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Nursing - Mrs. Gina Bacci Case Study - Pathophysiological and Postoperative Condition Of The Patient - Essay Writing Assessment Answer
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Nursing Assessment Answer
Assignment Task:Mrs. Gina Bacci Case Study
The essay would emphasize on pathophysiological and postoperative condition of the patient and also the effective nursing management care for treating the disease. Mrs. Gina Bacci is a 49 years old Italian lady who has been suffering from foot ulcer. There have been other medical conditions such as type II diabetics, obesity. The lady has undergone the foot ulcer surgery and she is present at the hospital for the wound assessment. The discussion of the essay would focus on pathophysiology and post-operative wound status of patient, pathophysiology and effective nursing management. The essay is aimed at evaluating the status of wound in the patent and providing effective nursing care. Mrs. Gina Bacci, 49 years Old Italian lady has been diagnosed with right foot ulcer. After the post-operative process, it was discovered that the wound of patient is wet along incision. In the wound, there has been exudation of serous output. Exudation of serous output is thin, watery and clear plasma. A small amount of serous exudates is considered to be normal during the stage of wound healing. However, in the case of Gina, there is excess exudation of serous output from the wound. It indicates that there is a requirement of taking immediate actions for treating wound of the patient. As suggested by Ausserhofer et al., (2014), high or moderate presence of serous output reveals that the wound is in high bio-burden condition. The close observation of the wound further shows that there is dehiscence along the line of suture and presence of sloughy tissue can be detected in the wound area. The indications in the wound site are the symptoms which show that the patient is not in the good condition. A close system of monitoring can further be considered in this regard. Generally, four stages can be identified in the process of wound recovery and the processes include haemostasis phase, inflammatory phase, proliferative phase, and maturation phase. The 49 years Old Italian lady has been evaluated in the inflammatory phase. Localised swelling is indication of inflammation phase. Dehiscence along the line of suture in wound is indicative of this sign. Inflammation is helpful for both controlling bleeding and preventing infection. The reasons for dehiscence in wound can be attributed to enzymes, nutrients and growth factors. Heat is a common factor in the site of wound. It has been found in the lady that surrounding skin of the wound is warm and also dark pink. As argued by Papastavrou, Andreou & Vryonides (2014), new tissue is formed during the healing process of surgical wound. The generation of new tissue is called granulation tissue. It is vital for the hospital authority to ensure that there is presence of necessary equipments for the recovery process of patient. Splitting open of the surgical wound is one of the major complications in the wound recovery process. In case of wound dehiscence, the common symptoms include broken sutures, inflammation, fever, wound damage. Exudates are considered to be a by-product and it generally contains proteolytic enzymes. Effective exudates management can be considered for early recovery of 49 years old lady, Mrs. Gina Bacci. The history of diabetics in the patient has complicated healing process of the wound, as it takes a lot of time to heal wound of a patient with the history of diabetics. The process of foam dressing can be required by the patient for the generation of new cells earlier, as foam dressing allows new cells migration. In this process of dressing, the wound is not disturbed repeatedly. As suggested by Douglas et al., (2015), the main contributing factors of wound dehiscence can be attributed to high temperature of body, severe pain, excess amount of exudation and abscess. In abscess, there is swelling of the wound area and it further contains pus. In case of suture over-tightening, a lot of pressure is applied to the area of wound and it causes breaking down of the tissue. Thus, it is essential to avoid excessive tightening of the sutures. In order to treat wound dehiscence, it is appropriate to use proper medication and utilisation of antibiotics is highly important in this aspect. The patient has been administered Pregabalin, for the purpose of pain relieving and Novorapid has been given for controlling diabetes of the patient. There are sloughy tissues in the wound and it indicates late recovery of the tissue. Breakdown of the wound further can be attributed to the process of late recovery. Nature of incision further can be focused on the procedure of wound healing. The patient also has medical condition of obesity which can be an aggravating factor in process of wound recovery. The two major nursing priority for 49 years old Italian lady, Mrs. Gina Bacci include infection control and bedbound care. The priority for the nursing staffs in the healthcare is to aid to wound healing process. Given the present condition of the patient, it is highly required to pay attention to the aspect of controlling infection of the patient. Mrs. Gina Bacci presently has been diagnosed with wound and there can be probability that chances of infection is high in the wound (Wolf, Delao & Perhats, 2014). Thus, it is necessary to keep the wound infection free for early recovery of patient. The patient also has type II diabetics and it implies that she is vulnerable to infection. Nurses are also considered to be playing an important role in prevention of hospital-acquired infections. As suggested by Tunlind, Granström & Engström (2015), the evidence-based practice of nurses can be helpful for treating serious case of wound healing. The nurses in health care are responsible for ensuring that there is improvement in the process of patient care. Nurses usually explore various innovative techniques for creation of safe environment for the patient. Complicated condition of the patient requires bed-bound nursing care. Mrs. Gina Bacci has obesity due to which she is unable to move effectively. Wound in the leg has further worsened her condition. Furthermore, diabetes can also be a factor that can be considered in the present situation. As recommended by Manns et al., (2014), care for bedridden patient requires a lot of understanding and patience of the nurses. The nurses need to deal with back pain, appetite loss, trouble sleeping and depression of the patient. In the patient, the aspect of bed bound care is highly recommended, as she is unable to move because of her leg ulcer. Incorporation of hygienic procedure is important in the nursing care practice. There can be consideration of preventing the circulatory disturbances in the body. Considering medical conditions of 49 years Old Italian lady Mrs. Gina Bacci, it is crucial to focus on the aspect of infection control nursing priority of the patient. Incorporation of appropriate nursing management is highly considered for improving present condition of the patient. The management and prevention of infection control management in the settings of healthcare need to be focused on preventing transmission of the infectious diseases through the wound of patient (Jones, Hamilton & Murry, 2015). It is highly essential to incorporate proper sterilisation methods in health care for keeping away aspects of infectious diseases from healthcare settings. Symptoms-based approaches are explored by the nursing management authorities for ensuring that all the care techniques are all put in place. As suggested by Kennedy (2014), standard measures of precautions in infection control include maintenance of hygiene, utilisation of aseptic technique, safe handling of linen and waste. In the system of transmission-based precaution, the crucial requirements include the isolation facilities, disposable gowns and respiratory protection requirements. According to Riley et al., (2014), the process of infection control and prevention can be considered for preventing infection at the site of wound. Proper dressing method needs to be done for keeping infection away from the wound. Prevention of surgical sites further can be approached through association of effective care techniques. Application of proper medication is further considered to be essential aspects of the care facility. The facilitation process can further be focused through creation of a framework that is helpful for the process of disinfecting the wound area. Doherty?King (2014) suggested transmission-based precautions for the effective nursing care management. Incorporation of airborne precautions is further considered in the process of managing infection. It is highly essential that Mrs. Gina Bacci overcome the barrier to effective controlling of poor healthcare practices. Better compliance factors are generally considered for protecting existing condition of the patient (Bramley & Matiti, 2014). It is highly important that the healthcare management takes appropriate measures for overcoming barrier to the effective way of infection controlling therapy. The process of nursing management further incorporates the aspect of fostering effective communication with their patient. It is necessary that the nurses make a good relationship with the 49 years old patient. Inception of this good relationship is considered to be an essential factor for creating a framework that can be utilised for proper way of management (Eide, Halvorsen & Almendingen, 2015). The nursing staffs further can be communicated to bring effective performance appraisal procedure. Responsibility of nursing manager is to create an atmosphere that has framework of infection-control mechanism. This system of infection control mechanism is initiated for the purpose of controlling disease. Evidence-Based nursing care is applicable to the present procedure for managing an effective care technique. The nurses in the healthcare setting need to initiate regular monitoring procedure that can help prevention of infectious diseases. As suggested by McCabe & Holmes (2014), in order to control increased cases of infection in the healthcare facilities, it is highly required that initiatives of cleanliness are properly taken. The focus on infection control can further be focused through creation of a framework for the process of disinfecting the patient from deterioration of health. According to Burns, Enomoto, and Momtahan (2016), there can be application of technological concept in the infection management of Mrs. Gina Bacci. The traditional process of disinfectant can be incorporated for prevention of the onset of disease. Aspect of sanitization can be utilised for preventing infection. The nursing management needs to incorporate essential perspective in the nursing management for the effective process of fighting infection in the wound. Implementation of proper dressing method is also an important factor in controlling infection. Therefore, it can be ultimately argued that incorporation of an effective nursing management technique is vital for controlling infection of the patient. The 49 years old patient is vulnerable to getting infected through the wound. Thus, proper hygienic and sanitation method can be focused on this aspect. The proper method of sanitisation is considered to be critical for avoiding critical situation in case of patient care. The pathophysiology of patient needs to be considered before initiating any controlling mechanism. Assessment of risks in the present scenario further is incorporated to control infection through wound. The essay has successfully evaluated the status of wound in the patent and provided effective nursing care.This Nursing Assessment has been solved by our Nursing experts at My Uni Paper. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.