Research on Wound Care

In: Science

Submitted By ashtin1
Words 2580
Pages 11
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 My PICO question asks: Does cleansing wounds with tap water rather than normal saline, cause more or less infection and delay wound healing, as well as, decrease the cost to treat wounds? This question was determined due to the nature of working in home health care and wanting to find out if tap water could be used without increasing risk for infection, while lowering cost for treating…...

Similar Documents

Child Care Center Market Research

...Market Research Study for Pre-School venture in Lower Manhattan Introduction The price of private education in Manhattan is exponentially increasing. Over the past 10 years, the median price of first grade in the city has gone up 48%, adjusted for inflation, compared with a 35% increase nationally (NYTimes.com, 1/29/2012). Clearly there is a supply and demand crisis, with more students than seats available. Therefore, our team decided to research the possibility of launching a new pre-school in lower Manhattan. We believe there is a desirable opportunity to open a customized pre-school that serves both our own interests and parents’ current unmet needs. To give some color, below are three recent excerpts concerning the topic: “I think the nursery school admissions process is a war zone. It’s parent against parent, it’s toddler versus toddler… Parents are crazy competitive…It’s about getting in, fitting in, it’s about belonging. That’s why people sweat it.” (Parent from “Nursery University” documentary, 2007) “In an entrepreneurial city where even volatile commodities like real estate eventually find their equilibrium, the desire for private school seats has outpaced supply for many years, in some cases by an order of magnitude. “ (nytimes.com, 2010). “When the public school Pre-K selections were announced, we were denied acceptance to ALL 10 schools…out of 12 friends with kids hoping to enter Pre-K in the Fall of 2011, not ONE of them got in. You see,......

Words: 5127 - Pages: 21

Dm Wound Care

...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......

Words: 5353 - Pages: 22

Wound Care

...Reflective Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197) During the course of this piece of work, it is my intention to outline and discuss a clinical audit that I undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection (Driscoll, 2000). The audit, which focused upon the completion of prescription cards, was undertaken during my recent clinical practice placement at Holcroft, a twenty four bed mental health residential unit, situated in the North West of England. In addition to providing a summary of the exercise itself, I would also hope to explore the relationship between the clinical audit process and the wider framework for quality improvement in healthcare. The development of regulation and clinical governance systems in the United Kingdom will also be addressed as will the administration of medication as a significant element of nursing practice. Where necessary, use will be made of academic, research and other evidence based material to underscore or augment specific issues or indeed illustrate examples of good clinical practice. The Nursing and Midwifery Council (NMC) standards for conduct, performance and ethics (NMC, 2004) have been diligently applied in the construction of this assignment. Pseudonyms will therefore be used to ensure staff and......

Words: 2747 - Pages: 11

Wounds

...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......

Words: 3757 - Pages: 16

Health Care Research

...Health Care Research With today's rapidly changing and technological advancement in the healthcare industry, it is necessary for healthcare facilities to stay informed and implement new changes in administrative and clinical procedures, and obtaining the most up to date equipment. This can be obtained through un depth research of innovative medical technology and practices, as well as researching the needs and wants of patients and people in general. This will ensure that the best care will be provided for patients and increase business functionality. Innovation Research and Implementation An area that is changing in healthcare administration is the storage and processing of medical records and patient data. Quantitive research design was used to gather data. The objective of this research was to find a global perspective regarding HDR on how this system assisted healthcare needs of both the patients and healthcare professionals. Through this research solutions were found that would allow better and more affordable healthcare services, and future insight to how medical devices would change over time. In the past, records including charts and personal information were paper files placed in folders and stored in cabinets in the medical records department or hospital libraries. Today, many facilties are now using electronic or digital records that is stored. In the article strategic research was done to find the most efficient, cost effective, and overall beneficial......

Words: 671 - Pages: 3

Health Care Research

...Health Care Research In looking at the definition of research, it is pretty much defined the same no matter what resource you are looking at. Merriam-Webster’s Collegiate Dictionary, 11th Edition (2003) defines research as: 1) careful or diligent search; 2) studious inquiry or examination; investigation or experimentation aimed at the discovery and interpretation of facts, revision of accepted theories or laws in the light of new facts, or practical application of such new or revised in the light of new facts, or practical application of such new or revised theories or laws; 3) the collecting of information about a particular subject. Research may mean different things to different people but research to me means to participate in research and to search for information on a subject or a particular problem. Research is an important part of Ashford Academics. “Health care organizations have become extremely complex hence health care management has also taken on a complexity of its own. Health care managers must therefore be very versatile in management skills while being very knowledgeable in health care issues. One cannot expect to be fully prepared for a lifetime career of health care management by an academic program alone. Further growth and professional development are demanded in a highly dynamic environment such as health care” (Isaac, 1995). As a leader in health care, research is important because either it justifies a point being made or it allows you to......

Words: 1523 - Pages: 7

Wound Care Education

...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......

Words: 749 - Pages: 3

Wound Care and Nutritiun

...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......

Words: 1974 - Pages: 8

Journal of Wound

...Journal of Wound, Ostomy and Continence Nursing In the article Combined Negative Pressure wound therapy and ultrasonic MIST therapy for open surgical Wounds: A Case Series, is a detailed summary about four different case studies that underwent colorectal surgical procedure, and healed through secondary intention. Secondary intention is when a wound is left open and allowed to close by epithelialization and contraction. Surgical wounds left to heal by secondary intention are at a greater risk for developing infections, increased hospital stay, incur greater hospital costs, higher readmission, and patient morbidity. This Journal looks into two new developments for open wound treatments. The first new treatment is non-contact low frequency therapy (NCLPU) that uses cavitation and acoustic microstreaming. Cavitation is the formation and vibration of microscopic bubbles whose movement promote changes in cellular activity. Acoustic microstreaming is the movement of fluids in and around cells by the physical force of sound waves resulting in increased protein synthesis and increased permeability of the cell membranes and vascular walls. The second new development is combined negative pressure wound therapy (NPTWT), a vacuum source creating continuous or intermittent negative pressure inside the wound to remove fluid, exudates and infectious material promoting wound healing, closure and the reduction of edema. With the reduction of edema improved tissue perfusion, delivery of......

Words: 699 - Pages: 3

Wound Care

... He has not had surgery before, so he is anxious. Lori Rhodes, a 22-year-old student nurse, is assigned to care for Mr. Baker. She is in her last year of nursing school. After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula. Lori is going over Mr. Baker’s preoperative checklist. The informed consent form has been signed by Mr. Baker. Lori knows that it is the responsibility of the _____ to tell the patient about the surgery, including risks, benefits, expected outcomes, and alternatives. A. Preoperative nurse B. Surgeon. C. Anesthesiologist D. Circulating nurse As part of Lori’s assignment, she is observing Mr. Baker’s surgery. She is to follow the circulating nurse. What will Lori learn is the role of the circulating nurse during the surgery? Answer: Rationale: After the surgery, Mr. Baker is taken to the PACU, the endotracheal tube is removed, and Mr. Baker responds to his name. During the time in the PACU, Lori monitors respiratory status closely due to what factors? Select all that apply. A. Anesthesia can have a depressing effect on respirations. B. Mr. Baker has a history of smoking. C. Mr. Baker has an abdominal incision. D. All of the above. Lori is developing Mr. Baker’s care plan and adds the nursing diagnosis potential for infection. Why would Mr. Baker be at high risk for......

Words: 3306 - Pages: 14

Wound Care

...Lesson 1: A & P of Skin and Soft Tissue Answers/Rationale 1. F The pH of normal, healthy skin is slightly acid, not alkaline. 2. F Dermis, is the inner most layer of skin that is naturally moist and slightly acid. 3. T Epidermis is the outer layer of skin, composed of stratified squamous epithelial cells,which can reproduce/regenerate to replace lost cells. 4. F Subcutaneous tissue is not a layer of skin. Only the epidermis and dermis comprise the skin. Subcutaneous tissue is fatty tissue/adipose tissue underneath the skin that provides padding and protection. 5. T Tissues need intermittent blood flow. Compression of tissue between a bone and external surface/ cast/splint or device, compresses blood vesslels and can cut off the blood flow to tissue resulting in ischemia that causes tissue damage and if prolonged, ulceration. 6. T Muscle tissue is highly vascular with a higher metabolic rate and therefore is more susceptible than skin to effects of prolonged pressure. Muscle is also not capable of reproduction/regeneration. 7. F Maceration stretches cells in the skin increasing the risk of damage. 8. Rete pegs and rete ridges are epidermal protrusiuons that project down into the dermis to interlock with the dermal papillae to provide strength and stability of the skin layers and prevent skin tears. Without the interlocking of the epidermis to the dermis, or if there is flattening of this junction, the epidermis can easily be torn away from the dermis. The rete pegs and ridges......

Words: 294 - Pages: 2

Influences of Health Care Research

...Influences of Health Care Research HCS/465 February 22nd, 2016 Dawn Bricker Influences of Health Care Research In this paper we will discuss an innovation that has been developed in the last 20 years that has influenced the health care industry. That innovation is telemedicine. Telemedicine What is telemedicine? According to the American Telemedicine Association, “Formally defined, telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology.” They continue, ” Starting out over 40 years ago with demonstrations of hospitals extending care to patients in remote areas, the use of telemedicine has spread rapidly and is now becoming integrated into the ongoing operations of hospitals, specialty departments, home health agencies, private physician offices as well as consumer’s homes and workplaces.” This innovation has lasted 40 years and has continued to gain traction and popularity in recent years due to the advances in technology. There are many benefits for telemedicine. Improved access is very important, given the provider shortages throughout the world, in both rural and urban areas; telemedicine has a unique capacity to increase service to millions of new patients. Reducing or containing...

Words: 907 - Pages: 4

Pressure Ulcer Wound Care

...Pressure Ulcers: Wound Care Assignment Harman Unitek College Foundations of Nursing VNSG 100 Mr. Dhanda November 10, 2015 Pressure Ulcers: Wound Care Assignment Have you ever wondered what it looks and feels like if our skin gets torn up? You haven’t right? There are approximately 2.5 million who get pressure ulcers from hospitalization each year. From those 2.5 million patients, 60 thousand patients die from complications (Cooper & Gosnell, 2015, para. 4). In this essay, I will be explaining the normal causes, common treatment (tx), and prognosis for healing. Pressure Ulcers (PU) overall usually occur when there is sufficient pressure on the skin over bony prominences causing blood vessels in an area to collapse. Pressure ulcers result in ischemia or lack of oxygen and nutrients to the cells. PU usually take place over bony prominences such as: sacrum, scapula, elbows, heels, inner and outer knees, back of the head, and the hips. Since we are talk about stage III pressure ulcers, PU involves full thickness tissue loss where the subcutaneous fat is sometimes visible, but bones, tendons and muscles are not exposed. Stage III pressure ulcers vary depending on the location which also include: bridge of nose, ear, and the occiput. Deep stage 3 PUs develop in areas within layers of deep adipose tissue. The two main factors that play a role in development for pressure ulcers are shearing force & friction. Shearing force involves when the tissue layers of the......

Words: 661 - Pages: 3

Ambulatory Care Research

...Facility Selection and Research Jami Jeziorski Facility Selection and Research In this paper, I will address four things. The first is I will describe what facility I choose and what the purpose is in the health care industry. Second, I will identify the population the uses the facility I chose in my research. Next, I will identify the key characteristics of the facility. Then I will explain to why I chose the facility type and then put it all together in my conclusion. The facility I chose to research is the Ambulatory Care Clinic. An ambulatory care clinic has a broad range of medical services available for patients. Having such an advanced technology in today’s healthcare, more doctors and other healthcare providers are having ambulatory care for their patients. Some places that offer the ambulatory care are in doctor offices, hospitals, or in an ambulatory surgery center and some procedures include the following: x-rays, blood tests, minor surgeries, endoscopy, biopsies, childbirth, and many more. The purpose of the ambulatory care clinic is to provide in and out, patient procedures safely and to save time and money for patients. It also prevents from infection to spread with since the patients are not staying overnight with infection can set in. The people that use the ambulatory are patients, staff, families, and the general human population. Both men and women use these services as well and all ages and different diversities. The population in today’s......

Words: 492 - Pages: 2

Wound

...Wound V.A.C. – KCI Protocol Emergency General Surgery Service Vanderbilt University Medical Center 10 / 2004 Contributors: Sarah Debelak, APRN-BC Amanda Estapa, APRN-BC Ashlee Piercey, APRN-BC Dr. Jose Diaz, Jr., M.D. STATEMENT OF PURPOSE: POLICY: Define process for implementation, application, and management of negative pressure therapy The Wound V.A.C. will be provided to patients based on physician order PROCEDURES: I. Indications for V.A.C. Therapy A. For patients who would benefit from sub atmospheric (negative) pressure therapy for promotion of wound healing B. For patients who would benefit from drainage and removal of infectious material or other fluids from wounds under the influence of continuous and/or intermittent sub atmospheric pressure C. Types of wounds indicated: 1. Chronic Wounds including Diabetic Ulcers/Pressure Ulcers 2. Acute / Traumatic 3. Subacute Wounds (non-healing surgical wounds) . 4. Dehisced Wounds 5. Partial-Thickness Burns 6. Flaps 7. Grafts Contraindications for V.A.C. Therapy A. Patients with: 1. Grossly Contaminated Wounds 2. Malignancy in the Wound 3. Untreated Osteomyelitis 4. Non-enteric and Unexplored Fistula 5. Necrotic Tissue with Eschar Present B. Do NOT place V.A.C. GranuFoam (Black sponge) over exposed blood vessels or organs. May use VersaFoam (White) or petroleum-based gauze over exposed blood vessels or organs at base of wound with overlaying GranuFoam. Obtaining Equipment and Supplies A. Order the Wound V.A.C. from......

Words: 2502 - Pages: 11

Kanokon (14) | HD 720 A Good Day to Die, Hoka Hey | Download Now