8th April, 2011IntroductionA wound is any injury that is caused by physical means that in most cases result in the disruption of normal growth continuity of body tissues and structures. Wound physiology is normally divided into three phases; defensive, proliferative and maturation. Each phase normally occurs without impediment in order for a wound to heal. The defensive phase occurs from the time of injury to three days. It is characterized by inflammation. A clotting cascade is initiated to protect the wound from bacterial attack. Vasodilatation facilitates the removal of the debris and deliverance of nutrients to the injured tissues (Santoro 2005).
Proliferation lasts from the second day of injury until the area is healed. Maturation is the phase that comes last in the healing process and involves scar remodeling after wound closure and may take several years (Enoch 2004). The diversity of wounds and wound care products creates a great deal of complications in the selection of dressing material. This implies that many wounds have several options of dressing that are effective and reliable. Wound characteristics have to be matched with dressing features. Some wounds need absorptive dressing while others need debridement dressing.
Dressings fall into a variety of categories that include gauze, hydrocolloids, transparent film and foam among others (Bredow 2006). hydrocolloids are most suitable for Mr. Owen’s wound. They e composed of adhesives that turn into gel when exudate is absorbed. Several factors affect the healing of wounds. These include tissue perfusion and oxygenation, presence or absence of infection, nutrition, medications, underlying disease, mobility and sensation and age. Circulation and adequate oxygen circulation delivers nutrients to wounds for healing and gaseous exchange.
All wounds are said to be contaminated but not necessarily infected. Therefore, bacteria compete for nutrients, prolonging the inflammatory stage and delays collagen synthesis (Dealey 1999). Wounds range from simple to complex, acute to chronic. Mr. Owen’s case is very chronic because it has led to the development of various consequences such as ulcers and hypertension. Each of these has characteristic features that make caring for it a clinical challenge. The role of the nurse is to support and facilitate nature’s path through choices that promote healing and prevent further complications.
In the case provided, Mr. Owen is suffering from venous ulcer that resulted in the wound he had. Basic reasons for this include the fat that his wound was not clinically attended to. They normally occur just above the ankle. Wound AssessmentWound assessment is the first stage in managing wounds and many believe that a holistic approach is the best in cases that involve patients with wounds (Emerson 2007). This is the vital stage that Mr. Owen skipped and could be the main reason for his suffering. It is through assessment that clinical attendants decide on the treatment.
Wound assessment takes three simple procedures. .Source: http: //www. coloplast. com/WoundAndSkinCare/Topics/WoundManagement/WoundAssessment/Pages/WoundAssessment. aspxThen the second involves treating the underlying pathology. The last stage is the reassessment of the wound to examine the impact of the treatment. If the wound is treated, continue the treatment. If it is not healed, then the treatment is adjusted. In evaluating treatment, comprehensive assessment has to be done for crucial planning.