wound care/1000
Instructed in materials used in wound care. However, even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection like increased drainage or bleeding from the wound that won’t stop with direct pressure, redness in or around the wound, foul odor or pus coming from the wound, increased swelling around the wound and ever above 101.0°F or shaking chills.
Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Patient was instructed on wound healing. Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Healing may occur within weeks or require several months.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
Instructed caregiver in vacuum assisted closure (VAC) that is a type of therapy to help wounds heal. The process heal open wound through the application of negative pressure. Another benefits of the negative pressure wound therapy are draining excess fluid from the wound, keeping your wound moist and warm, helping draw together wound edges and increasing blood flow to your wound. Caregiver verbalized understanding.
Instructed patient unlike gauze bandages that merely cover a wound, V.A.C. therapy actively works to help the wound healing process. The V.A.C.therapy system helps: promote wound healing, provide a moist wound healing environment, draw wound edges together, remove fluid and infectious materials, reduce wound odor, reduce the need for daily dressing changes.
SN instructed patient on wound care. Keep a clean dressing on your wound, dressings keep out germs and protect the wound from injury.
They also help absorb fluid that drains from the wound and could damage the skin around it. Try to drink six to eight cups of water daily. Hydration is essential for healthy skin.
Instructed on some potential complications of constipation, such as: stool impaction (liquid bowel movement may ooze around hard stool in the colon).
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.