HLTENN006 - HLT54115 - Apply Principles of Wound Management in the Clinical Environment - Diploma of Nursing - Nursing Assignment Help

Assignment Task:

1. How would you maintain patient privacy and dignity during the holistic assessment and wound management activities?
2. List the stages of wound healing. For each stage describe the critical changes that occur at the cell, biochemical and tissue level, using appropriate medical terminology.
3. What is the ideal environment for wound healing? Outline at least three (3) key factors that may affect wound healing, including the psychological impact of a wound on the person’s activities of daily living.
4. The clinical appearance of a wound is critical in the assessment of healing progress and also to identify the stage of healing that a wound is at. Considering this statement, describe the following characteristics of wound tissue:
a. Necrotic
b. Sloughy
c. Granulating
d. Epithelizing

5. Wound infection is a serious complication that may delay or reverse healing leading to greater tissue damage or systemic illness.
a) State at least two (2) common clinical manifestations of wound infection.
b) List at least three (3) strategies to prevent wound infections?
c) List at least two (2) measures that must be implemented to minimize cross-infection?
d) What education should be given to patients and their families in wound infection risk reduction strategies (list at least three)?
6. Wound exudate can be described as being serous, haemoserous, sanguinous or purulent. State the characteristics of each:

7. What is the importance of wound cleaning. Explain the difference between primary and secondary dressings. Students answer should reference/be in-line with the following:

• Primary dressing
• Secondary Dressings

9.    Briefly discuss at least two (2) observations that must be made when assessing the skin surrounding a wound.
10.  Pain-related to a wound need to be assessed, treated promptly and appropriately. Considering this, list at least two (2) factors that may contribute to wound pain. 
11.    Outline at least one (1) clinical feature that may impact the psychosocial life of a patient with a chronic wound.
12.    Discuss briefly at least four (4) factors you would consider in developing a wound management plan?
13.    List at least five (5) members of the health care team who may be involved in wound management in the hospital setting. 
14.    As part of the management plan, write at least two (2) key instructions that should be included when educating the client/family in regard to wound-damage prevention strategies?
15.    list at least four (4) intrinsic client factors/conditions that may increase the risk of wound development and/or delay wound healing.
16.    List at least two (2) types of wound dressings. Identify the key indication for use and provide a rationale for your answer. Also state one example (brand) of the product.
17.    It is the nurse’s responsibility to observe and document healing progress. With regard to a surgical wound with staples insitu, what five (5) specific observations would you make? 
18.    Under what circumstances you will see wound drain (provide at least two examples) and explain why?
19.    List at least three (3) cost-related factors that you should consider to provide wound care within a cost-effective framework.
20.    Ulcers occurring on the lower leg may be complex in their etiology and are a sign of underlying disease, trauma or allergic response. 
Define the following types of ulcers that typically occur on the lower leg indicate what type of treatment would be used on each type of ulcer, for example, compression therapy:
21.    Pressure Injury is one of the most common hospital-acquired injuries. In order to accurately assess the depth of a Pressure Injury, we utilize a 5 stage assessment model. State the key characteristics for each of the five stages.
22.    State the three (3) principal causes of Pressure Injury and include a brief description of how each cause contributes to the development of a Pressure Injury.
23.    State three (3) intrinsic factors that may lead to a person sustaining a Pressure Injury
24.    Skin Tears are the most commonly acquired traumatic wound by people living in residential aged care. 
a)    State the name of the classification system used to identify the severity of a skin tear
b)    List the three (3) categories of Skin Tear and state the assessment criteria for each
c)    State the three (3) most appropriate dressing categories to be used for dressing skin tears
25.    Your patient had a skin graft to his lower left leg which has taken well. The order is daily dressing and weekly wound measurement. His donor site is on the right thigh, covered with dry dressing which is now oozing through. The order is not to disturb the dressing for another 5 days. What are you going to do? Which members of the interdisciplinary team are you going to consult about this issue?
26.    Discuss briefly the importance of evaluating wound care management and goals for the individual patient. 
27. What is a wound drain? Explain its significance using at least ONE (1) example.

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