Discussion Week 3: Wound care Principles and practice

Discussion Week 3: Wound care Principles and practice

Discussion Week 3: Wound care Principles and practice

Continuing care of Rebecca presented in assessment one, she was admitted to hospital after being involved in an automobile accident four weeks ago. She sustained multiple contusions, superficial grazing and a left fractured femur. A surgical site infection has resulted in a prolonged admission. As the registered nurse caring for Rebecca, you note she has becomes less engaged with her care. You also note skin changes on Rebecca’s coccyx and unaffected heel.
In essay format, outline your care of Rebecca focusing on your understanding of pressure injuries within the context of holistic care. Include in your discussion:
Risk factors for pressure injuries including preventative nursing measures that can be undertaken.
The stages of pressure injuries and their assessment. Include information about management of each stage of pressure injury.
Consider in your responses, a holistic approach to Rebecca acknowledging culture, diagnoses, medications and other factors you may consider important. Explicit description of wound products is not required.

Previous case Rebecca
• Mrs Rebecca Brown is a 70 year old indigenous woman experiencing a venous leg ulcer on the inner aspect of the right lower leg. Her husband lives in the dementia unit of a nearby nursing home, so effectively she lives alone.
• Rebecca has smoked five (5) cigarettes a day, long term. She no longer cooks and her only social contact is meals on wheels who visit daily as well as her daughter Jenni who visits once a week.
• A diagnosis of advanced rheumatoid arthritis (RA) has resulted in Rebecca being unable to drive. She is now reliant on the local bus service which stops outside her home. The bus takes her to the local shopping centre, where her doctor is also located.
Her medications are paracetamol which Rebecca takes regularly for pain relief and Adalimumab (Humira), a steroid prescribed to manage her RA.
The images below may assist you in understanding the client from a holistic perspective and for wound assessment [you do not need to refer to them in your essay].

2000 words/double line spacing/ Arial 12 font
Reference list APA minimum 20 (including 7 peer reviewed journal articles) published within the last 5 years.


You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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