Nursing Report: Factors Affecting Wound Healing and Osteoporosis

This report presents a comprehensive analysis of a nursing assignment, focusing on the critical aspects of wound healing, skin integrity, and osteoporosis. The assignment delves into the physiological processes of wound healing, examining the various phases and factors that influence the healing pr...Read More

Running head: BACHELOR OF NURSING ASSIGNMENT
BACHELOR OF NURSING ASSIGNMENT
Name of the Student
Name of the University
Author note

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(1). The most significant function of skin is the preservation of common equilibrium and it
provides care to the anatomy oppose to the outermost layer of the wound. The dermis, epidermis
and the subcutaneous layer control the power and flexibility of the skin. According to Kim et al,
(2019) as skin gets aged, the width of skin is diminished, the elements of the connective tissue as
well as the attributes of the connective tissue are crumbled. Lots of experiments are done till now
for changing the potential of the integument in order to protest harm and bunt because of the
changing of the age of dermis an epidermis. The intersection of the dermis and the epidermis
becomes smooth and because of this the skin gets rubbed easily. According to Bonifant and
Holloway(2019), because of the modification in the formation of the connective tissue, the flesh
is unable to bend within the dermis. In order to distinguish the actual order and the obstructer
order, the inducing judgment is very essential. The local factors which affect the process of
wound healing are oxygenation, infections, foreign body and venous sufficiency. The systemic
factors which contribute to the wound healing process are age and gender, sex hormones, stress,
disease like diabetes, fibrosis, healing disorders, jaundice, uremia. The other factors which
contribute to the wound healing process are medications like glucocorticoid steroids and
chemotherapy. The process of healing is disturbed in the wounds areas where the oxygenation is
not properly restored. Temporary hypoxia after the injury lead to healing of wounds. The
hypoxia works as the signal which stimulates different aspects of wound healing. In the normal
wound healing process, hydrogen peroxide and superoxide act as cellular messengers in
stimulating the key process associated with the healing of wounds. Once the skin gets injured the
microorganisms spread to the area of skin below the skin surface. The contamination means the
presence of non-replicating microorganisms which determine the classification of wounds. As

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Joyce was an aged person of 77 years, the structural integrity of her skin had changed and
because of this she was taking prolonged recovery time for healing the wounds.
(2) The wound healing a very complex process of replacing the missing cellular structures and
also the layers of tissues. The process of healing of wounds of about humans occurs in 3 to 4
distinct phases. There is a well-connected sequence of multicellular pursuit (Ashcroft et al.,
2002). The usual process of healing of wounds are affected by a number of elements (Guo and
Dipietro 2010; Gould and Fulton 2016). Among the older adults the deeply rooted wounds are
increased and it also effects the quality of life which is very intense in the society. It is accepted
universally that the process of healing of wounds slows down as the age increases. The guidance
of the differences related to the age group are hardly accepted, especially the differences related
to the relieve of wound and also the differences related with the fundamental neurobiology about
the chronic wounds. Still now the specifications are not clear regarding the effect of the old age
and also regarding the effect of multi-modular on the effect on the emergency of hospitalization
and also the actual affectivity of perspectives. The clinical trials from the aged people are
inclined to be prohibited. Previously the authors used to tell that there are only three phases of
wound healing which are inflammatory, fibroblastic and the phase of maturation but now
scientists have proposed that there are four phases of wound healing- inflammatory phase,
proliferation phase and remodeling phase. In the three phase approach the homeostatic phase is
contained within the inflammatory phase (Rowan et al. 2015). With increase in age the four
phases of wound healing are slowed down and so the process of wound healing of Joyce had
slowed down.
(2) (1) The diet of an individual is required for the contribution by DHA is the key digestible n-3
PUFA. The retinal and the neuronal cell membrane are found in remarkable size by DHA due to

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its high fluidity. The possibility of hopelessness, bipolar dis-order, cardiovascular diseases, and
schizophrenia and mood changes may happen because of the huge amount of consumption of
DHA (Cardoso et al. 2016). Alternatively, the healthy aging of DHA plays also an important role
by hampering the anthropogenesis, dementia disease and in general the other disorders of brain
for enhancing the remembrance and also nourish the neuroprotection at the same time only. Past
researches have showed that DHA is related with the decline of the cognition on a very lower
level when a person gets older. Different mechanisms were there which gave the rudimentary
DHA task importance. Neuroprotectin D1, a DHA imitative, receives the support from the brain
power cell outlive and also the repair through ant apoptotic, neurotropic and anti-inflammatory
signaling. When the neurological disorders get significant and connected to the cognitive and the
mental health and the analysis that will provide importance on the guidance of the DHA shortage
against the older people. As a person grow old, the person lose the ability to digest food and so
Joyce had also lost the function of the digestive system
(2). The constipation is not actually a disease but is the consequence or the side effects of the
medicines that the patients take in order to reduce the disease that the patient is suffering from. A
person suffers from constipation when the movements of belly occurs less than the normal value.
The diet plays an essential role in the regulating the constipation of a person. Some important
sources of fiber are whole wheat, peasecod like the kidney beans, fruitiest like apples including
the skin, orange and vegetables like carrot. A person must take a lot of water and also other good
liquids for maintaining the health and keeping hydrated so that the constipation can be avoided
and the person must avoid foods like chips, frozen meals and fast foods. A person suffering from
constipation must practice yoga, particularly those yoga which are helpful in normalizing the
bowel movements and clearing the constipation. The person should change the life style for

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reducing the problem of constipation. In the given case study, Joyce took proper healthy and
fibrous foods and also some yoga techniques played an essential role in relieving constipation
(Dound et al. 2018). She had to take medicine as she suffered from fall and fractures previously
because of which she suffered from constipation. Constipation is mostly caused as the side
effects of taking excess of medicines. Patients need to consume lots of water along with the
consumption of medicines and if the patient do not take enough water then constipation is bound
to happen. The constipation musty be treated during the early stages only, otherwise it gets
increased.
(3) (1). Mathew’ Joyce’s son must be described about her disease in details. The disease
osteoporosis is becoming load on the physical care throughout the world due to its skeletal
disorder which can be distinguished by other influence of the composed strength of the bones to
an individual to the growing risk of fractures. Mostly women who are above 30 years of age
suffers from osteoporosis. The female and the increase in the joint pain are joined with each
other (Aspray and Hill 2019). The depletion of the mass of the bone to any well admitted disease
or the representatives of pharmacy are responsible for the recognition of the subordinate
osteoporosis. The ability to impact skeletal muscle fitness, osteopenia, osteoporosis and chance
of fracture have in dietary fat. Dietary fat intake consists of different fatty acids, which include
saturated fatty acids, polyunsaturated fatty acids, n-3 polyunsaturated fatty acids and
monounsaturated fatty acids and saturated fatty acid.
(2). The three factors which led Joyce to develop the disease are age, lifestyle and nutrition. Age-
The rare of injury of patients with wound of vertebral fluid and misrule are reported to
medications for the osteoporosis but still the medications are prescribed. The age is the most
important risk factor which is associated with the highly musculoskeletal disease involving

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osteoporosis, osteoarthritis and sarcopenia. The age related problems of osteoarthritis delays the
onset of the development of processes and the rodent model of the older age has been decelerated
by increased life span. Lifestyle- Age to the disease osteoporosis, the patient can lose the values
of living. and also lose the interest in the everyday activities because of wordless illness with
dismissive outcomes. Joyce should have changed the lifestyle of living in order get relieve from
osteoporosis. The osteoporosis affects women more than male at the point of their lifespan and
known to be gender specific (Riggs et al. 2004). Nutrition- In the procedure of bone rectification,
the osteoblasts and the osteoclast interchange among each other. Dropping in the bone fluorites
continuously is one of the risk factor which also includes reduced submission to estrogen level
and a drop in the vitamin D level can inductee changes. Yoo et al, 2018 told that because of the
increased risk of the persistent falls, the optical acuteness is diminished which is also a danger
element for breakage. (4) The most important sources of osteoporosis injuries that happened to
Joyce are the reduction in the mass of bones, anatomical decline and falling of the soaring
density. Some studies shows that vitamin D along with calcium supplements reduces fractures
caused by osteoporosis. The calcium can be taken through diet and or through supplements. The
physical structure of every individual works ineffectively because of the insufficient vitamin D.
Some physiological functions are there which require vitamin D in particular, bone power,
partnerships of the contractile organ, deliver hormone and reducing the expansion of cancer.

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