There are a variety of different factors promoting or inhibiting post-operative wound healing. Rund et al (1) covers many factors linked to wound healing such as smoking, oxygen availability, nutrition, hyperglycemia, alcohol intake, and patient adherence. First of all, smoking exerts a pervert effect on peripheral vasculature. For instance, a single cigarette causes a decrease in O2 because of ligation of carbon monoxide (CO) to hemoglobin and nicotine has an added effect of peripheral vasoconstriction lasting almost an hour. By this dual mechanism, tissue oxygenation around the wound borders, the scar or the graft is greatly diminished and can compromise healing.
As explained with smoking and CO ligation to hemoglobin, other factors impair …show more content…
The sentence: "I was never told that I should not[...]" is a sentence bearing a lot of meaning. Miscomprehension, inadequate counselling, factors limiting comprehension and patient receptiveness should be assessed. No specific study addressed this issue, but Chan et al (4) showed that patient education aimed at patients providing their own wound care in a home setting after proper education showed similar results from patient-provided clean dressing changes compared to nurse-provided sterile technique dressing changes. I would tend to think that similar patient education provided in the pre-operative period followed by a post-operative education session would be an important factor promoting healing.
Question: 10.2- Appraise this best practice approach to address surgical site infections. How can home care or a health care institution introduce a best practice program for post surgical infections that will improve patient care outcomes and reduce …show more content…
In the context of the new health care reform in Quebec, the regional head of medical and nursing affairs at the Centre intégré de santé et de services sociaux (6) could give a mandate to wound care specialists and surgeons to discuss these issues. Experts and workers should then sit down and evaluate the possibility of offering such early home follow-ups after surgery. Together, surgeons, liaison nurses and home care nurses could evaluate the best practices and adapt the NICE guidelines to better answer the needs of their community and provide best practices in the home care setting. I would also gladly take part of such initiative. Sadly, currently, stakeholders are not disposed to discuss wound care issues and best practices in my current administrative region. It may take a few years before being able to convince them of the need for such best practice
As explained with smoking and CO ligation to hemoglobin, other factors impair …show more content…
The sentence: "I was never told that I should not[...]" is a sentence bearing a lot of meaning. Miscomprehension, inadequate counselling, factors limiting comprehension and patient receptiveness should be assessed. No specific study addressed this issue, but Chan et al (4) showed that patient education aimed at patients providing their own wound care in a home setting after proper education showed similar results from patient-provided clean dressing changes compared to nurse-provided sterile technique dressing changes. I would tend to think that similar patient education provided in the pre-operative period followed by a post-operative education session would be an important factor promoting healing.
Question: 10.2- Appraise this best practice approach to address surgical site infections. How can home care or a health care institution introduce a best practice program for post surgical infections that will improve patient care outcomes and reduce …show more content…
In the context of the new health care reform in Quebec, the regional head of medical and nursing affairs at the Centre intégré de santé et de services sociaux (6) could give a mandate to wound care specialists and surgeons to discuss these issues. Experts and workers should then sit down and evaluate the possibility of offering such early home follow-ups after surgery. Together, surgeons, liaison nurses and home care nurses could evaluate the best practices and adapt the NICE guidelines to better answer the needs of their community and provide best practices in the home care setting. I would also gladly take part of such initiative. Sadly, currently, stakeholders are not disposed to discuss wound care issues and best practices in my current administrative region. It may take a few years before being able to convince them of the need for such best practice