Post on 22-Jan-2016
description
Assess the patient requiring wound care 2013
Jeannie Randles wound care nurse, RN, Grad cert wound care, PG cert &
PG dip Primary Health
overview
• Holistic assessment• Physical• Social• Psychological• cultural
What should I put on this wound?
Assess the whole patient not the hole in the patient!
Holistic assessment! Why?
• To find underlying cause
• Pressure• Oedema• Trauma• Co morbidities• Venous hypertension• Arterial insufficiency• Motivation
• To treat underlying cause
• Compression• Revascularisation• Diuretics• Bed rest• Limb protection• To help make decision
to refer
Physical barriers to healing
• Co morbidities• Age• Mobility• Diet• Allergies• Products• smoking
Co morbidities
• Diabetes• Heart failure/disease• Respiratory diseases• Arthritis• Auto immune
conditions• Neurological • paralysis
Social barriers to healing
• Employment• Finances• Support• Isolation• Obligations• Smoking • Drinking• Hoarding/environment
psychological
• Stress!!!1. Divorce2. Moving3. Earthquakes!!4. Death of loved one5. Money worries6. caregiver• Motivation 1. Consider social implication2. Consider patient
understanding
stress
Cultural implications
• Religion• Belief system• Natural!• Male/female• Treaty of Waitangi• Disparities in culture• Nursing culture
Conclusion. Whole patient not hole in patient!!!!!
Further reading and web sites of interest
• www.education.woundcarestrategies.com • www.worldwidewounds.com • www.woundsinternational.com/pdf/content_54.pdf
• European Wound Management Association• www.awma.com.au• www.woundsinternational.com