Nursing Wound Assessment

The medical team that involve plastic surgeons decide to treat the wound conservatively for 7 days. However the patient’s wound does not improve and her temperature has been increasing and is ranging from 37-38.5 degrees centigrade. The patient is also complaining of severe pain when she is walking which is limiting her mobility greatly. She is also quiet depressed and teary. Further she has expressed her horror at how her leg is looking as she likes to wear dresses.

The medical team decide to take her to theatre and debride the wound. The patient recovers well from surgery and her wound looks like the image below. The medical team expect the nursing staff to manage wound care.

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Figure 2

The student is required to:

provide a comprehensive assessment of the wound given in the above image and compare it to the wound on admission (Figure 1).
Formulate an evidence based wound management plan for this patient’s wound and compare it to the management of the wound on admission (this is to be written in essay format – tables will not be accepted).
The patient unfortunately does not progress as expected and she undergoes further surgery which involved a skin graft two weeks following the initial surgery. The patient is still very upset about the scarring and the ‘dent’ in her leg as she puts it. After the skin graft the patient progresses well and is discharged 7 days following the skin graft, however the patient will require wound dressings to be continued.

Formulate a comprehensive discharge plan for this patient (this is to be written in essay format – tables will not be accepted) based on good evidence.

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