- Complex dressing changes
- Wound Vac
- Teaching of measures to prevent reoccurrence of wounds
- Teaching of signs and symptoms of infections and measures to prevent
- Teaching on nutritional requirements to promote wound healing
- Teaching of complex dressing changes if patient and/or caregiver able
- Obtaining labs to assess nutritional status
- Assessment of wound and communication with physician
Wound Care is an all too common problem for senior citizens. There are many factors to consider in the risk and cause of wounds and Pressure Ulcers. Often times wounds are overlooked and thought to be superficial, when in fact, they can become extremely dangerous and very painful.
Our WCC’s are licensed specialty nurses who are responsible for planning and providing care for patients with complicated wounds, pressure ulcers, and/or any patient who has a potential skin care problem, in order to assist the patient in a achieving a maximum level of wellness and independence. The WCC will consult with other members of the health care team in the management of acute and chronic wounds, and will be actively involved in the management and prevention of pressure ulcers. The WCC will take the following steps to ensure you are provided with care that exceeds expectations:
- Develop treatment plan according to current wound care protocols and explain dressing rationale
- Implement preventive measures and monitor results of care delivered
- Advise physicians on status of wound patients
- Provide demonstrations/education on dressing techniques and principals of aseptic technique
- Monitor prevalence and incidence of wound and skin care patients
- Monitor for nutritional deficiencies that will impact or impede wound healing
- Ensure adequate supplies are on hand for every patient
- Attend wound care education programs to enhance the benefits patients can receive from the most recent techniques/procedures available
Pressure ulcers are different depending on severity. They are rated as follows:
- Puncture wounds
- Human bites and animal bites
- Stage I — redness of skin, skin not broken.
- Stage II — partial thickness, skin loss involving the epidermis or dermis.
- Stage III — full thickness, skin loss involving damage or deadening of tissue under skin.
- Stage IV — full thickness, skin loss with destruction and damage to muscle, bone or other structures.
Some risks include those people who are:
Anyone at any age or at any time can get a general wound. Pressure ulcers, however, do not occur on such a broad spectrum as general wounds.
Reasons to go to the hospital if you have a wound:
- Unable to control urine flow or bowel movements Confused
- Thin and frail
- Obvious life-threatening wounds (Call 911 for emergency services).
- Any laceration greater than 1/2-inch long.
- If you cannot stop the bleeding.
- If you think that there may be something in the wound such as glass, wood, or rust.
- If you cannot move your finger or toe in the area of the laceration.
- For any bite wound (human or animal).
- If the wound starts to smell.
- A fever above 101° F.
- If your physician cannot see you that day.
Some treatments may include:
The best way to treat a general wound or pressure ulcer is to know the preventions. As soon as you see a red spot, consider it a warning that your skin could open into a more serious situation.
- Cleanse with antiseptic.
- Stitches, depending on severity.
- Wash and scrub abrasions.
- Remove dirt and debris, and clean, puncture wounds.
- Wash and check your skin at regular intervals.
- Use moisturizing lotions if your skin is dry.
- Wash your skin whenever it becomes soiled.
- Do not rub bony areas to «get the circulation flowing,» as it may damage tissue.
- Avoid extremes in temperature.
- Avoid friction when moving from one area to the next.
- Eat a healthy diet.
- Maintain movement.
- Talk to your nurse or physician about special support materials to keep pressure low.
- Do not sit or lie directly on bony spots.