HLTENN006: Wound Management - Clinical Environment - Nursing Case Study Assignment Help

Internal Code : 1AAICC

Nursing Essay Assignment Help

Case Study :  David Pearson is a 57 year old retired merchant navy man for England He and his family ( wife and 4 sons ) migrated to Australia in 1987. He has been troubled by osteoarthritis for the last 10 years exacerbated by his job as a Engineer. He also has developed hypertension 6 years ago. His recent increase in weigh has put him at risk of diabetes. Orientation /neuro David is orientated to time and place and aware of the reason for admission namely a right total knee replacement. Vital signs Temperature 37.5 degrees Celsius Pulse 98 bpm Respiratory rate 20bpm Blood pressure 150/80 mm Hg Weight 98kg Height 1.78 metres BMI 31 Pain level for right hip and knee 6-7 Circulation He reports that he has hypertension. The client reports that his right hip and knee are painful at rest (6-7) and when mobile this rises to 8. Breathing The client reports that he does get out of breath when walking long distances ( 500 metres) He also reports breathing difficulties at night, if he sits up this helps. Nutrition/fluids The client reports that he loves all food, He is aware that he is overweight and he has tried to diet in the past with no effect. He does report that he has had a problem with alcohol and does struggle with that. Elimination The client reports that he voids 12 times a day, he gets up at least 2 times during the night. He reports problems with constipation that can be treated with laxatives usually once a week Rest and Sleep The client reports that he does not get a good nights sleep due to getting up during the night to go to the toilet, also he has bouts of breathlessness and the pain of the osteoarthritis. Task :  You are required to write a wound management for David Pearson (Case Study) who has  undergone a total knee replacement surgery. This assessment requires you to fill out a wound management plan (see attached wound care assessment plan 1 + chart + progress notes) Wound Management Plan – please address the following:

1. Principle diagnosis of the patient which includes:

• Presenting problem
• Other medical conditions (including chronic health conditions)
• Reason for admission to hospital

2. Evaluation of the wound management plan including:

• Wound bed status (include colour/s)
• Wound measurements
• Condition of surrounding skin (ie intact, breaking down)
• Wound exudate (colour, consistency, odour)
• Frequency of dressing change

3. The progress notes must include:

• Explanation of the wound management
• Pain management; includes education about pain management for patient
• Expectation of healing process (elaborate more towards the physiology of healing process, ie. chronic health condition, age of the patient, location of wound) and also the type of wound healing (eg. Primary intention or secondary intension)
• Actual or potential impacts of the wound discussed. You may wish to consider inability to perform normal Activities of Daily Living and complication of post-op wound

4. Completed wound care assessment plan, wound chart and progress notes chart with all required details fill out (provided to students via Brightspace)

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