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Case Study (Skill Analysis) - Essay Example

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Case Study (Skill Analysis) Date Abstract The essay aims to address a two-fold objective to wit: (1) to demonstrate an understanding of wound management and causative factors in wound breakdown; and (2) to demonstrate an understanding of safe and effective nursing practice…
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Download file to see previous pages Sophie Smith is a 44-year-old female who is two days post-operative, following an appendectomy. Sophie works as a real estate agent, weighs 46kgs and 168cm tall. Sophie has a story of rheumatoid arthritis and takes 10mg of prednisone daily and also has an allergy to penicillin. While changing her dressing you notice a thick yellow discharge oozing from the wound. Wound management following an appendectomy is essential for the complete recovery of Sophie. A comprehensive assessment of the present state of the wound is necessary as well as the stage of healing. Thus, it is important to obtain information from the client about factors that may affect wound healing. Consent is necessary so that nursing procedures can be carried out and prioritized according to the patient’s needs. The nurse’s role in wound management is critical not only to wound management but to maintenance of aseptic technique while doing nursing care. Identify and discuss the importance of obtaining information during a nursing admission in relation to post-operative assessment.The process of obtaining and communicating information during a nursing admission also refers to the nursing assessment and these can be obtained from the client, significant others, health team members, and client’s medical records (Funnell, Koutoukidis& Lawrence, 2009, p. 229). Obtaining information during a nursing admission is important in identifying areas needing nursing interventions. Obtained information may either be subjective or objective and includes nursing history, physical examination and observation, and laboratory and diagnostic tests. Applying Sophie’s case, obtaining information during a nursing admission requires explanation of the purpose and rationale for gathering information. Sophie must also be put in a quiet and private place for ease of patient during personal information gathering. Information such as medical diagnosis, previous admission to the hospital, client’s perception of condition, allergies, social data, activities of daily living, habits, and use of prosthesis are necessary because obtaining these information during a nursing admission will adjust the plan of care related to post-operative treatment. For instance, Sophie has a history of rheumatoid arthritis, takes 10mg of prednisone daily and has allergy to penicillin.These information has relevance to post-operative treatment as rheumatoid arthritis impairs healing, can cause deformities, and increase pressure on the soft tissues leading to increased risk of skin breakdown. Prednisone is a corticosteroid which also delayed healing by interrupting cellular division (Guo and DiPietro, 2010, p. 219). Sophie has allergy to penicillin and its significance include not giving Sophie penicillin to avoid allergic reactions and tests other antibiotics that will not produce allergic response because antibiotics are essential for wound healing and combatting infection. Identify and discuss the nurse's role in consent procedures for patients undergoing a procedure involving general anesthesia.Surgical and invasive procedures involving administration of general anesthesia requires written consent. Nurses play a major role during consent procedures. Nurses provide the needed information of the individual and make sure that it is well-understood prior to administration of ...Download file to see next pagesRead More
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