Skill Analysis Framework, Skill Performance And Self Reflection Case Study

Skill Analysis Framework, Skill Performance And Self Reflection Case Study Skill Analysis Framework, Skill Performance And Self Reflection â€" Case Study Example > IntroductionSuch pressure wounds are the result of injury caused due to constant pressure that is exerted on the skin and muscles and are formed because of compression of the skin between a bone and some external hard surface such as a bed or chair. Consequently the unrelieved pressure on the skin chokes the blood vessels that supply oxygen and other nutrients to the tissues of the skin. Such tissues adjoining the bone are rendered lifeless and the complication develops resulting in the pressure wound. Research and data indicates that over a million people worldwide develop such complications that have to be dealt with utmost caution and specialized treatment to bring relief to the patient and to ultimately cure it. If found and diagnosed early, they can be completely cured, otherwise they can be a threat to life. Pressure wounds can be diagnosed from stages one to four, and the wound of Mr. David Wong, a 78 year old widower, is clearly that of stage four thus warranting the use o f utmost caution and care specially in view of his advanced age and mental condition. The course of treatment to be followed in the case of Mr. Wong is to first relieve pressure, remove dead tissue, control the infection with medication including the use of tetrasil skin cream, provide nutritional support, and stimulate wound healing and skin growth with electrical energy and oxygen by using appropriate additional medications. Assessment and planningSince such pressure wounds are difficult to handle and cure, the hospital stay of Mr. Wong may be prolonged, and nurses can bring substantial relief to the patient by taking proper skin care, by giving the patient a good diet with lot of fluids, by encouraging and helping him to walk and by frequently changing the position of his body. These being the basics, goals need to be set for the treatment and appropriate strategy to be formulated and implemented. The nurse should assess for intrinsic and extrinsic risk factors. Risk assessment documentation should be prepared and reassess the situation every 24 hours. A standardized and reliable tool such as Braden’s Scale be used for risk assessment and risk assessment scores to be documented systematically. A halogen light should be used to ascertain changes in skin color and skin should be assessed daily. The patient should be encouraged to be active as far as possible and all moisture should be avoided on the his body. A dietician should correct nutritional deficiencies by increasing intake of protein and nutrients as also supplements of Vitamins A, E and C as per needs. With change in schedules, the patient should be given water and other liquids. Maintaining the requisite body posture is very important and a mechanical shifting device also may be used to change the position of the patient. However the head of the bed should not be elevated more than 30 degrees unless specified because otherwise the patient will need to be shifted up more often thus increasing t he risk of further sores. All interventions of prevention and healing need to be constantly monitored to study the effectiveness of current treatment