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Assess the patient requiring wound care 2013

Assess the patient requiring wound care 2013. Jeannie Randles wound care nurse, RN, Grad cert wound care, PG cert & PG dip P rimary Health. overview. Holistic assessment Physical Social Psychological cultural. What should I put on this wound?.

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Assess the patient requiring wound care 2013

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  1. Assess the patient requiring wound care 2013 Jeannie Randles wound care nurse, RN, Grad cert wound care, PG cert & PG dip Primary Health

  2. overview • Holistic assessment • Physical • Social • Psychological • cultural

  3. What should I put on this wound?

  4. Assess the whole patient not the hole in the patient!

  5. Holistic assessment! Why? • To find underlying cause • Pressure • Oedema • Trauma • Co morbidities • Venous hypertension • Arterial insufficiency • Motivation • To treat underlying cause • Compression • Revascularisation • Diuretics • Bed rest • Limb protection • To help make decision to refer

  6. Physical barriers to healing • Co morbidities • Age • Mobility • Diet • Allergies • Products • smoking

  7. Co morbidities • Diabetes • Heart failure/disease • Respiratory diseases • Arthritis • Auto immune conditions • Neurological • paralysis

  8. Social barriers to healing • Employment • Finances • Support • Isolation • Obligations • Smoking • Drinking • Hoarding/environment

  9. psychological • Stress!!! • Divorce • Moving • Earthquakes!! • Death of loved one • Money worries • caregiver • Motivation • Consider social implication • Consider patient understanding

  10. stress

  11. Cultural implications • Religion • Belief system • Natural! • Male/female • Treaty of Waitangi • Disparities in culture • Nursing culture

  12. Conclusion. Whole patient not hole in patient!!!!!

  13. Further reading and web sites of interest • www.education.woundcarestrategies.com • www.worldwidewounds.com • www.woundsinternational.com/pdf/content_54.pdf • European Wound Management Association • www.awma.com.au • www.woundsinternational.com

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