Essays on Debridement

Initial Patient Assessment

Overview The patient is 67-year-old Mrs. Finch.

She lives with her husband in their marital home.

Recently, she suffered a CVA and had been in the hospital’s rehabilitation ward recovering from her latest episode. Before her CVA, Mrs. Finch had a healthy and active lifestyle.

However, her condition has brought with it numerous other complications including a chest infection.

She is also having difficulty staying mobile due to residual weakness on her left side. She has had a dark wound on her heel for about a week now. This wound keeps deteriorating into the present wound. A series of CVA specific issues such as limited mobility, the risk for infection and reduced nutrition hinders Mrs. Finch’s capacity to heal. Wound ...

PATIENT PROFILE

A 29 year old female Caucasian who has a 7-month history of heavy irregular menses, a 5-pound weight gain, constipation and history of decreased energy

SUBJECTIVE

There is a family history of thyroid disease in the patient's mother (Nissenson, A. R., 2009). Moreover, from the physical examination, the patient is overweight with a body mass index of 26.09 kg/m/m. Computed Tomography also shows enlargement of the thyroid gland without the presence of any nodule.

OBJECTIVE

Thyroid function test which includes serum thyrotropin concentrations and ; thyroxine, resin triiodothyronine uptake; free thyroxine index (FTI), Thyroxine, Thyroid stimulating Hormone are all serum parameters that are measured. clinical ...

Potential Research Interest in Nursing: Maggot Debridement Therapy (MDT)

Arguably, the complexity associated with chronic wounds continues to challenge healthcare providers throughout the world. Notably, standard treatment of such wounds like antibiotics gives poor outcomes, therefore, prompting health practitioners to seek alternative biological liberal options. Such treatments include apitherapy, maggots, and leeches based treatments. However, this paper will be explicitly based on Maggot Debridement Therapy (MDT) since it is one of the most controversial pressure wound therapy yet posting incredible results. The increasing prevalence in chronic wounds is partly due to the medical advances that have increased the life expectancy converting life threatening diseases to chronic wounds. ...

The patient was a 24-year-old black male who was brought to the emergency room via an ambulance on June 21 at 03:50 pm. The report indicated that it was a pedestrian versus vehicle accident. The state of the patient reported included acute lung injury, pulmonary contusion, deep road rash extending over right side of axillary region to the abdomen, deep avulsion to the right hip area and exposed muscles. Trauma alert team and the respiratory therapist were called to the bedside. The patient developed respiratory failure and immediately was intubated by the respiratory therapist with an endotracheal tube size 7.5 mm. ...

A condition affecting the system of veins in legs with venous hypertension resulting in different pathologies that involve swelling, ulcerations, pain, skin changes, and edema is called chronic venous insufficiency (Eberhardt and Raffetto, 2005). It is necessary to understand normal venous function and anatomy to analyze the venous insufficiencies pathology. The peripheral venous system serves as a conduit returns blood into the heart and as a reservoir where blood is stored. Appropriate operation of the peripheral venous system is dependent on a series of muscle pumps and valves (Eberhardt and Raffetto, 2005). Blood entering the venous system of lower extremities has ...

Introduction

Ms. Zona is an 83 – year - old female patient who has been admitted to the hospital for worsening of the pressure ulcers on both of her heels. She has a medical history of type 2 diabetes (T2D). Surprisingly, she demonstrates poor understanding of her illness and its management. Due to this factor, diabetic complications seem to be almost certain. With a BMI of 31, she seems to be an obese patient, which means she is either not aware or not educated enough on the health risks associated with obesity. Her heel ulcers are painful; therefore, she tends to spend most ...

Introduction

The purpose of this study is to compare two nursing articles in terms of their research purpose, research methodology, and research designs. The articles which have been chosen for this study are based the topic of Maggot Debridement Therapy.

Following are the articles which have been chosen for this analysis:

- Larval therapy for leg ulcers (VenUS II): randomized controlled trial – Quantitative Study - Patients’ perceptions and experiences of larval therapy - Qualitative Case Study The first article has been written by Dumville. The article was published in the year 2009 in the BMJ journal. The second article Kitching. The article was published in the year 2004 ...

Discussion Questions

Neurogenic shock is a type of shock that occurs because of dysfunction of the sympathetic nervous system (McCance, et al, 2009). The sympathetic nervous system is responsible for maintaining the normal tone of muscle and blood vessel walls. The dysfunction leads to relaxation and dilatation of the blood vessels. As a result, there is pooling of blood in the venous system and the effective end diastolic volume is reduced. There is an overall reduction in the blood pressure (McCance, et al, 2009). In John Jackson's case, he has just suffered spinal cord injury as a result of the motorcycle accident, which ...