Case Study on Wound Management : Essay

Running head: WOUND MANAGEMENT
Wound management Case Scenario
Name of the Student
Name of the University
Author Note

1WOUND MANAGEMENT
Wound management involves a successful assessment of the size, depth and appearance
of the wound and its effective treatment (Stevens et al., 2014). This essay will focus on a wound
management case study.
Betadine is an antiseptic medicine made up of povidone-iodine used to treat minor skin
infections and wounds (Ward Sr & Corey, 2014). In the case scenario, Mr. Jones wound needs to
be treated post a surgical lancing of a 12*11mm cutaneous abscess, formed due to action of
MRSA bacteria.
However, the nurse disagrees with the recommendation of the surgeon for using betadine
for wound healing. A randomized controlled trial conducted among 22 subjects tested the
outcomes of honey dressing and povdione-iodine dressings and measured the healing at an
interval of 6 weeks. 7 subjects showed complete healing in honey dressing group compared to
none in the betadine group (Gulati et al., 2014). Further, studies have shown conflicting results
that suggest that betadine creates toxic effects on mucous membranes and large open wounds
(Huynh et al., 2014). The toxic effects of betadine were demonstrated on epithelia HeLa cells an
increase in toxicity was exhibited in the form of upregulation in apoptosis at concentrations that
were low than the clinical doses (Sato et al., 2014).
Drugs like heroin and morphine, among others although provides pain relief but they
affect the immune system. Individuals who take drugs suffer from insufficient wound closure
and are highly susceptible to infection. Heroin addicted patients suffer from infected non-healin
wounds. Immunosuppression delays the recruitment of immune cells and further delaying wound
closure and bacterial clearance (Abavare & Abavare, 2012). Malnutrition causes metabolic