Wound Management Case Study

Running head: WOUND MANAGEMENT
Wound Management Case Study
Name of the Student
Name of the University
Author’s Note:

1WOUND MANAGEMENT
Healing process of open is a dynamic and complex process and it is varies according to the
patients’ medical condition, health status and wound environment. The principles of wound
management depended on the principles of physiology (Flanagan, 2013). Generally, it is
follows the phases of haemostasis, inflammation, granulation and maturation. Wounds which
does not heal as normally and expected should be approached with holistic, patient- centred,
collaborative, and inter professional approach. The best practice principles of wound
management are provided below:
 Identification of best available treatment.
 Evaluation of risk factors related to patients
 Recognition of limitations (Dimauro et al., 2014)
Therefore, the purpose of this article is to provide a holistic wound management plan for the
Mr Will Jackson and Mrs Miriam Gold.
Case study of Mr Will Jackson:
Medical History: Mr Will Jackson is 77 years old man who was admitted to the hospital for
the pain from his diabetic foot ulcer and arterial ulcer. The patient has another pressure ulcer
on his sacrum bone which was discovered after his admission to the hospital. In addition to
this, patient also had a burn injury in his left hand which has happened due to the spilled
coffee. Diabetic ulcer generally caused around 15 per cent of diabetic patient under the foot
while arterial ulcer occurs due to poor perfusion and is generally occurs in the lower
extremities of the body. In accordance to the previous statement, Mr Jackson diabetic ulcer is
situated under his left toe and his arterial ulcer is in his right lower leg. In addition, he also
has bedsores which commonly occur due constant pressure in his skin. Mr Jackson’s arterial
ulcer is infected and it should investigated for the type of infection and which bacteria are
responsible for the infection.

2WOUND MANAGEMENT
Mr Jackson’s each type of wound’s evaluation, expected healing process, wound
management plan is presented in the following table.
Type of
wound
Evaluation Expected healing
process
Wound management
plan
Diabetic foot
ulcer
This wound is around 3
cm in diameter and it is
around 2 cm deep. The
wound bed is pinkish
in colour which might
indicate the presence
of pus. There is slight
wound exudate in the
wound bed. Skin
around the wound is
breaking down
slightly. This wound
should be checked for
infection (Moura et al.,
2013).
Expected healing
process is complete
epithelialization of the
wound and no exudate
will be present.
Expected healing time
is around 1 month.
Wound management
plan for this type of
wound is:
 Infection
prevention
 Taking off
pressure form
the wound
 Managing
blood glucose
level
 The wound
need to be
bandaged and
clean
 Daily cleaning
of the wound
(Moura et al.,
2013)
Infected
Arterial
Ulcer
The wound is around 2
– 3 cm in diameter.
The wound bed and the
surrounding skin is
pink coloured. The
skin around the wound
is intact. There is a
presence of slight
exudate (clear fluid) is
noticeable in the
wound. This wound is
infected and as the
patient is staying in
hospital, MRSA
infection in the wound
should be checked.
This type of ulcer
wounds are very hard
to heal and proper
treatment is require for
healing process.
Expected healing time
for this type of wound
is 1 – 2 month with
proper care.
Wound management
plan for this type of
wound is:
 Increment of
peripheral
blood flow
 Managing
blood glucose
level
 Elevated
sleeping
position at the
head end
 Avoidance of
vasoconstrictive
drug (Powers et
al., 2016)
 Wound should
be dressed with