HLTENN039 - Apply principles of wound management

10. Identify five (5) factors included in a skin assessment and five (5) factors included in a wound assessment.

11. Identify three (3) common problems and complications of wound healing.

12. Jack Sparrow has a surgical wound with a Bellovac drainage system. Identify four (4) interventions nurses need to note in regard to post operative management of a surgical drain and wound drainage systems.

13. Mr Jones who has a history of chronic venous disease and leg ulcers has returned from theatre after hip surgery and is fitted with elastic compression stockings (TED) and sequential compression device (SCDs).

• Outline the benefit of elastic compression stockings (TED) and sequential compression device (SCDs)

14. Outline 4 relevant factors the Enrolled nurse must consider when developing an individualised wound care plan (in conjunction with the RN). 

Brief Summary of Assessment Requirements

This assessment focuses on wound management, infection control, and nursing interventions. Students are required to:

• Identify relevant standards – Discuss two wound and infection-related standards shaping organisational policies.

• Review history of wound care – Outline changes in wound management from ancient to modern times.

• Microbiology of wounds – Identify conditions supporting microorganism growth, and common fungal/viral infections with their reservoirs.

• Differentiate wounds – Acute vs. chronic wounds, and apply this to given case studies.

• Principles of wound management – Outline three core principles.

• Wound classification – Match wound types with their defining characteristics.

• Skin and wound assessment – Identify 5 factors for each.

• Complications – List common wound healing problems.

• Post-op care – Explain management of surgical drains and wound drainage systems.

• Compression therapy – Discuss benefits of TED stockings and SCDs.

• Care planning – Identify factors an enrolled nurse must consider when developing an individualised wound care plan with the RN.

Students must present responses in their own words, using APA 7th edition referencing, ensuring originality and academic integrity.

Mentor’s Step-by-Step Guidance Approach

The academic mentor guided the student systematically through the task:

Step 1 – Understanding the Task

The mentor first helped the student break down the requirements into smaller sections. Each question was grouped under broader categories:

• Standards & history of wound care
• Microbiology & infections
• Wound classification & principles
• Assessment factors
• Post-operative & nursing interventions

This ensured clarity and reduced overwhelm.

Step 2 – Research & Evidence Collection

The mentor directed the student to:

• Review clinical standards (e.g., NSQHS Standards, infection prevention guidelines).
• Use peer-reviewed sources for historical and microbiological insights.
• Refer to textbooks and wound care manuals for classification, assessment, and nursing interventions.
• Apply APA 7th edition referencing throughout.

Step 3 – Structured Responses

The mentor encouraged answering each question in a clear, concise, and point-based format to meet word requirements without unnecessary elaboration. For example:

• Standards → brief description + relevance to wound care.
• Case studies → identify acute/chronic with rationale.
• Matching exercise → systematic alignment of wound type with its features.

Step 4 – Critical Thinking & Application

For case studies and care planning, the mentor asked the student to apply theoretical knowledge to practical nursing scenarios rather than just list information. Example: explaining how TED stockings reduce venous stasis and risk of DVT.

Step 5 – Review & Refinement

Finally, the mentor reviewed the draft with the student to:

• Ensure alignment with assessment instructions.
• Check for proper referencing and academic integrity.
• Refine language for clarity and professionalism.

Outcome & Learning Objectives Achieved

By the end of the process, the student successfully:

• Demonstrated knowledge of wound standards and policies.
• Traced the evolution of wound care across historical periods.
• Understood microbial factors affecting wound infection.
• Differentiated acute and chronic wounds in real cases.
• Applied principles of wound management to practical nursing care.
• Identified correct wound classification features.
• Conducted comprehensive skin and wound assessments.
• Recognised complications and post-op management needs.
• Applied knowledge of compression therapy and care planning.

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