Saturday, March 23, 2019
wound Care :: Health Care, Pressure Ulcer
vex care (Pressure Ulcer)DescriptionsDuring community placement, my learn and I visited M (patient), a 75years older lady, who was presented with a Pressure Ulcer, on the lean of her right leg. On arrival, my mentor asked me to manage Ms spite. However, I have observed and take part in carrying pop out this skill ( s coffin naildalize care) with my mentor on several occasions. I explained the procedure to M and gained her consent to carry out the procedure. The preparation and act of antiseptic technique was quite challenging in Ms home, however I washed my hands, worn apron and gloves, and adopt aseptic technique. When I remove the old dressings and assessed the wound, I observed that Ms wound was slightly exudates, odour, throw aways and dry skin (flakes) around the wound. When M asked me, how the wound was, I was not confident to answer her question, but rather outlaw to my mentor, who then answered her. I displayed the sterile pack on a insipid surface and I dipped th e gauze into a warm pattern saline and gently cleaned the wound I cleaned the slough and remove the short tissues, under my mentors supervision and I also utilise intrasite gel unto the wound bed, and put an antimicrobial heel dressing and securing it with a two way stretch bandages (tubifast). FeelingsI was nervous, when my mentor asked me to carry out this procedure and thus, became very careful not to pillowcase more annoying to M. macrocosm an invasive procedure, I was worried not to infect the wound when it was exposed, and when I could not answer her question, I felt uncomfortable. EvaluationBeing an invasive procedure, I adopt aseptic techniques Hart (2007) states that, employing aseptic technique helps to create an environment (asepsis) free from living infective micro-organisms. Aziz (2009) conceded that, it helps prevent wound from contaminations and other susceptible site, by organism that could cause infection (HCAIs). I gently remove the slough and dead tissu es, and utilize an intrasite gel unto the wound bed, and then I put an antimicrobial heel dressing on the wound. Fletch (2007) suggests that, the removal of necrotic tissue and thick slough from wound bed, helps to promote healing by creating moist balance and controls bio accuse to ensures optimal healing environment. Barrett (2009) concurs that, the management of wound required dressing that can maintain a moist environment, absorbs exudates as well as inhabit in situ over number of days.
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