteration in body response to injury and
stress causes the release of a lot of hormones/chemicals which lower wound healing process.
9. .2.1
i. Nurses
ii. Physicians
iii. Dermatologists
iv. Physical therapists
v. Medical Laboratory technicians
10. 3.3.1
By being certified as a practicing nurse because the certification shows the public that there are
competency and commitment. Being certified enables medical practitioners to demonstrate their
expertise and validate their knowledge and experience to patients and employers (Merlin-Manton
2017). Joining professional organizations maintains the knowledge because it enables being
abreast on changes that impact on nursing. Attend meetings and conferences where there are
chances of networking with other health professionals, which allows learning and gaining
information related to the nursing profession. Reading peer-reviewed journals related to nursing.

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Enroll in formal education to enhance new perspectives, improve the knowledge base and keep
updated on the changing health care needs.
11. 3.4.1
NSQHS standards are standards developed by the Australian Commission on safety and quality
in health care, state and territory partners, the private sector and consumers to provide Australia
with improved quality of health services. Australian Commission on Safety and Quality In
Health Care (2013) states that NSQHS standards provide how care should be offered by
organization’s that engage in health care and the systems that are required to provide the care.
The standards aim at protecting the public from harm provide mechanisms of quality assurance
that check the existence of relevant systems, enhance the quality of health service provision,
ensure the lowest levels of quality and safety standards are met and provide quality improvement
mechanisms that enable health services to accomplish development goals.
12. 3.5.1
3.1 All-inclusive assessment of the patient wellbeing linked to wound healing carried out through
documentation.
3.2 Skin assessment as suitable to the individual such as risk valuation.
3.3 Broad assessment records of wound documents.
3.4 All-inclusive and current evaluation of the patient’s healing environment identifying factors
that influence confidentiality.