The document describes an advanced nursing course that will equip students with skills in areas like medical, surgical, and public health units as well as administering medications, dressings wounds, and following infection prevention principles. The course objectives, content, wound care procedures, suturing, and factors that promote or impair wound healing are outlined in detail.
This document outlines the admission procedure for patients entering a hospital or ward. It defines admission as allowing a patient to stay for observation, investigation, treatment, and care. There are two main types of admission: emergency admission for acute conditions requiring immediate treatment; and routine admission for investigation, diagnosis, and medical or surgical treatment. The document describes the steps of the admission procedure, which include meeting the patient, verifying their information, assisting them to the treatment area, performing examinations, coordinating with physicians, giving treatment/instructions, and orienting the patient. It also outlines the roles and responsibilities of nurses in the admission process.
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
This document discusses the transfer of a patient from one unit or hospital to another. It defines a patient transfer as discharging a patient from one unit or agency and admitting them to another without going home in between. The two main types of transfers discussed are between units in the same hospital and between different hospitals. The key steps outlined for an intra-hospital transfer are obtaining a physician order, informing the patient and receiving unit, completing documentation, arranging transportation, and ensuring the receiving unit admits the patient. The nurse's role in the process involves communication, documentation, collecting patient belongings, and assisting in the physical transfer of the patient between units.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Role of patients care of adult and nursing care of ipd and opd for nursing st...Patel Dharmendra
The document discusses the roles of nurses, patients, and families in caring for adult patients. It states that families should understand the patient's disease and treatment, provide emotional support, assist the patient, and help create a supportive environment. Nurses educate patients and families, clarify any misunderstandings, and involve families in the care plan. Patients are active participants who provide information and make decisions about their care, and cooperate with treatment. Families and nurses both play important roles in caring for adult patients.
This document provides information on caring for terminally ill and dying patients, including:
- Assessing patient needs, maintaining communication, and meeting physical, psychological, and spiritual needs.
- Common signs that a patient is approaching death like changes to breathing, circulation, skin, etc.
- Providing symptomatic relief and care of the body after death like cleaning and positioning the body.
- The importance of advance directives to ensure patient wishes are followed and ease the burden on families.
- Other topics covered include euthanasia, organ donation, medico-legal issues, and post-death unit care.
Moving ,lifting, and transferring patientsArifa T N
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
This document outlines the admission procedure for patients entering a hospital or ward. It defines admission as allowing a patient to stay for observation, investigation, treatment, and care. There are two main types of admission: emergency admission for acute conditions requiring immediate treatment; and routine admission for investigation, diagnosis, and medical or surgical treatment. The document describes the steps of the admission procedure, which include meeting the patient, verifying their information, assisting them to the treatment area, performing examinations, coordinating with physicians, giving treatment/instructions, and orienting the patient. It also outlines the roles and responsibilities of nurses in the admission process.
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
This document discusses the transfer of a patient from one unit or hospital to another. It defines a patient transfer as discharging a patient from one unit or agency and admitting them to another without going home in between. The two main types of transfers discussed are between units in the same hospital and between different hospitals. The key steps outlined for an intra-hospital transfer are obtaining a physician order, informing the patient and receiving unit, completing documentation, arranging transportation, and ensuring the receiving unit admits the patient. The nurse's role in the process involves communication, documentation, collecting patient belongings, and assisting in the physical transfer of the patient between units.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Role of patients care of adult and nursing care of ipd and opd for nursing st...Patel Dharmendra
The document discusses the roles of nurses, patients, and families in caring for adult patients. It states that families should understand the patient's disease and treatment, provide emotional support, assist the patient, and help create a supportive environment. Nurses educate patients and families, clarify any misunderstandings, and involve families in the care plan. Patients are active participants who provide information and make decisions about their care, and cooperate with treatment. Families and nurses both play important roles in caring for adult patients.
This document provides information on caring for terminally ill and dying patients, including:
- Assessing patient needs, maintaining communication, and meeting physical, psychological, and spiritual needs.
- Common signs that a patient is approaching death like changes to breathing, circulation, skin, etc.
- Providing symptomatic relief and care of the body after death like cleaning and positioning the body.
- The importance of advance directives to ensure patient wishes are followed and ease the burden on families.
- Other topics covered include euthanasia, organ donation, medico-legal issues, and post-death unit care.
Moving ,lifting, and transferring patientsArifa T N
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
Nursing is defined as assisting individuals in activities contributing to health or its recovery. The document outlines the basic principles of nursing including safety, therapeutic effectiveness, and comfort. It discusses the objectives of nursing education which are to provide expert bedside care, integrate theory and practice, and develop skills and personality. The concepts of nursing include promoting health, preventing disease, assisting healing, and easing suffering. The qualities of a nurse include being caring, adaptable, hardworking, and having good communication skills and judgment. The document also discusses the functions and philosophy of nursing as both an art and a science.
This document discusses hospital admission and discharge procedures. It covers the admission process including indications for admission, unit preparation, and admission procedures. It then discusses the purpose of admission, preliminary observations, and nurses' responsibilities during admission. The document also covers discharge planning, types of discharge, discharge procedures, and nurses' responsibilities during discharge. It provides examples of medico-legal cases and guidelines for admission, discharge, and transfer of medico-legal patients. Finally, it discusses terminal cleaning of patient units after discharge.
Care of linens, rubber goods,glasswaresbaladinesh .K
This document provides guidance on the care of various items used in hospitals, including linens, rubber goods, and glassware. It outlines the proper cleaning, disinfection, and storage procedures for items like mackintoshes, hot water bags, gloves, test tubes, and thermometers. Maintaining cleanliness and proper care is important to prevent infection spread, remove stains, and prolong the life of these items. Key steps include washing with soap and water, drying completely, and disinfecting or sterilizing depending on the item.
The document discusses death and the physiological changes that occur after death, including rigor mortis, algor mortis, and livor mortis. It also outlines the proper procedures for caring for a dead body, which includes cleaning and preparing the body, closing orifices, applying identification tags, allowing family to view the body, and documenting details of the death and body release. The goal of dead body care is to prepare the body for the morgue and prevent discoloration or deformity while protecting the body from post-mortem discharge.
The document discusses documentation in healthcare, including its definition, purposes, principles, types of records, and methods of communication and documentation systems. Documentation involves recording all interactions with clients and is used for communication, quality assurance, reimbursement, legal accountability, research, and other purposes. Common types of records include outpatient/inpatient records, nurses' notes, doctors' orders, lab reports, and intake/output charts. Methods of communication include shift reports, telephone reports, and evaluation reports. Documentation systems include source-oriented records, problem-oriented records, and computerized documentation.
The document defines records and reports, providing principles for maintaining accurate records. It describes different types of records like clinical records, staff records, and administrative records. Records are used for communication, diagnosis, education, research and legal documentation. Reports summarize services and are used for communication, planning, and interpreting services. Different types of reports like 24-hour reports and census reports are described. The responsibilities of nurses in accurate record keeping and reporting are also outlined.
“Patient Education is an individualized, systematic, structured process to assess and impart knowledge or develop a skill in order to effect a change in behavior. The goal is to increase comprehension and participation in the self-management of health care needs.”
Documentation and reporting in healthcare involves recording information in patient records and communicating information to other healthcare providers. Patient records contain key identifying and clinical information to provide an accurate record of a patient's care over time. Records are used for communication between providers, planning care, quality assurance, research, education, reimbursement, and legal documentation. Effective documentation and reporting requires following guidelines such as recording factual, dated, legible, permanent, unambiguous information in the proper sequence and manner according to healthcare organization policies.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
This document discusses cultural diversity in nursing practice. It states that knowledge of culture and cultural diversity is vital for nurses in meeting the needs of diverse clients. It also discusses how cultural concepts of illness, wellness, and treatment come from a cultural perspective. Cultural diversity in nursing derives from various disciplines including nursing, anthropology, sociology, and psychology. Cultural diversity refers to differences between people based on shared beliefs, norms, customs, and meanings that make up a way of life.
Minimizing legal liability through effective record keepingSiva Nanda Reddy
Nurses must carefully maintain patient medical records to avoid legal issues. Records should be kept securely under nurse custody, without separating individual sheets. Confidential patient information must be protected and records not made accessible to unauthorized people. Records should include identifying patient information and any alterations or copies must be clearly indicated, following facility policies. Proper documentation principles like date, time, legibility, and accuracy should be followed. Computerized records also require maintaining confidentiality, not disclosing passwords, and not deleting information without authorization.
This document provides information on caring for dying patients. It discusses assessing patient needs, communicating with patients and families, and meeting physiological, psychological and spiritual needs. It outlines the stages of dying according to Dr. Kubler-Ross and stages of grief. It describes signs that a patient is approaching death and signs of clinical death. It discusses caring for the patient's body after death, including cleaning and preparing the body for the family. The overall message is the importance of providing dignified, compassionate care and supporting patients and families during the dying process.
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
Record and Report in Nursing, Principles of Record and Report, Types of Record and Report, Filling of Record, Value and Uses of Record and Report, Guideline for Documentation,
The document outlines the Code of Ethics for Nurses in India. It discusses several key principles:
1) Nurses must respect the uniqueness of each individual and provide culturally sensitive, dignified care without discrimination.
2) Nurses should respect patients' rights to make informed choices and decisions about their own care.
3) Nurses are obligated to maintain patient privacy and confidentiality while only sharing information judiciously.
4) Nurses must maintain competence through continuing education to ensure quality nursing care for all patients.
documentation and reporting is the basic of nursing care and can be used in all health care setting why, how and when to documented that is described in the ppt the nurses and all health care professional for study, examination and application of this knowledge into their clinical practice
The document discusses ethics in nursing. It defines ethics as the study of good conduct and character and how it differs from legal issues. It outlines key ethical principles like autonomy, justice, and beneficence. The International Council of Nursing Code of Ethics is also summarized, which establishes the nurse's responsibilities to people in need of care, nursing practices, society, coworkers, and the profession. The code aims to guide ethical nursing behavior and uphold standards of care, confidentiality, and professionalism.
This document provides instructions for performing back care and massage. It defines back care as cleaning and massaging the back with special attention to pressure points to relax the client. The purposes of back care are listed as improving circulation, refreshing mood, and relieving fatigue, pain, and stress. The procedure outlines the necessary equipment, positioning the client, cleansing and massaging the back using specific movements, and documenting the care.
Patient care is a multifaceted process that can involve a range of tasks such as personal consultations, blood tests, and X-rays [29,51]. As a result, clinical data are collected in many different formats including structured observations, image documents, transcribed notes, or laboratory results
This document discusses machinery, equipment, and linen used in hospitals. It begins by defining machinery and equipment as essential tools for patient care. It then categorizes the types of materials used in hospitals, including movable and non-movable facilities, supplies, equipment and instruments, and drugs and medicines. The document goes on to describe different types of equipment, including self-care, electronic, diagnostic, surgical, acute care, and storage/transport equipment. It also discusses the categorization of machinery and equipment as reusable or disposable. Finally, it provides details on the use and care of linens, rubber goods, and gloves in hospital settings.
The document provides information on common emergency room procedures and the nursing responsibilities associated with each. It discusses procedures like laceration repair, splinting, intraosseous access, abscess drainage, lumbar puncture, chest tubes, NG/OG tubes, intubation, foley catheter placement, paracentesis, and nasal packing. For each procedure, it outlines the nursing responsibilities which include obtaining consent, preparing equipment, assisting physicians, monitoring vital signs, providing education and aftercare, and documenting. The overall document serves as a guide for nurses on their roles and responsibilities when assisting with various emergency room procedures.
Catheterization is the process of inserting a catheter into the urinary tract. It is used to drain urine from the bladder for various clinical reasons like surgery, inability to void, or monitoring urine output. The proper procedure involves preparing the patient and environment, selecting the correct catheter size and type, cleaning the perineal area aseptically, lubricating the catheter, and slowly inserting it into the urethra until urine flows or the catheter is at the proper depth. The balloon is then inflated to retain the catheter and the drainage bag is attached to collect urine. Catheterization must be done aseptically to prevent urinary tract infections.
Nursing is defined as assisting individuals in activities contributing to health or its recovery. The document outlines the basic principles of nursing including safety, therapeutic effectiveness, and comfort. It discusses the objectives of nursing education which are to provide expert bedside care, integrate theory and practice, and develop skills and personality. The concepts of nursing include promoting health, preventing disease, assisting healing, and easing suffering. The qualities of a nurse include being caring, adaptable, hardworking, and having good communication skills and judgment. The document also discusses the functions and philosophy of nursing as both an art and a science.
This document discusses hospital admission and discharge procedures. It covers the admission process including indications for admission, unit preparation, and admission procedures. It then discusses the purpose of admission, preliminary observations, and nurses' responsibilities during admission. The document also covers discharge planning, types of discharge, discharge procedures, and nurses' responsibilities during discharge. It provides examples of medico-legal cases and guidelines for admission, discharge, and transfer of medico-legal patients. Finally, it discusses terminal cleaning of patient units after discharge.
Care of linens, rubber goods,glasswaresbaladinesh .K
This document provides guidance on the care of various items used in hospitals, including linens, rubber goods, and glassware. It outlines the proper cleaning, disinfection, and storage procedures for items like mackintoshes, hot water bags, gloves, test tubes, and thermometers. Maintaining cleanliness and proper care is important to prevent infection spread, remove stains, and prolong the life of these items. Key steps include washing with soap and water, drying completely, and disinfecting or sterilizing depending on the item.
The document discusses death and the physiological changes that occur after death, including rigor mortis, algor mortis, and livor mortis. It also outlines the proper procedures for caring for a dead body, which includes cleaning and preparing the body, closing orifices, applying identification tags, allowing family to view the body, and documenting details of the death and body release. The goal of dead body care is to prepare the body for the morgue and prevent discoloration or deformity while protecting the body from post-mortem discharge.
The document discusses documentation in healthcare, including its definition, purposes, principles, types of records, and methods of communication and documentation systems. Documentation involves recording all interactions with clients and is used for communication, quality assurance, reimbursement, legal accountability, research, and other purposes. Common types of records include outpatient/inpatient records, nurses' notes, doctors' orders, lab reports, and intake/output charts. Methods of communication include shift reports, telephone reports, and evaluation reports. Documentation systems include source-oriented records, problem-oriented records, and computerized documentation.
The document defines records and reports, providing principles for maintaining accurate records. It describes different types of records like clinical records, staff records, and administrative records. Records are used for communication, diagnosis, education, research and legal documentation. Reports summarize services and are used for communication, planning, and interpreting services. Different types of reports like 24-hour reports and census reports are described. The responsibilities of nurses in accurate record keeping and reporting are also outlined.
“Patient Education is an individualized, systematic, structured process to assess and impart knowledge or develop a skill in order to effect a change in behavior. The goal is to increase comprehension and participation in the self-management of health care needs.”
Documentation and reporting in healthcare involves recording information in patient records and communicating information to other healthcare providers. Patient records contain key identifying and clinical information to provide an accurate record of a patient's care over time. Records are used for communication between providers, planning care, quality assurance, research, education, reimbursement, and legal documentation. Effective documentation and reporting requires following guidelines such as recording factual, dated, legible, permanent, unambiguous information in the proper sequence and manner according to healthcare organization policies.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
This document discusses cultural diversity in nursing practice. It states that knowledge of culture and cultural diversity is vital for nurses in meeting the needs of diverse clients. It also discusses how cultural concepts of illness, wellness, and treatment come from a cultural perspective. Cultural diversity in nursing derives from various disciplines including nursing, anthropology, sociology, and psychology. Cultural diversity refers to differences between people based on shared beliefs, norms, customs, and meanings that make up a way of life.
Minimizing legal liability through effective record keepingSiva Nanda Reddy
Nurses must carefully maintain patient medical records to avoid legal issues. Records should be kept securely under nurse custody, without separating individual sheets. Confidential patient information must be protected and records not made accessible to unauthorized people. Records should include identifying patient information and any alterations or copies must be clearly indicated, following facility policies. Proper documentation principles like date, time, legibility, and accuracy should be followed. Computerized records also require maintaining confidentiality, not disclosing passwords, and not deleting information without authorization.
This document provides information on caring for dying patients. It discusses assessing patient needs, communicating with patients and families, and meeting physiological, psychological and spiritual needs. It outlines the stages of dying according to Dr. Kubler-Ross and stages of grief. It describes signs that a patient is approaching death and signs of clinical death. It discusses caring for the patient's body after death, including cleaning and preparing the body for the family. The overall message is the importance of providing dignified, compassionate care and supporting patients and families during the dying process.
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
Record and Report in Nursing, Principles of Record and Report, Types of Record and Report, Filling of Record, Value and Uses of Record and Report, Guideline for Documentation,
The document outlines the Code of Ethics for Nurses in India. It discusses several key principles:
1) Nurses must respect the uniqueness of each individual and provide culturally sensitive, dignified care without discrimination.
2) Nurses should respect patients' rights to make informed choices and decisions about their own care.
3) Nurses are obligated to maintain patient privacy and confidentiality while only sharing information judiciously.
4) Nurses must maintain competence through continuing education to ensure quality nursing care for all patients.
documentation and reporting is the basic of nursing care and can be used in all health care setting why, how and when to documented that is described in the ppt the nurses and all health care professional for study, examination and application of this knowledge into their clinical practice
The document discusses ethics in nursing. It defines ethics as the study of good conduct and character and how it differs from legal issues. It outlines key ethical principles like autonomy, justice, and beneficence. The International Council of Nursing Code of Ethics is also summarized, which establishes the nurse's responsibilities to people in need of care, nursing practices, society, coworkers, and the profession. The code aims to guide ethical nursing behavior and uphold standards of care, confidentiality, and professionalism.
This document provides instructions for performing back care and massage. It defines back care as cleaning and massaging the back with special attention to pressure points to relax the client. The purposes of back care are listed as improving circulation, refreshing mood, and relieving fatigue, pain, and stress. The procedure outlines the necessary equipment, positioning the client, cleansing and massaging the back using specific movements, and documenting the care.
Patient care is a multifaceted process that can involve a range of tasks such as personal consultations, blood tests, and X-rays [29,51]. As a result, clinical data are collected in many different formats including structured observations, image documents, transcribed notes, or laboratory results
This document discusses machinery, equipment, and linen used in hospitals. It begins by defining machinery and equipment as essential tools for patient care. It then categorizes the types of materials used in hospitals, including movable and non-movable facilities, supplies, equipment and instruments, and drugs and medicines. The document goes on to describe different types of equipment, including self-care, electronic, diagnostic, surgical, acute care, and storage/transport equipment. It also discusses the categorization of machinery and equipment as reusable or disposable. Finally, it provides details on the use and care of linens, rubber goods, and gloves in hospital settings.
The document provides information on common emergency room procedures and the nursing responsibilities associated with each. It discusses procedures like laceration repair, splinting, intraosseous access, abscess drainage, lumbar puncture, chest tubes, NG/OG tubes, intubation, foley catheter placement, paracentesis, and nasal packing. For each procedure, it outlines the nursing responsibilities which include obtaining consent, preparing equipment, assisting physicians, monitoring vital signs, providing education and aftercare, and documenting. The overall document serves as a guide for nurses on their roles and responsibilities when assisting with various emergency room procedures.
Catheterization is the process of inserting a catheter into the urinary tract. It is used to drain urine from the bladder for various clinical reasons like surgery, inability to void, or monitoring urine output. The proper procedure involves preparing the patient and environment, selecting the correct catheter size and type, cleaning the perineal area aseptically, lubricating the catheter, and slowly inserting it into the urethra until urine flows or the catheter is at the proper depth. The balloon is then inflated to retain the catheter and the drainage bag is attached to collect urine. Catheterization must be done aseptically to prevent urinary tract infections.
This document discusses hygiene practices for surgical patients, including:
- Two types of patient regimens - common and bed care
- Strict, usual, and active bed care regimens and their associated activities
- Daily hygiene practices for patients under common and bed care regimens
- Special hygiene considerations for sensitive areas like the perineum for bedridden patients
- Equipment and structure of operating theaters and dressing rooms to maintain sterility
The document provides guidance on basic surgical skills, including patient positioning and safety, surgical scrubbing and gowning, skin preparation and incision, wound closure techniques, principles of anastomoses and drain usage. It discusses key responsibilities of the surgeon to ensure patient safety and adequate exposure during procedures. Suturing materials, knots, and electrocautery principles are also overviewed. The overall aim is to understand fundamental surgical principles and skills.
The document discusses sutures, implants, and drains used in surgery. Sutures are used to appose wound ends and encourage healing. The ideal suture is non-thrombogenic and causes no tissue reaction. Implants are used to enhance or augment function and can be rigid or injectable materials. Drains empty cavities and are usually tubes or sheets inserted surgically. Common complications include infection, migration, and failure to remove devices.
This document discusses surgical wound dressing. It defines a surgical wound and different types of dressings used including semi-permeable film, foam, hydrogel, hydrocolloid and alginate dressings. The purpose of surgical wound dressing is to prevent infection, assess healing, protect the wound and promote healing. Principles of dressing include asepsis to prevent spread of microorganisms. Preparation of the patient, environment and required articles is explained. The procedure of wound assessment, removal of soiled dressings and application of new sterile dressing is demonstrated in steps.
This document discusses surgical wound dressing. It defines a surgical wound and different types of dressings used including semi-permeable film, foam, hydrogel, hydrocolloid and alginate dressings. The purpose and principles of wound dressing are explained. The preparation needed for surgical wound dressing is described along with the articles and equipment required. The step-by-step procedure for surgical wound dressing is demonstrated along with safety considerations and documentation requirements.
Enema administration. Suppository administration. Digital rectal examination....TeonaMacharashvili
This document discusses procedures related to the rectum, including enemas, suppositories, and digital rectal examinations. It defines each procedure and lists their indications and contraindications. For enemas, it describes the essential equipment needed and provides steps for administration. Suppository administration is similarly outlined, including lubricating and inserting the suppository. A digital rectal exam is defined as inserting a lubricated gloved finger into the rectum to assess factors like anal tone. Equipment for a digital exam and steps for performing one are provided. Sources from The Royal Marsden Manual of Clinical Nursing Procedure are cited.
Sterile products include injections, ophthalmic preparations, dressings, and non-injectable sterile fluids. Injections can be aqueous or oily solutions, suspensions, or freeze-dried powders sterilized in their final containers. Non-injectable sterile fluids are used in hospitals for wound irrigation, urological irrigation, and peritoneal/hemodialysis. Ophthalmic preparations like eye drops must be sterile to prevent infection of the eye. Dressings used on open wounds or burns require sterility and include gauze, film, foam, and adhesive dressings.
The document discusses various topics related to surgical procedures including patient positioning, skin preparation, surgical incisions, suturing techniques, and types of sutures and needles. It provides details on different incision types for procedures like laparotomy and their advantages and disadvantages. It also describes characteristics of round-bodied needles, cutting needles, and factors to consider when choosing sutures and needles for procedures.
The document discusses various topics related to surgical procedures including patient positioning, skin preparation, surgical incisions, suturing techniques, and types of sutures and needles. It provides details on different incision types for procedures like laparotomy and their advantages and disadvantages. It also describes characteristics of various needles like shape, size, and applications as well as suture materials.
Perioperative nursing refers to nursing care provided during the three phases of surgery: preoperative, intraoperative, and postoperative. The preoperative phase involves preparing the patient both physically and psychologically before surgery. The intraoperative phase involves providing care during the procedure in the restricted operating room. The postoperative phase involves caring for the patient after surgery as they recover in the post-anesthesia care unit or surgical ward.
This document provides information about the objectives and theory of phlebotomy. It discusses what phlebotomy is, the roles and responsibilities of phlebotomists, and related anatomy and physiology. It also covers important topics like professionalism, safety, equipment used, and procedures for collecting blood. Phlebotomists must properly identify patients, take safety precautions, position the patient, locate a vein, and collect blood samples while maintaining patient comfort and confidentiality.
Intramuscular, intravenous, and intra-arterial cannulation techniques are described. Intramuscular injections deliver medication into large muscles and became popular after World War II. Intravenous cannulation involves inserting a cannula into a vein to deliver fluids or medications and potential complications include extravasation, hematoma, and infection. Intra-arterial cannulation is used for invasive arterial blood pressure monitoring and involves inserting a catheter into an artery like the radial artery. Potential complications of intra-arterial cannulation include thrombosis and pseudoaneurysm.
OPERATION THEATURE MANAGEMENT FOR NURSESshanza aurooj
This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to properly support surgeons during operations.
This document provides information on basic nursing care procedures including genital care, urinary elimination, specimen collection, and enema administration. It outlines the objectives, equipment, and step-by-step procedures for each topic. Details are given for genital care of both male and female patients, facilitating urinary elimination, use of urinals and bedpans, condom drainage, and different types of enemas. Guidelines are also provided for collecting specimens such as urine, stool, blood, and sputum.
WOUND CARE for Public health professionals .pptAme Mehadi
This document provides guidance on wound care, including differentiating between types of wounds and describing various wound healing processes. It outlines the objectives and equipment needed for cleaning and dressing clean wounds, septic wounds, and wounds with drainage tubes. Procedures are provided for dressing changes, wound irrigation, and ensuring aseptic technique is followed to prevent infection. The goal of wound care is to keep wounds clean and promote healing.
This document discusses wound management and surgical products. It begins with an introduction to wound types including open wounds such as abrasions, lacerations, and punctures, as well as close wounds like contusions and hematomas. Next, it covers the history of wound management and the role of community pharmacists. It then discusses various surgical instruments, dressings, and the classification and types of surgical dressings used in wound care. The key steps in dressing a wound are also outlined.
This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to effectively support surgeons during operations.
This document discusses differential diagnosis and biopsy for oral lesions. It covers examination methods like health history and clinical examination. Biopsy techniques like incisional, excisional and aspiration are described. The document provides details on surgical biopsy procedure including anesthesia, tissue stabilization, wound closure and specimen handling. Surgical management of oral lesions is also outlined, discussing goals, techniques like enucleation, marsupialization and resection, and factors to consider.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
2. COURSE DESCRIPTION
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The course will equip the student with skills to manage patients at the medical, surgical, theatre,
recovery public health, adolescent health and the infectious disease unit.
The students will have demonstrations and return demonstrations in the skills laboratory.
Students will have the opportunity to utilize the nursing process to manage patients with several
problems.
Students will be expected to spend 6 hours in the skills lab per week as part of this course.
The course will also help the students develop skills that will enable them administer medications,
infusions and oxygen safely, dress wounds and remove stitches and drainage tubes, insert urethral and
nasogastric tube appropriately and also apply the principles of infection prevention in their care.
3. COURSE OBJECTIVES
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By the end of the course, the students will:
• Develop skills for safe administration of drugs
• Administer prescribed oxygen safely
• Demonstrate skills in administering intravenous (I.V) infusions and
blood transfusion.
• Give health education to patients and relatives
• Medical and surgical asepsis
• Pre-operative preparation of patient for surgical procedure
• Manage surgical wounds and remove stitches and clips aseptically
• Pass Naso-Gastric Tube
4. COURSE CONTENT
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Administration of drugs: Calculation of dosages, dilution of lotions, correct handling and
assembling of equipment for preparation and administration of drugs. Routes of
administration: oral, skin, rectal, ear, nose, eye, injections. Inhalation - moist, dry, oxygen
therapy; local applications: hot, cold; Abbreviations used in prescription, Interpretation of
prescription; Dangerous Drugs Act.
Removal of drainage tubes, clips and stitches from wounds, care of colostomy wounds.
• Preparation and administration of I.V. therapy; Trolley for intravenous therapy e.g.
blood transfusion, infusion and drugs.
• Setting trays and trolleys for cardiac catheterization, positioning of patients with
cardiac problems etc.
• Positioning of patient with respiratory problems, use of suctioning machines, setting
trays and trolleys for special procedures e.g. thoracentesis, strapping
5. COURSE CONTENT
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Pre-operative preparation of patient for surgical procedure (psychological, skin
preparation, physiological)
• Education of patients and family on their condition and medications
• Setting of sterile strays and trolleys, and performing the following procedures
• Urethral catheterization (the procedure and care of indwelling catheter of males
and females)
• Passage of Naso-Gastric Tube
• Administration of oxygen (via the various oxygen delivery devise)
• Assessment of client for family planning services; Counselling clients for
informed choice of family planning methods; visiting client at home for follow ups.
7. TYPE OF WOUNDS
WE HAVE INTENTIONAL AND UNINTENTIONAL WOUND.
INTENTIONAL WOUNDS
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Intentional wounds are as result of planned
therapy causes or examples. Surgical
incisions lumbar puncture, thoracentesis
and paracentesis.
Characteristics of intentional wounds
These wounds have clean edges,
bleeding is controlled
risk of infection is decreased
done under sterile conditions
UNINTENTIONAL WOUNDS
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Unintentional wounds are caused by
accidents, forceful injuries, burns and
scars.
Characteristics
wound edges are not clean
occur under unsterile conditions
bleeding is uncontrolled
could be multiple trauma
8. CARE OF SURGICAL WOUNDS
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Preparation of a trolley for wound dressing
Put on mask
Set a trolley
Wash hand thoroughly and put on disposable gloves
Clean shelves and the rails with soap and water. Rinse and dry.
Clean again with spirits to keep the trolley dry or use bleach of 1:10 to
clean and dry with spirit.
All sterile equipment are set on the top shelves and then non sterile
equipment on the bottom shelves.
9. TOP SHELF
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3 galipots for lotions
2 pairs of dressing forceps
2 pairs of dissecting forceps
1 sinus forceps
A probe
A stitch scissors
A kidney dish for cotton and gauze swabs
A clip removal forceps
A sterile dressing towel
10. BOTTOM SHELF
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Bottles of lotions e.g. normal saline, methylated spirit, povidone iodine,
hydrogen peroxide.
an adhesive or plaster
a pair of scissors
bandages
a covered receiver or a bowl with 1:10 bleach solution
A receptacle for soiled dressings
A mackintosh
Sterile gloves
Disposable gloves
Sterile packs in a drum or box
Face mask
11. PROCEDURE/STEPS FOR WOUND DRESSING
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Review the physician’s order and agency policy.
Inform and explain procedure to the patient
Put on face mask
Wash and dry hands
Ensure privacy
Move trolley to bedside
Wash your hands again and dry
Go to patient, ask the assistant to adjust the bed and position the patient comfortably
Avoid exposing the patient
12. PROCEDURE/STEPS FOR WOUND DRESSING
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Pour out lotions into the galipots
Assistant should remove the plaster and bandages and proceed to wash hands
Remove tape by pulling toward wound small sections at a time while holding down the skin in front of the tape. Prevents skin
breakdown and injury to newly formed tissue.
Remove soil dressings with dissecting forceps and discard
Assess wound.
Wash hands.
Open supplies and set up sterile field. Using aseptic technique, place fine mesh gauze into sterile container. Pour enough
solution into container.
Put on sterile gloves or pick up the instruments.
Clean and/or irrigate wound as ordered by physician, from center of wound outward using a new swab for each stroke.
Clean the wound with series of swabs or clean until the wound is clean
13. PROCEDURE/STEPS FOR WOUND DRESSING
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Apply enough dressing to ensure the wound is always dry
Apply your adhesive tapes or plaster and stroke your plaster with bandages
Assist patient to position of comfort and assess level of comfort and thank him/her for
cooperation
Remove your screen
Discard the trolley
Decontaminate, clean and disinfect your instruments
Wash your hands and dry
Record and report on the state of the wound
14. NOTE:
Dressing should be done after bed making, dusting, checking and recording of vital signs
No visitors allowed during wound dressing
Clean or incisional wounds should be done before working on the dirty wounds
Bandage from the distal to the proximal and from the proximal to the distal.
15. FREQUENCY OF WOUND DRESSING
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In the absence of slough, debris, feaces, devitalized tissue or infection in the
wound bed frequent wound dressing is not recommended because it may
damage newly formed capillaries and disrupt fragile new tissue growth.
The body perceive this as a new injury and re-initiate the inflammatory process.
16. FACTORS THAT PROMOTE WOUND HEALING
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Frequent dressing of infected wound
Aseptic techniques
Proper use of anti-biotic
Adequate rest and sleep
Adequate nutrition
Sufficient blood supply to the wound area
17. FACTORS THAT IMPAIRS WOUND HEALING
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Disease conditions like Coronary Artery Disease, Congestive Heart Failure, Peripheral Vascular Disease, Peripheral
Arterial Disease
Old age
Prolong use of some drugs e.g. corticosteroids
cancer
Poor aseptic technique
Smoking i.e. (hardens the blood vessels leading to arteriosclerosis)
Obesity
Inadequate nutrition
Foreign bodies
Necrotic tissues
18. ADVANTAGES OF WOUND DRESSING
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absorb drainage to promote wound healing
protect from mechanical injury
promote homeostasis
aid in wound edge approximation
prevent further trauma
prevent contamination from external environment
Provide physical, psychological and external comfort.
19. SUTURE
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A suture is a stitch or series of stitches made to secure apposition of the edges of a
surgical or accidental wound.
Types of suturing materials
These sutures are grouped into absorbable and non – absorbable
Examples of absorbable are facia, cutgut, kangaroo, ribbon gut and synthetic types
like polyglycolic acid, polydioxanone and caprolactone.
Examples of non – absorbable are silk, nylon, linen, wire silver, clips (thyroidectomy),
polyprophylene suture, polyamide suture. Clips are metal fastening used on the skin.
It can also be grouped into retention and skin sutures. The skin sutures are black
synthetic materials, clips wires etc.
Retention is used for obese people and dehiscence/gaping wounds. There are also
tension stitches.
22. LIGATURE (TIE)
• a free peace of sutured material of
considerable length about 10 – 15
inches, for the purpose of tying blood
vessels that have previously been
clamped by a forceps
24. STEPS
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Explain procedure to the patient
Scrub hands and dry with a sterile towel
Wear sterile gloves
Clean area around the wound with antiseptic lotion
Protect area with sterile towel
Check for bleeding after cleaning and arrest haemorrhage with gauze swab
Tread needle with desire suture material, grab wound edge with dissecting forceps, pass the
treaded needle through the two sides of the wound making a reef knot and cut leaving 0.65 or ¼
inch from the knot. Then space stitches evenly, continue with stitches
Clean suture line with antiseptic
Apply dressing and strapping
Remove gloves, discard tray
Wash hands and document procedure.
25. ASSESSMENTS OF SURGICAL WOUNDS
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Inspection
Appearance – redness, wound edges, drainage tubes, signs of
dehiscence
Skin sutures – metal staple, status of sutures, drains and tubes
Pain – most important in terms of detecting complication and planning
for future wound care.
If the wound is extensive and discomfort seems to be related to dressing
removal of application, the nurse plans to administer analgesics before
dressing changes.
If discomfort is related to plaster removal, institute measures to relieve the
pain such as careful removal of the plaster
26. WOUND ASSESSMENT
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Related assessment – vital signs, WBC
Palpitation – the nurse gently applies finger tips along the wound edges. If
pressure causes wound to be expressed, the nurse notes the character of the
drainage. It may be necessary to collect the drainage for culture. Extreme
tenderness may indicate infection.
Signs of infection such as fever, chills or elevated white blood cells (WBC)
27. WOUND ASSESSMENT
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Assess patient for history for factors that impairs wound healing process
Tissue types – Assess characteristics, amount (document in percentage) & location
a. Necrotic Tissue – dead; non-viable
Slough – yellow, green, grey, nonviable (necrotic) tissue, usually lighter in color, thin, wet stringy
Eschar – black, brown, dry, nonviable (necrotic) tissue, usually darker in color, thicker, hard
b. Epithelial tissue – deep pink to pearly pink, light purple from edges in full thickness
wounds or may form islands in superficial wounds
c. Granulation tissue – beefy red, puffy or mounded bubbly appearance
d. Hypergranulation tissue – granulation tissue forms above the surface of the
surrounding epithelium. Delays epithelialization.
30. COLOR
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Red – healthy, good blood flow
Pale pink – poor blood flow; ischemia, anemia
Purple – engorged; edema; excessive bioburden; trauma
Black or brown – nonviable, necrotic tissue
Yellow – nonviable, necrotic tissue
Gray – nonviable, necrotic tissue
Green – infection; nonviable tissue
White – ischemia; maceration, may be confused with bone or
fascia
31. EXUDATE
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a. Type
1) Serous – thin clear watery plasma (seen in partial thickness wounds/venous
ulcerations). Moderate to heavy amount may indicate heavy bio-burden or chronicity
due to sub-clinical infection. Normal in the acute inflammatory stage
2) Sanguinous – bloody (fresh bleeding) seen in deep partial thickness & full
thickness wounds during angiogenesis. Small amount normal in the acute
inflammatory stage.
3) Serosanguineous- thin, watery, pale red to pink, plasma with RBC‘s
4) Purulent – thick, opaque, tan, yellow, green or brown color, never in wound
32. AMOUNT
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b. normal
None – wound tissues dry
Scant – wound tissues moist, no measurable drainage
Small/minimal – wound tissues very moist/wet, drainage <25% of bandage
Moderate – wound tissues wet, drainage involves 25 – 75% bandage
Large/copious – wound tissues filled with fluid – involves >75% of bandage
33. ODOR
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a. Clean wound prior to assessment
b. Descriptors – strong, foul, pungent, fecal, musty, sweet
Presence of Foreign Bodies
Sutures, staples, drain tubes, hardware
Environmental debris (wood, metal, dirt, asphalt, etc.)
34. WOUND MEASUREMENT- LINEAR
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Always measure & document in centimeters and measure wound edge to edge in a
straight line. Always measure Length first then measure width and Document - Length x
Width x Depth
a. Length: Consider wound as face of clock. 12:00 points to patients head, 6:00 points
toward patient’s feet
b. Width = 3:00 – 9:00 side to side
c. Depth – distance from visible surface to the deepest area
Cotton tip applicator into deepest portion of wound
Grasp applicator with the thumb & forefinger at the point corresponding to the wounds
margin
Withdraw applicator while maintaining the position of the thumb and forefinger
Measure from tip of applicator to position against centimeter ruler
36. DOCUMENTATION OF SURGICAL WOUND
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sight of the incision e.g. abdominal incision
wound edges (well approximated)
edges of incision (oedematous)
dressing on wound – whether it is saturated with pus
solutions used
sterile technique used/applied
Example of wound documentation
Four inch midline abdominal incision cleaned with 0.9% sterile normal saline, wound
edges well approximated, skin sutures intact. Crust along suture line, edges of
incision slightly oedematous and dark pink. Penrose drain present in lower ¼ of
incision. Old dressing moderately saturated with serosanguinous drainage. New
dressing applied with sterile technique, using telfa for 4 x 4s and two ABPs applied
with non allergic tap.
37. COMPLICATIONS OF WOUND HEALING
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bleeding – detected by swelling or distention in the area. (haematoma)
Nursing management – greatest during the first 24hours after surgery haemorrhage
is an emergency:
Apply pressure dressing to the area
Monitor the clients vital signs (temperature, pulse, respirations and blood pressure)
Call the doctor if bleeding persist
Infection – change in wound colour, pain or drainage confirmed by performing
culture of the wound. Severe infection causes fever and elevated WBC.
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Dehiscence – the total or partial rupturing of a sutured wound usually
abdominal wound.
Evisceration – protrusion of internal viscera (organs) through an incision
caused by factors like obesity, poor nutrition, multiple and dehydration.
Nursing management – The wound should be supported by large sterile
dressings soaked in sterile normal saline.
Place the client in bed with knees bent to decrease pull on the incision
Notify the surgeon immediately for surgical repair
39. NURSING DIAGNOSIS
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Impaired skin integrity related to surgical incision (laparotomy)
High risk for infection related to
Assignment:
Pressure ulcer assessment (written)
Using a foam demonstrate suturing
Use Bates Jenson wound assessment tool to assess a wound with picture evidence
Total marks 15