Wound Healing Case Study

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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
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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
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It is interesting to note that this guideline covers every step of a surgery from the preoperative to the postoperative period with careful attention to all the different pitfalls that can be encountered through the process. First of all, by preventing infections and complications related to infections in surgical wounds, a health care institution would most likely face decreased cost related to the surgeries. The guidelines do take into context in-hospital care of post-surgical wounds that involve a cut to the skin outside of the body and, as it is mentioned in the guideline, proper care before the incision and during the procedure is capital to decreasing infections following surgery. Proper management of hair removal, pre-operative antibiotic therapy and adequate attire during the surgery are part of all protocols that I have encountered so far in the operation rooms where I have been working. Strict prevention of infection guidelines are followed in our institutions and all the personnel is aware and participating actively in reporting incidents that may constitute a contamination issue. Despite pre-operative and intra-operative protocols, a greater variation is seen while arriving on the floor in the post-operative phase. At that moment, the guidelines are less clear and this is the part where I find we could improve at our institution. The post-operative phase is a part that could apply

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