NURS2007: Comparison and Critique of Wound Care Guidelines

This report undertakes a comparative analysis of two clinical practice guidelines related to wound care management. The assignment, completed for the NURS2007 course, involves a critical evaluation of the selected guidelines, focusing on their strengths, weaknesses, and overall effectiveness in guiding clinical practice. The AGREE II tool is employed to assess the quality and rigor of the guidelines, examining aspects such as scope and purpose, stakeholder involvement, rigor of development, presentation, and applicability. The report identifies and discusses the key differences between the guidelines, providing evidence-based rationales for the author's judgment regarding their relative merits. The findings of the AGREE II tool are included in the appendix, offering a detailed breakdown of the assessment criteria and the scoring of each guideline. The aim is to determine which guideline is better supported by current evidence-based practice, contributing to improved patient outcomes in wound care.

RUNNING HEAD: WOUND CURE Management 1
Wound Cure Management
Name
College

MA A M TWOUND CURE N GE EN 2
Table of Contents
Introduction...............................................................................................................................................3
Wound Appearance Mechanism..............................................................................................................3
Similarities.............................................................................................................................................4
Differences..............................................................................................................................................5
Evaluation..................................................................................................................................................6
Conclusion..................................................................................................................................................7
References...................................................................................................................................................7

MA A M TWOUND CURE N GE EN 3
Introduction
It is very foundational to be able to establish the necessity of being as precise as possible when
dealing with clinical issues. It demands that very specific guidelines be outlined that would set a
way forward for the general conduct of the clinicians and the physicians in their operations.
Therefore, there are three aspects that are very critical whenever there is such a need to be
accurate. Policies, protocols and procedures form part of these pertinent matters. Basically
speaking when a procedure is mentioned especially in health circles, it means a lot
(Machingaidze & Bernhardsson, 2016). It entirely means the specific steps that must be followed
to achieve a certain objective that is sure. Therefore there must be the manner in which a
procedure is conducted for always to bring into action consistently what has been established.
This step by step strategy is key to ensuring that the necessary result is realized. The procedure it
is created in various platforms to provide a precedent that would offer uniform results from the
patient in all circumstances possible. It also helps in the way different occasions can be handled
whenever they present themselves under various incidences that be. It is the most important
aspect of any clinical handling. When talking about protocols, they really form the backbone of
every action that is taken medically.
They are well established and groomed in a way that they can handle certain conditions in the
way they come without variance to the established principles (Government, 2010). In fact, they
can be referred to as governing rules that must be followed by any clinician whenever in
practice. Before any evaluation and treatment by any professional in a healthy environment,
there must be a proper understanding of the protocols that will help in the whole process of
treatment and discovery of the condition. In this discourse, the author intends to unravel two of
the practices in a clinical field that deals with wound management and also manifest the
differences and similarities they share and point out which could be the most effective strategy in
the management of the condition (Wilkins, 2014). The analysis located in the New South Wales
City (NSW, 2015)and government concerning the procedure and National Health System Trust
protocol of wound care management will form the case study of this discussion (NHS, 2013).
Wound Appearance Mechanism
In the wound healing mechanism, it is very important to be able to realize the hindrances that
could be the reason for not healing. A thorough assessment of all these factors will remove every

MA A M TWOUND CURE N GE EN 4
impossibility of cure that may be expected in the wound (Bereznicki, 2012). The human skin is
one of the most important organs that is concerned with the protection of the underlying tissues
and organs in the underneath. Careful attention must be taken into account to be able to maintain
a healthy skin. When the skin suffers injury, automatically a wound must develop which
demonstrates the harm it has gone through (Dipietro, 2010). Therefore when there is such a
problem that has happened there must be a very thorough plan which must be taken into account
to ensure that the body has returned into normal condition. In this section, the writer will labour
to compare and contrast the two medical practices in NSW and NHS in the process of
management and assessment of wound. Thus bringing the similarities and differences as well as
pointing out which is the most effective of these two.
Similarities
There is a convergence between the Nation Health System procedure and the New South Wales
protocol in this aspect of assessing and managing the wound which is very rich in its
comparison. There is an agreement in the periodic care of the wound and the follow-up process
should be clear and as long as every detail of the case is established (Longaker, et al., 2013). For
example, the North-south Wales procedure outlines an assessment that is very reliable and
marries closely with the NHS protocol. In NSW, it is required for a patient if the wound upon her
or his body is acute to ensure that I tis checked weekly to evaluate the progress of the healing
process that is taking place. In other words it is noted that it has grown to chronic levels then an
advice is given to both the practitioner and the patient bearing the condition by the procedure to
be accessed monthly for any change that may be noticed as preparations for healing are made to
help in quick recovery of the challenge (Templeton, 2005). Categorically in the procedure that
governs the city, an inclusion of the preliminary plan that is purposely used to guide the
clinicians in the assessment stage of the wound is clearly outlined which should be followed if
desired results are to be achieved. After the assessment is over what follows is actually managing
the particular wound and this must be carefully articulated to help in the proper transition of both
the health professional and the patient to be handled. This set down principles under this stage
are also outlined clearly. In case the management takes a little more time, the procedure is not
silent in spelling out what may be done. Follow up strategies are also included to help in
recovery process of the same wound, of importance to note is that during the process, the history
of the wound is needed to evaluate the circumstances that led to the condition and what would be

MA A M TWOUND CURE N GE EN 5
the best way above the available to handle to challenge (Moore, 2003). This also may be
important to avert any factor that may contribute to the worsening condition of the wound. The
surface area of the wound must be established as the litmus paper to help track the progress of
the wound whether there is any positive change or the wound is becoming worse day by day.in
all these exercises the victim of wound must attend and follow each and every instruction that is
given. This serves as the very heart of the NSW procedure. Similarly, the NHS protocol has also
correlated with the aforementioned procedure when it comes to assessment and management of
the wound. The protocol emphasis on a systematic, complete process right from the initial stage
up to the recovery stage an idea that is widely reflected in the procedure above. It also stresses
that before anything can be done on the client undersigned, there must be a thorough evaluation
of the issues that transpired before the acquisition of the wound and maybe any important
information that would help the professionals amicably deal with the problem squarely without
any reservation whatsoever. This concept is also in the procedure. Lastly, the other body organs
response in the process of management is a wonderful rule in this protocol so that monitoring of
the health of the patient can be determined as time is passing. In such a manner, the two practices
are in harmony with one another. Having discussed all these commonalities that exist in these,
what follows is the distinctions that exist among themselves.
Differences
Having agreed on many points, there yet appears differences which are fundamental in the heart
of the paper.
There is one key concept that is differential in these aspects, the NSW procedure during the
assessment is seen to keep a record of the surface area of wound that happens to take some good
time before healing. And these photographs are assessed maybe weekly or monthly depending on
the progress the patient is receiving, this is contrary to NHS protocol that accompanies the
assessment process with a dressing of the wound and also photography of the affected part of the
skin (Harding, 2003). Through the process of undressing the experts are able to evaluate the
nature of the wound and the progress, it has incurred with the passage of the time.
There is another difference in that the National Health system is able to keep monitoring the
nutrition status of the patient so that there can be realized and will enable the technicians to
prescribe the sufferers which diet he or she can subside on to help in quick healing process. The

MA A M TWOUND CURE N GE EN 6
diet test is very crucial to the protocol as it tells more of the entire system working in the time of
the wound assessment and management (Derbyshire, 2010). This policy should be in calculated
in each and every procedure and law that is concerned with the wound cure.
Another major difference that is observed in this study is that the process of the manner in which
a wound heals from the start to the termination stage is very clear in NHS protocol compared
with NSW procedure which shallowly and dimly points out the steps that are followed.
Evaluation
Wound management and cure process is a fundamental practice in clinical fields as it is directly
involving the lives of the patients and the results are outright in its nature. The skin is one of the
most sensitive organs yet protective from danger and vagaries of nature that easily affect the
body (Buttler, 2006). If there are circumstances that may tear down the barrier, it tends to let the
body be vulnerable and therefore the wound is the result of the condition. Hence a clear
knowledge of the assessment, management and recovery of the wound is so vital in the society
for the healing of very many who are engulfed in the challenge.
The following include the major points that have emanated from the differences and similarities
between the two practices that have been used in this study. The first part consisted of the
similarities that the two great principles share and the second part thereof the differences.
It is manifest from the study that, the two aspects are well established with each having a unique
system of assessment, management and recovery (Tumer, et al., 2008). NSW assessment is
weekly for the acute cases and monthly for chronic one accompanied by photography on the
wound area to track the progress that happens while NHS has also a regular monitoring system
with dressing and undressing which is also together with the evaluation process.
Both of these rules are interested in understanding the history of the wound so that there can be
prepared enough through information to counter any challenge of not healing. In this facet, only
qualified professionals are required to be engaged for maximum positive output at the end of it
all
In pointing out the differences that arise out of this, it is clear that NHS shows the more detailed
process of healing of wound compared. Also NSW in the process of curing the wound the
photograph of the area that the wound covers are kept, unlike NHS which maintains both the

MA A M TWOUND CURE N GE EN 7
photograph and the dressing. One most but last difference is that NSW procedure appears more
favourable to the user than NHS protocol because of the relevance to the timings in that it is
recently updated compared to the NHS protocol which has taken long even before it was
published (Taylor, 2009).
Conclusion
In bringing all things down, it is clear that the two practices have their share of differences and
similarities in the manner they manage the wounds. Each has a well-chronicled mechanism of
operation which serves as effective as one deems. It is the persecution of the author of this paper
that procedure of North South Wales stands in a better position in the wound cure management
because of its rich and current guidelines which have serviced many researchers in this dawn of
an age.
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