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It results when additional pressure interrupts blood flow through the skin. This results in oxygen and nutrient deficiency in the affected skin, which makes it break leading to the formation of the ulcer. Pressure from a hard surface, for instance, wheelchair and bed can cause an ulcer (Dziedzic, 2013). Involuntary muscle movements is another cause besides moisture, which can break down the epidermis. We will focus on old age and terminal disease as some of the risk factors.
Individuals, who are old have their skin aging out, which results in loss of elasticity. There is a decline in the blood flow through the skin, which is due to aging effects. Additionally, the amount of fat under the skin decreases as one gets older. All these put together makes the skin vulnerable to damage; hence, an ulcer formation. We will now look at some terminal diseases in patients that can put them at increased risk of pressure ulcers (Qaseem, Humphrey, Forciea, Starkey, & Denberg, 2015). Type one and two diabetes results in increased blood sugar levels, which disrupts the normal flow of blood. In peripheral arterial disease, build-up of fatty substance in arteries hampers blood supply to legs. Heart failure results in reduced blood supply to other parts of the body. Kidney failure results in build-up of harmful toxins, which can cause damage to tissues.
Reducing the risk of infection demands regular hand washing, debridement and wound cleansing. Protect the wound from exogenous sources of contamination such as feces (Kifer, 2012). When dressing the wound, clean it using sterile water, topical antiseptic or saline, which reduces the bacterial growth and risk of infection. In cases of foul odor, debridement, and frequent cleansing is necessary.
Measurement monitors progress made in the healing process through changes in width, length, volume and area of the wound. Simple measurement technique involves measuring the
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Mrs. Stanley (a pseudonym) is a 65 years old lady admitted from a care home with a chest infection, and she is frail and emaciated. She had a stroke at nine months ago. She developed left side hemiplegia. At present, she is able to sit on a wheelchair and needs help with activities on daily living.
The author states that the major gap in the literature is that there are not much documented data or evidence based studies about lower leg ulceration. Reviewing the available literature is relevant, because reports indicate that the issue of leg ulcers is mounting significantly today mainly due to lack of knowledge about the prevention methods.
This paper will discuss what can be done to prevent wound infection within the hospital setting.
There is no substitute for hand care. It has been known for many years that most infections are carried from one room to another on healthcare workers hands and yet it continues to happen.
A wound occurs when the integrity of any tissue is compromised (Dealey 23). A wound may be caused by an act, such as a gunshot, fall, or surgical procedure; by an infectious disease; or by an underlying condition. Types and causes of wounds are wide ranging, and health care professionals have several different ways of classifying them.
Analysis of the literature regarding wound care revealed that there are few quality studies regarding the efficacy of various wound care products, which are currently available. No dressing can be said to be more efficient when
hey are traumatic when they occur as a result of an accident or an injury, and atraumatic when a surgeon for the purpose of carrying out a repair creates them. On the other hand, a chronic wound is a wound that is arrested in one of the healing stages, especially the
The study concludes that honey is a useful wound care product with good healing time and healing rate, with added property of antimicrobial activity. It is also a cheap product and has fewer side effects.
As a result of the fact that the treatment and care of wounds is so important, a litany of different theories have been put forward by different individuals as a way of identifying, diagnosing, and treating wounds. Rather than providing a running commentary
m goals of providing treatment, maintaining a healthy population as well as protecting the families against financial constraints understanding the differences between the four basic health care system models is quite essential (Health Disparities Conference & Wallace, 2008).
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