Dec 24, Wound care case studies are a great way to fully understanding what influences effective wound care treatments. Read to learn more.
Table of contents
First PICO case:
A trim man in his 60s with well-controlled type 2 diabetes had gone whitebaiting at the weekend in his gumboots and got a very small blister on the right side of his foot. He went to his GP on the Monday and Rebecca Aburn, a district nurse at the time, was assigned to change his dressing on the Wednesday.
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She knew his history included vascular surgery about seven years previously so sent him straight into the diabetic foot clinic. On arrival he was quickly admitted to hospital as his underlying vascular disease had deteriorated, which meant the tiny innocuous gumboot blister had an impact far beyond its actual size.
Wound Care Case Studies
They had to debride his foot back to the bone and he eventually lost two toes. The healing time was more than six months. Leave this field empty. Sunday, October 20, Health Central.
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Home Nursing Diabetic foot case studies. Rebecca Aburn regularly sees the results of when things go wrong with caring for the diabetic foot. The former district nurse — now an infection control clinical nurse specialist with a special interest in microbiology and wound care — coordinates a multidisciplinary team diabetic foot clinic that cares for foot ulcers and works with high-risk patients to prevent further ulcers. Nursing in the blood: four generations of nurses in one family. How to cut down on sugary drinks. New nursing service strengthens support for Pacific families.
A healthier New Zealand starts in its communities. Giving back: volunteering as a diabetes specialist nurse. Please enter your comment! Please enter your name here. You have entered an incorrect email address! Health Central - May 27, 1. Dr Tracy Chandler a. May 22, May 8, May 1, Health Central - September 18, 0. Yet despite enduring a terrifying domestic assault after Dentists back call for Government action on unhealthy food and drink October 14, Warning bells as health and social policy ignores Asian mental health October 10, Remember to always involve your patients in their treatment care plan, if possible.
Your patients do not always share what is going on at home or economically. Your patient is a year-old woman who has had a history of diabetes for the past 25 years, is a stroke survivor, and has congestive heart failure. She developed a stage 4 pressure ulcer following an above the knee amputation six months ago during her hospital stay. She lives at home with her daughter, who is a nurse, and also has home health care three days a week for dressing changes.
Home health care is planned to last for only three weeks. Cleanse wound with normal saline. Pat dry. Pack wound and undermining with calcium alginate.
Wound Care | JCN - Journal of Community Nursing
Cover with bordered foam three times a week. Pack wound with wet-to-dry dressing twice daily. Cover with abdominal pads. Secure with paper tape. Pack wound and undermining with silver alginate.
Cover with bordered foam daily. Answer: C.
Due to date of onset, wound depth, exudate amount, and bioburden, an antimicrobial absorptive dressing is the best choice. The frequency is based on the exudate amount and the knowledge that the daughter can change the dressings on the days home health care is not available.
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How much do you know about wound dressing selection and application? Take our question quiz to find out! Click here. Your patient is 85 years-old, lives alone and has no family. He has poor vision and limited mobility due to arthritis. He was diagnosed with type 2 diabetes two years ago. He is compliant with monthly diabetic checkups with his physician, and it was discovered that he had an ulcer at the plantar aspect of the right foot.
Your patient has been treating the wound himself for three months by soaking his foot in Dreft laundry detergent.
The patient has now been referred to the wound care center, where he will be seen weekly.