... Submission Date | 30.04.2013 | Word Count | | Discuss The Factors Which Influence The Processes Involved In Wound Healing 1. Introduction A wound is defined by its aetiology, anatomical location, acute or chronic stages, and the method of closure by its presenting symptoms and predominant tissue types in the wound bed. Injury to the skin or underlying tissues/ organs caused by surgery, a blow, a cut, chemicals, heat/ cold, friction/ shear force, pressure or as a result of disease, such as leg ulcers or carcinomas, Infectious (bacterial, Virus); Immunologic (Autoimmune disease; Genetic derangement e.g. Sickle cell anaemia); Nutritional (Vitamin deficiency; Oxygen imbalance) and Metabolic imbalance (ATP depletion) breakdowns the protective function of the skin by losing the continuity of epithelium, with or without the loss of underlying connective tissues (i.e. muscle, bone, nerves). Hence, the immune system initiates to recover wounds through complex pathways. Wound healing consists of four stages which are in the order hemostasis...
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...Wound Care Education Abstract The purpose of this paper is to identify a patient health issue that would benefit from patient education. During the clinical rotation at Jackson South the group identified a need in wound care especially for patients with other underlying health issues such as diabetes. A large percentage of patients had wounds that would require patients to properly care for them once discharged. The group identified a lack of patient knowledge on how to care for these wounds and decided to develop a patient education pamphlet to teach patients how to care for wounds while not in a hospital setting. The group identified one particular patient that had insufficient knowledge in self-care. Wound Care J.G. is a 65-year-old male patient with a history of a cerebrovascular accident, hypertension, diabetes and multiple pressure ulcers. The patient was admitted to Jackson South Community Hospital with multiple wounds for suspected infection. He currently has two pressure ulcers present. One is a stage IV ulcer located at his right hip and the other is a stage III ulcer located on the heel of his right foot. He is scheduled for a CAT scan to rule out any collections in the hip and medical management of the wounds will be continued. Factors that contributed to the development of these ulcers were his lack of sensation due to his diabetes and being bed bound. He is alert and oriented and is in no acute distress. He currently lives with his only daughter, who will...
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...Hindawi Publishing Corporation Dermatology Research and Practice Volume 2010, Article ID 893080, 13 pages doi:10.1155/2010/893080 Review Article Acne Scars: Pathogenesis, Classification and Treatment Gabriella Fabbrocini, M. C. Annunziata, V. D’Arco, V. De Vita, G. Lodi, M. C. Mauriello, F. Pastore, and G. Monfrecola Division of Clinical Dermatology, Department of Systematic Pathology, University of Naples Federico II, Via Sergio Pansini 5, 80133 Napoli, Italy Correspondence should be addressed to Gabriella Fabbrocini, gafabbro@unina.it Received 17 March 2010; Revised 7 September 2010; Accepted 28 September 2010 Academic Editor: Daniel Berg Copyright © 2010 Gabriella Fabbrocini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Acne has a prevalence of over 90% among adolescents and persists into adulthood in approximately 12%–14% of cases with psychological and social implications. Possible outcomes of the inflammatory acne lesions are acne scars which, although they can be treated in a number of ways, may have a negative psychological impact on social life and relationships. The main types of acne scars are atrophic and hypertrophic scars. The pathogenesis of acne scarring is still not fully understood, but several hypotheses have been proposed. There are numerous treatments: chemical peels, dermabrasion/microdermabrasion...
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...assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process. Points: This assignment is worth a total of 150 points. Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form. Remember there is a 6 page maximum limit on this assignment. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Discharge_Teaching_Plan_Form_Smith” When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q & A Forum or contact your instructor if you have questions about this assignment. Look at the EXAMPLE in the first assessment area. This is NOT an all-inclusive response and you will need to add your responses as well. Please be sure to review your guidelines. Discharge | Need(s) identified. | Teaching technique or approach to problem identified.Describe content. | Rationale for choosing this technique/approach. | Example:Diabetes Education | These are some ideas, there may be others that you identify. * Understanding of disease process * Understanding of action of medications. * What else does Tina need education on? * Signs and symptoms of hypoglycemia and hyperglycemia. * Do you know how to test your blood sugar and...
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...Kristal Pascual Experience Paper: Diabetes NRS-427V Grand Canyon University Experience Paper A day in the life of someone whom is living with Type 1 (T1) or 2 (T2) diabetes is fill with multiple routines to follow through with and possibly some unexpected events. Anyone living or around persons with diabetes should be educated about the signs and symptoms of hypo/hyperglycemia. Education through writing and visual aids can help people to be better aware of what to do to help in those situations. Most individuals will not ask question when learn about this as they feel it is a burden, but this is the opportunity to help them gain the best knowledge. The teaching plan used was a pamphlet, this included the basics of what T1 and T2 diabetes is, signs and symptoms, possible complications, treatments and healthy eating and exercise. First individuals were educated about how T1 is normally seen in children and it is where insulin is not produced and also how T2 is where insulin is produced just not enough to keep up with the needs. (Diabetes Basic, 1995) Next discussed were the possible symptoms for diagnosis such as excessive hungry or thirst, excessive elimination patterns and fatigue. Complications were explained that if it is not controlled it could lead to more serious illnesses including Glaucoma, early cataracts, neuropathy in hands and feet, hypertension or stroke. The treatments for some of the signs and symptoms were then discussed. Lastly we spoke about healthy eating...
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...Effects of Music Therapy in Preoperative, Intraoperative and Postoperative Care Virginia A. Ostrowsky Nova Southeastern University 1 EFFECTS OF MUSIC THERAPY 2 Effects of Music Therapy in Preoperative, Intraoperative and Postoperative Care Music Therapy has been used as a way of healing without medication for centuries. In the 1800’s traveling music groups played for injured veterans returning from war. Doctors and nurses noticed the positive effect music had on their healing process. In the 1900’s music was used along with anesthesia to calm patients during surgery (Nilsson, 2008). Today, music therapy is used in the clinical setting in many areas, especially in hospitals “to reduce patient pain, anxiety and stress”, in preoperative, perioperative and postoperative settings (Nilsson, 2008, p. 780). Furthermore, it can create a positive mental attitude and a sense of well being to promote emotional as well as physical healing (Economidou, Klimi, Vivilaki & Lykeridou, 2012). Music Therapy Music therapy is an area of health care that uses music as a therapeutic way to encourage healing of the mind and body. Listening to music stimulates all areas of the brain (Nilsson, 2008). It affects our emotions and can arouse feelings immediately. Thaut (1990) notes the body has a neurophysiological response by encouraging relaxation through the autonomic and central nervous system. Stimulating the brain’s limbic system with...
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...Review SKIN FUNCTION AND WOUND HEALING PHYSIOLOGY John Timmons is Clinical Manager, Wounds UK and Tissue Viabiliy Nurse, Aberdeen Regular evaluation and the setting of goals is essential to monitor the progress of the patient and their wound.To do this, is important to understand the physiology of the skin and the way normal wound healing progresses in order to plan and provide effective wound management. This article describes the structure and function of the skin and outlines the four normal phases of healing. Wound healing is an exciting and continually developing field, with new technologies and research playing a large part in improving the quality of patient care. The role of the nurse in wound care is all encompassing, stretching from the initial assessment of the wound and the patient, to making the correct decisions about treatment and beyond. Regular evaluation, and the setting of goals is essential to monitor the progress of the patient and the wound. To do this, a baseline knowledge of the functions and anatomy of the skin and wound healing physiology is required. Figure 1. When the skin is breached, it is important to close the defect as quickly as possible, thereby preventing infection from occurring. vital substances (Graham-Brown and Burns, 1998). the nerve endings present in the skin allow the body to detect pain, and changes in temperature, touch and pressure. 8Sensation: Functions of the skin The skin, often referred to as the largest body...
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...Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Introduction There are approximately 23 million people diagnosed with diabetes in the U.S. (American Diabetes Association, 2012) and this population continues to grow. There are multiple complications associated with diabetes. One major and expensive complication is diabetic wounds. The cost of care in the U.S. alone for this population is approximately $245 Billion annually. (American Diabetes Association, 2012) Proper wound care is an essential step in the wound healing process, however,wound care alone is not sufficient. Nutritional status is extremely important in wound healing. Diabetic patients need to be educated and assessed for protein-energy malnutrition (PEM) as the body’s nutritional needs significantly increase during the wound healing process (Demling, 2009). Supplementation (especially protein) and the importance of it for wound healing need to be discussed with the patient. Without all the necessary interventions applied the process of wound healing can be lengthy and may lead to infection, excessive hospitalization and potential amputations. Understanding the body’s nutritional needs and how the body uses protein in the repair process is imperative. The recommendation for the amount of protein supplementation is between 0.8grams/kilogram to 1.2 grams/kilogram and is based on patient...
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...Vacuum Assisted Closure Therapy (VAC) Catherine van der Hoeven Capone Wilmington University Abstract Vacuum Assisted Closure Therapy (VAC) is a system for applying negative pressure to wounds, which is claimed to accelerate healing of chronic wounds. A foam sponge is placed into the wound, than the site is sealed with an adhesive drape, and negative pressure is applied to the wound for 22-24 hours daily. VAC decreases tissue edema and improves local circulation; it also removes the debris from the wound surface. The average cost, including the materials and nursing care ranges from $400-$500 per patient weekly. This technique has been used increasingly over the past decade for acute and chronic wounds, and studies have demonstrated improved wound healing. Its use has been extended to other types of wounds, such as surgical wounds from abdominal, chest and cardiac (heart) surgical procedures. Currently VAC can be used on all types of wounds: acute, subacute or chronic. Introduction Diabetes is becoming a common problem in most of the countries all over the world. About 1.8 million people are affected by diabetes and with rapidly increasing diabetic patients the count is estimated to go up to 2.7 million in next 25 years (Speak K, 2007). Diabetic foot complications are more frequent in males individuals aged over 60 years. The life expectancy of the diabetic patients has increased due different treatments, which in turn increases the number of complications as the...
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...Education on Wound Care for Diabetic Patients Education on Wound Care for Diabetic Patients Abstract Non-compliance of wound care management has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations...
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...they are now known to serve many more purposes for humans. Fish skin is found to contain wound healing properties and several beneficial antimicrobials. This is due to their highly evolved immune systems which are starting to become discovered. The nile tilapia, catfish and snakehead murrels are known to possess both the properties stated. Fish skin in general contains omega-3 polyunsaturated fatty acids along with several other elements which could be used as a skin graft in order to decrease inflammation and time needed to heal a wound. There is new research on sharks and how they evolved to have an immunity against cancer causing genes. Moreover, this research could be used to better the human race and...
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...Wound Cleansing: Water or Normal Saline? Ashtin Plummer MidAmerican Nazarene University Wound Cleansing: Water or Normal Saline? Wound cleansing has been discussed about for many years, different solutions and techniques have been discussed to use, and it is an important part of preventing infection. Wound cleansing is described as the use of fluids to remove debris and dead tissue from the surface of the wound. The purpose of wound cleansing is to make the best possible conditions at the wound site, for uncomplicated wound healing. The most commonly used solution would be normal saline due to being an isotonic solution and it does not disrupt with normal healing process of wounds (Ljubic, 2013). Normal saline has just been known as best practice for many years. However, is tap water able to do the same thing as saline without increased risk for infection or delay in wound healing? “Tap water is also said to be effective in wound cleansing and has advantages of being cost effective and easily accessible” (Ljubic, 2013). Wound care is a major service provided in home health care and due to going to patients’ homes, normal saline is not always accessible. Saline is not always accessible due to running out of supply while at a patients’ home. Wounds can also take a decent amount of time to heal so using tap water with these patients may be more cost-effective in the long run, not delay wound healing, and not increase the patients risk for infection. PICO Question ...
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...tonsils. Tonsillectomies, like any other surgical procedure, does have certain risks to consider. Some of those risks would be as follows; the chance of infection, bleeding during and after surgery, anesthetic reactions and swelling, which could lead to breathing problems. There is an immense difference between having a tonsillectomy as a child and as an adult. First off, as people age it takes longer for the body to heal, so healing time after surgery would take much longer for the adult. Secondly, adult tonsils are also much larger than a child’s with more scar tissue, which means more tissue removal, causing more pain and a higher risk for bleeding. The adult also needs to consider any other existing conditions they might have that might lead to other complications. Eating food is very difficult after a tonsillectomy, which means dehydration can be a factor in the recovery process. If the patient gets dehydrated the scab on the wound will fall off and bleeding will follow. One of the greatest risks that an adult faces after a tonsillectomy, is that of the wound hemorrhaging, as the blood vessels...
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...1.1 Background information An acute wound is a damage to the skin that can happen due to surgery or trauma. It progresses through the normal healing phase and is expected to take approximately 4 weeks to heal. If an acute wound fails to progress through the normal healing phases and remains stalled in the inflammation phase, resulting in prolonged recovery of the wound. This means an acute wound has developed into a chronic wound. For an acute wound to heal, it is required to have an adequate blood supply, oxygen, nutrients and no infection to the wound. However, if there is a lack of one or more requirements for wound healing, it will hinder the wound healing process that results in chronic wounds. Also, patients with medical conditions...
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...Organogenesis Inc. engages in the research, development, manufacture, and commercialization of regenerative medicines. The company specializes in soft tissue regeneration for use in the areas of bioactive wound healing and oral regeneration. Its products include Apligraf, a living cell-based product indicated for the treatment of venous leg ulcers and diabetic foot ulcers; and GINTUIT, an allogeneic cellularized scaffold product indicated for topical (non-submerged) application to a surgically created vascular wound bed in the treatment of mucogingival conditions in adults.( Bloomberg BusinessWeek June 25, 2014). Organogenesis Inc. was founded in 1985 and is based in Canton, Massachusetts with a European headquarter in Switzerland. There are many benefits regenerative medicine, one of the biggest benefits is that it will the combat rising U.S. healthcare costs, which currently exceeds $1.5 trillion annually. Regenerative medicine has the potential to cure many different aliments that affect many people today i.e.; cancer, diabetes, heart disease, kidney failure, osteoporosis, and spinal cord injuries. This technology potentially could cure any disease that result from failing, damaged and malfunctioning tissues. The company is privately held and has and estimated annual revenue of 59.5 million dollars. Currently the company employs 500 to 1000 employees over half of the employees are employed in the United States. The company has to distribution sites located...
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