Assess the patient requiring wound care 2013
description
Transcript of Assess the patient requiring wound care 2013
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