On Thursday, August 24, 2017 I got the experience to follow Horizon Specialty Hospital of Henderson’s Wound Care Team. During this experience, I was able to witness the removal of a wound VAC (vacuum assisted closure) and surgical stitches, different methods of wound monitoring and discussed the healing process. For new admissions, the Wound Care Team does a physical examination of the body, looking for any wounds, bruises, scars, tubes and IV placements. They take pictures, measurements and note the location of the wound. Since the hospital still uses paper charting, they handwrite all of their notes and upload them to the patients' medical chart when done with their assessment.…
Reason for Visit: Puncture Wound Follow Up S: TM started on Cipro 500 mg BID yesterday for his left arm puncture wound yesterday. TM reports the redness and edema has improved and minimal pain with palpation to his left FA; 2/10. TM denies any issues at this time to his left FA. TM reports tenderness to his tetanus IM injection site; right shoulder. O: minimal redness to left FA puncture wound; harden area, radius of 2 cm; no warmth palpated; no s/s of infection noted, Left arm NVS intact, no impairment of movement in Left arm.…
Contusions and lacerations were present throughout Patrick’s head. Contusions are the hemorrhage into the skin or tissues that tears blood vessels (Bevel 196). Lacerations are when the skin is torn when hit with sufficient force (Bevel 206). Surprisingly, there were no defense wounds found on the body. This means that Patrick was attacked by…
A review of his medical record indicates he continues to go to dialysis three days weekly for his ESRD. He has open wound to left arm that was recently incised and drained. Wound is dressed by Sn from Mihomm home health agency. He suffers from co-morbidities of HTN which is chronic and stable, chronic pain syndrome which is manage by Dr.Glener and Depression which is chronic and stable.…
Rib Contusion A rib contusion is a deep bruise on your rib area. Contusions are the result of a blunt trauma that causes bleeding and injury to the tissues under the skin. A rib contusion may involve bruising of the ribs as well as the skin and muscles in the area. The skin overlying the contusion may turn blue, purple, or yellow. Minor injuries will give you a painless contusion, but more severe contusions may stay painful and swollen for a few weeks.…
Head injuries are becoming increasingly talked-about, primarily due to concussions and their link to NFL players, but it is a serious injury that deserves attention. A head injury is any trauma, mild or serious, to the scalp, skull, or brain. A head injury can either be closed or open. A closed head injury is a hard blow to the head from an object, but the strike did not break the skull. An open head injury means a hit with an object that broke the skull and entered the brain.…
“The back of his head was loose from the front part of his face. As I moved around, I saw a bullet hole slightly back from the temple area” (351). In conclusion, this is the worst injury obtained during the beating. Also, this shows the brutality of his attackers; although, Emmett had to be dead by that point they felt the need to shoot him anyway.…
At Home Care and Seniors with Easy Bruising As we get older several things in our body change. One of the most apparent is our skin. Because the skin cells don't replicate at fast, the skin becomes thinner. It also becomes drier and loses its elasticity.…
Love is a basic right that is inherited by anyone; however, the concept of homosexuality is rejected in society because it conflicts with societal norms that deem it appropriate for a man to be in love with a woman. As a result, Justin Chin’s book, “98 Wounds,” conveys the struggles of homosexuals whose sex lives are reflected by society’s rejection for them. Ultimately, in a society where homosexuality is rejected, homosexuals use sex as a means of expression in order to showcase their feelings of self-hatred and loathing to each other in the short stories, “Burn,” “Goo,” “Sugar,” “Woo,” “King,” and “Queen.” In the short story, “Burn,” the narrator has sex with his lover in order to feel affection that he has never received from his mother;…
DOI: 5/28/2012. Patient is a 64-year-old female home attendant who sustained injury when a client put her motorized wheelchair in reverse and it ran over her right foot, pushing her up against the wall. Per OMNI, she underwent a right knee arthroscopy with partial medial and lateral meniscectomy, chondroplasty, synovectomy and joint debridement on 03/18/13. Based on the progress report dated 03/03/16, the patient is currently on PT 1-2 times per week.…
Trauma surgeons have their day of responsibilities 365 day a year until retirement. Trauma surgeons start their day by waking up a five o’clock in the morning once they arrive at work by six o’clock they are either ready for an off call day or an on call day. An off call day trauma surgeons usually work for twelve hours, and an off call day they work for twenty-four hours.…
Invisible wounds, as Bica states, have been called “soldier's heart” or “battle fatigue,” and “combat exhaustion” but now, the invisible wounds that soldiers suffer from are referred to as PTSD, or Post Traumatic Stress Disorder. “People who are psychologically, emotionally, or morally wounded as a result of their combat experience” Bica states, suffer from invisible wounds. He goes on to elaborate on what PTSD entails, and describes it as “an anxiety disorder that can develop after an exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened.” Not only do soldiers and veterans suffer from profound physical injuries, but the cost of war is further increased by the exhaustive psychological tolls war has on its victims. I agree with Bica’s statement on the costs of war: “Soldiers not only suffer effects of trauma, but also moral injuries—that is, debilitating remorse, guilt, shame, loss of self-esteem, self-respect, disorientation, and alienation from the rest of the moral community.”…
A contusion is when your brain gets bruised or bleeds"(CDC). If a large enough contusion is sustained, you may have to get it surgically removed. " A coup-countercoup injury is when contusions are at the site of the impact and on the complete opposite side of the brain"(KBK). This occurs when the force is strong enough to cause a contusion on one side of the brain and causes the brain to slam into the opposite side of the skull causing the additional contusion.…
Literature review A hospital crossed-section study on the prevalence of needle stick injury and their reporting in Orthopedic wards in GH Melaka had been conducted by Bhardwaj, Sivapathasundaram, Minghat, Swe and Sinha in 2013.The authors had used qualitative method, which utilized the structured questionnaires as their instrument. The participants involved are the entire healthcare workers worked in the orthopedic ward with total numbers of 153 staffs. There are total 32 cases reported in the study and majority happened in male staff, more on junior doctors. (Bhardwaj, Sivapathasundaram, Minghat, Swe and Sinha, 2014) Among the healthcare workers, medical officer and house officer shared the same percentages of 37.5 in the needle stick injury…
Needle-stick injury (NSIs) is one of the main professional health and safety objects that are common among occupational health care globally. Accidental exposure to blood usually caused by needle injuries or sharps injuries. Such incidents carry great risk of transmission of fatal like hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). The main alarming is when exposure to blood or other body fluids of another person who may have any infectious disease. Therefore health care workers should have ample knowledge about their risk and constantly to take appropriate precautions while inclusion of injection.…