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.…
As we have previously advised, our client, Nicholas Nehls, sustained severe and permanent injuries as a result of the acts and/or omissions on the part of your insureds, Gerald J. Piazzi, Jr., and Zachary Lommatzsch, in the above-referenced incident. Prior to this occurrence, Nicholas was an active young man that participated in numerous physical activities and was employed in a physically demanding occupation. Due to the multiple severe and permanent injuries that he sustained as a result of your insureds’ conduct, Nicholas’ life has been drastically altered in that he lives with daily pain and discomfort and is no longer able to participate in a physically active life-style. The clear and convincing evidence in this matter leads to the uncontroverted conclusion that your insureds’ negligence is the overwhelming proximate cause of Nicholas’ injuries and related damages.…
These are two pictures of amputation saws in their amputation kits. During the Civil War most medical operations were amputating some part of the body. In the Civil War people didn’t know much about germs so medical operations weren’t sanitary. Doctors amputated by sawing in a circular motion. The amputations were healed by granulation, when capillaries form to heal the wound.…
If you are one of the most avid fans of football, you might find it too common to see your favorite football players suffer foot injuries that will inhibit them to play for a part - or even the whole - of the football season. Let us take the case of Ben Roethlisberger for example. Being the Steelers' star quarterback, he should be formidable, right? However, that is not the case as Roethlisberger suffered a major injury last year known as the Lisfranc injury.…
Surgeons have one of the most important roles in medicine. They deal with the most extreme cases of physical health, injury or disease. The work of surgeons not only saves lives, but it also improves the quality of life for patients dealing with chronic and restrictive injuries. That's why i chose a surgeon The country's images of the Midwest and Kansas City, like flyover country, cow town and endless open prairies, the truth is that Kansas City, Missouri – the larger of two cities that bear the same name – is a major metropolitan area with a diverse population of more than 2 million people. Straddling two states and two rivers, Kansas City surprises newcomers who expect to find a homey metro area.…
Sutures; silk thread stitches used to sew up wounds. Tourniquet; a device that wraps around an arm or leg tightened to stop bleeding. Typhoid fever; a deadly disease that is caused…
Processing the trauma, the second step of the tri-phasic model, is especially congruent with narrative therapy. Narrative therapy’s focus on retelling and re-experiencing emotionally activated stories coincides with the tri-phasic model’s assertion that remembering, making sense of, and resolving traumatic memories are critical components of processing trauma (Baranowsky, 2015). A client working on trauma through a narrative approach might focus on talking about the trauma, the feelings associated with the trauma experience, and the narratives that shape the client’s interpretation of the trauma (Duvall & Beres, 2007). Part of the storytelling might particularly examine the client’s interpretation of the traumatic experience with emphasis on…
Considering the evaluation of a high-tension area, such as the hand, treatment is guided by initial control of bleeding, prevention of infection, physical assessment, obtaining a health history, allergies, current medications and tetanus immunization history. Primarily, a focused assessment for the presence or absence of tendon, vascular or nerve damage, taking wound measurements, exploring the mechanism of injury and the length of time since the initial injury is paramount. As might be expected, in Mr. Jones’ case, there is an increased risk of infection with closing the wound with sutures.…
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 victims often have a hard time of trusting people, and usually have an even harder time discussing the event itself. Therefore, during the intake assessment I would ask her questions about her trauma exposures in a way that frames the assessment in a supportive and nonjudgmental context. My opening statement with the client would be, “Sometimes people have experienced things in their pasts that affect how they are feeling now. If it is okay, I’d like to ask you some questions about things that may have happened to you” (Briere & Scott, 2015, p. 68). I would follow that up with interpersonal, medical and historical questions (e.g. Do you have any medical problems?…
When a wound’s edges are close together a clot forms. Clots contain fibrin which is a protein that connects the edges of the wound and stops the bleeding. Once a clot has formed and dried it becomes a scab that seals and protects the wound from germs. Epithelium on the edges of the wound goes through regeneration, a process in which new cells of the same function and structure are formed; as the inflammatory responses proceed, epithelium forms under the scab as well. Eventually the wounds edges meet again and the scab is shed.…
When signing up for the military you're not only fighting the battle overseas, you are fighting an even bigger battle when you get home. Such as medical and psychological injury. The United States government has to make taking caring of the military a priority by providing services for the veterans’ medical and psychological needs, their education so they can secure a job after the service, and additional medical help for the families of the veterans. Veterans have been developed with many types of psychological injuries such as Traumatic Brian Injury or TBI, which is a injury with a broad spectrum of symptoms and disabilities. It is caused by three big events like, falls, a car accident and firearms.…
Literature Review: Simulation Based Education in Undergraduate Student Nurses and Experienced Nurses in a Surgical Clinical Setting. Simulation is not technology but it is a technique that is used to replace or supplement real life experiences in an interactive way (Gaba, 2004). A simulation based method of education in the nurse clinical setting improves student learning enhances confidence and communication skills in learners, aids in recruitment and retention of nursing in the clinical setting, while protecting patient safety by allowing the learner to fine tune skills in a realistic setting before they must apply them to the patient (Mullen & Byrd, 2013). In Nursing as in many professions, limited resources and funds have made educators…
Having any type of a career is a huge importance in life. This because not only do people need money to buy simple things like food, and clothing but it also shows responsibility. Having a career is a huge step in life, it shows they’re ready for a huge responsibility. Any job whether it be working at a gas station, restaurant, etc is still a huge responsibility. Having a job must know when to work, what time to be there, also to make sure to be on time.…
Nursing is a rewarding field of practice with numerous different job opportunities and the ability to promote health and well being to all. Wound Care nursing is a specialized practice within nursing that specializes in wound, ostomy and continence care. They provide direct and indirect care to patients who suffer from any form of gastrointestinal, genitourinary, or integumentary system problems. The intent of this paper is to discuss what it means to be a wounds care nurse and the roles responsibilities, and education that is required.…