Wound Case Scenarios - Desklib

Running head: WOUND CASE SCENARIOS 1
Wound Case Scenarios
Student’s Name
Institutional Affiliation

WOUND CASE SCENARIOS 2
Case 1 scenario
Holistic assessment
Mr. Jackson has a critical medical history; he has undergone coronary artery bypass grafting
which involves a surgery that focuses on improving the flow of blood to the heart following
ischemic heart disease. He seems to have been undergoing pain and wound related issues for
quite a very long time. his state of health has contributed to developing three wounds: he has
diabetic foot ulcer on his left toe that needs urgent debridement. His right lower leg has arterial
ulcer which seemingly is infected. His sacrum bone has one pressure ulcer that is at stage three;
the pressure ulcer causes him a lot of pain especially when he lies in a supine position.
Diabetic foot ulcer
Diabetic foot ulcer is a type of wound that affects two to ten percent of those having diabetes.
The risk of developing such a wound increase with time. it looks a red crater in the skin. most of
the ulcers are located on the side of the foot or the bottom. The round crater could be surrounded
by a broader of thickened skin, this broader develop over time which is characterized by a light
yellowish color. Diabetes foot ulcer is common in individuals with diabetes. It is majorly causes
by high blood sugar levels because of diabetes, poor circulation of blood, nerve damage, issues
with immune system and infection. some of the investigation required for the wound are blood
tests, X-ray, MRI scans, physical exam and medical history (Armstrong, Boulton& Bus, 2017).
Wound investigation
Medical history, X ray, MRI scans and blood tests will be appropriate in helping investigating
the wound.

WOUND CASE SCENARIOS 3
Wound management
Requires wound offloading by using proper therapeutic footwear
Daily using of saline and dressings to provide environment that is moist
Arterial ulcers
Arterial ulcers are also called ischemic ulcers by poor perfusion r what we call poor delivery of
the food rich in nutrients to the lower extremities. The skin and tissues overlying are then
deprived of oxygen, making the tissues and cells within the area, leading to formation of an open
wound. Additionally, lack of supply of blood could result in cuts or minor scrapes failing to heal
and ultimately developing into ulcers (Riot et al., 2015)
Arteries are usually responsible for carrying nutrients and oxygen that is rich in blood t the
various tissues in the body a restriction of these blood from flowing could lead to arterial ulcers.
Wound investigation
Investigations would involve seeking to know the medical history and performing diagnostic
tests which might involve swabs. They can be investigated through some degree of hypoxia
Wound management
Improving circulation of wound and controlling the pain
use of occlusive dressings to protect the ulcer from infection
Maintain a moist environment.
Pressure ulcer