SKILL ANALYSIS(CASE STUDY) Essay Example

  • Category:
    Nursing
  • Document type:
    Case Study
  • Level:
    Undergraduate
  • Page:
    3
  • Words:
    1850

Postoperative assessment 9

400749 – NURSING & HEALTH BREAKDOWN

Case study (Skill analysis)

Due on Monday, 5th September at 1700hours

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MARKING CRITERIA

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Within the context of the case study:

Identify and discuss the importance of obtaining information during a nursing admission in relation to post operative assessment

Identify and discuss the nurse’s role in consent procedures for patients undergoing a procedure involving general anesthesia

Identify and discuss the purpose of vital sign data in the pre and post operative period

Define and identify the purpose of wound assessment

Identify and discuss four nursing priorities undertaken when assessing Sophie’s wound and support your discussion with evidenced based rationales

Define and identify the purpose of aseptic technique in wound management

Identify and discuss four nursing priorities undertaken in relation to aseptic technique within the context of dressing Sophie’s wound and support your discussion with evidenced based rationales

Describe two causative factors of wound breakdown

Organization, development, grammar, use of literature and UWS (2011) APA referencing style

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Introduction

According to the Australian Nursing and Midwifery Council (2008), Code of ethics for nurses in Australia, nurses have a major role to play in the assessment of patients illnesses. In the context of wound assessment, nurses ought to display proper knowledge on how to handle wounds despite their severity. In our case study- of 44year old Sophie — the competence of the nurse will be put into check on wound assessment capabilities.

Importance of obtaining information during a nursing admission

Daniels (2009) argues that postoperative operative assessment is the way in which a patient is examined in relation to their perception on the operation. Acquisition of information by a nurse prior to an admission is a virtue in the nursing profession. Nurses should observe the behavior and the psychological responses of patients during admissions to keep a closer look on the improvement or worsening of vital signs on admission.

Obtaining information on admission enables the nurse be in a better position to manage pain of the patient in case it gets worse during treatment. The nurse is in a better position to assess a patient if he or she obtained information on admission. Research has indicated that the patient may encounter some problems after the operation so it usually required that the pain management be done during the postoperative care. This is possible through non-analgesic and analgesic strategies to manage the patient’s pain. In the case of 44 year old Sophie who is a postoperative on arthritis, information from her during admission is mandatory so as to keep an updated record whether her wound is fairing on well or worsening. If information is not collected then there is no base to check on the improvement of a patient’s condition.

Nurse’s role in consent procedures for patients undergoing general anesthesia

In the perspective of a nurse, recommendation that the patient be taken care of in a manner that will make her feel comfortable during this period is advisable. The nurses play a major role in treatment of patients undergoing anesthesia. Among them include, assessing the perception of the patient both physiological and behavioral responses. This ought not to be used when assessing the patient unless she is in a condition that makes it impossible for them to speak.

Secondly, reassessing and assessing of the pain should be conducted immediately during the postoperative period by the nurse. In this case, the nurse conducts frequent assessments on the wound. For this reason, Sophie should be attended to with a lot of aggression to relieve pain.

Nurses record pain as it intensifies or cools down .As a result, the intervention will be easily identified on places that are accessible, and visible, which may include the bedside sheet flow (Jamieson, Mc Call and Whyte2008).

Some patients sometimes get anxious before the operation; therefore, the nurse is required to be in place to answer any question that may be put across by the patient. The nurse is also obligated to wash and shave the area to be operated before the surgery takes place (Sussman, Barbara and Jensen 2008).

Nurses prepare patients before operations take place. This can be done both at a physically and psychologically stratum. The nurse is also responsible for the administration of the IV fluids incase the patient gets dehydrated before the operation.

Purpose of vital sign data in the pre and post operative period

The vital signs of the patient are very imperative in patient’s assessment. This data is useful mostly in the assessment and post operative period. The combination of both the preoperative and postoperative data will be used by the implementation of the next orders by the doctor (Jamieson, Mc Call and Whyte2008). Therefore, the data is very important in identifying any symptoms of complications in a patient. The patient is always assessed instantaneously after the operation relying on the data of the vital signs.

Height and weight of the patient is put into consideration- mandatory for diet management (Kaehn 2009). Nurses will be able to observe and determine the medical status of the patient by checking fluids retention and effectiveness of supplements in the nutrition. It also assists the nurses discern and calculate the dosage of medicine the patient needs. The blood concentration and the weight of the always determine how the dosage of drug is to be prescribed to the patient.

Purpose of wound assessment

Wound assessment refers to closer check on the wound to monitor on its progress. It is believed that the healing process is a systematic process that starts with the injury before it ends up with the physiological process of healing (Ayello and Baranoski 2008).

If the wound is assessed accurately, occurrence of a problem is easily detected and proper care given for the wound to heal completely (Sussman, Barbara and Jensen 2008).

Nursing priorities undertaken when assessing Sophie’s wound

According to Brown (2009), nursing priorities require continual assessment of the wound, which is holistic in nature, a factor, which aids in the fastening of wound healing.

Sophie’s wound is classified under the secondary healing intention. Therefore, one should be able to consider the location of the wound. From this, reasons why the wound has not yet healed and why it has yellow substance oozing from it can be understood.

The second consideration should be dimension and the depth of the wound (Kaehn 2009). There are severe wounds that take time heal, maybe Sophie’s wound is severe than expected. Another priority to be considered is the location and the depth in which the wound is tunneling. Some wounds are tunneled more to the inside than the others and mostly take a longer time to heal. Additionally, the stage of the wound should always be put into consideration on assessment. Other wounds are on stages difficult to heal without being catalyzed. Therefore, the case of Sophie needs to be analyzed carefully to understand the reason why the yellow substance oozes from the wound; perhaps it is not on a proper stage of healing.

Aseptic technique in wound management

Some wounds require aseptic techniques, also referred to as the non-touch technique. This technique entails maintenance of the asepsis without close contact with it (Hess, 2009).

The aseptic is very effective and it has been known for ages to be time saving and the cost is effective. This is because it requires minimum resources and staff to deliver the services. The technique is also easy to apply since it can be taught easily and its awareness is easy to put into practice. It will applicable in Sophie’s case, since her wound has already been contaminated. By looking at the effectiveness of the technique one will be able to understand how to take care of her.

Four nursing priorities undertaken in relation to aseptic technique- Sophie’s wound

There are some standardized practices, which are always involved in the maintenance of the asepsis. The first component is proper washing of hands. This will be to ensure that the dirt acquired from the air does not access the wound of the patient.

The second priority is that the key parts should never be contaminated. This is essential for the patient not to incur any other complications that might be as a result from germs and dirt. The other consideration should be that the non-key parts should be touched with a lot of confidence. This will ensure that they are assessed fully which will facilitate the healing process.

Finally, the precautions that are to be taken should be effective. This effectiveness will ensure that there are no complications that will be experienced by the patient due to carelessness (Daniels, 2009).

Causative factors of wound breakdown

The case study has put everything down that one of the caustic issues that might have weakened her wound to heal is the massive infection. The infection might be due to the contaminated environment that she is inhabits. It is for this reason that the aseptic technique is qualified for her situation. If the technique had been applied earlier, then the situation would have been different. Perhaps her wound would have been healed earlier on. The second reason might be due to over-weight. The problem caused by over weight is that the situation always deepens the wound. This can be a problem to make the wound be in a position to heal (White, Cutting and Kingsley 2009).

, which means that she is suffering from an infection on her appendix, and so an inflammation had to take place. By looking at her condition, it is evident that she is allergic to penicillin. However, it was noticed that she had complications on the healing process of the wound that made her have yellow ooze on the wound due to some infection. It is for this reason that she is recommended to have an aseptic technique. This technique has been proven to be prospective when it is a question of postoperative care since it is clean and safe for the patients. appendectomyConclusively, Sophie had undergone an

References

Australian Nursing and Midwifery Council. (2008). Code of ethics for nurses in Australia. Australian Nursing and Midwifery Council: Australia.

Ayello, E. and Baranoski, S. (2008). Wound care essentials: practice principles.LWW medical book collection. Lippincott Williams & Wilkins: New York.

Brown, P. (2009). Quick reference to wound care. Jones & Bartlett Learning Publishers: London.

Daniels, R. (2009). Nursing fundamentals: caring & clinical decision-making. Cengage Learning Publishers: London.

Hess, T.C. (2009). Wound care. Clinical guide. Lippincott Williams & Wilkins: New York.

Jamieson, E., Mc Call, J. and Whyte, L. (2008). Clinical nursing practices. Elsevier Health Sciences: New York

Kaehn, K. (2009). An in-vitro model for comparing the efficiency of wound-rinsing solutions. Journal of Wound Care 2009; 18(6):229-36.

Sussman, C., Barbara, M. and Jensen, B. (2008).Wound care: a collaborative practice manual. Lippincott Williams and Wilkins: New York.

White, R.J., Cutting, K., Kingsley, A. (2009).Topical antimicrobials in the control of wound bioburden. Journal on Ostomy Wound Management 2009; 52(8):26-58