Wound Care
Chronic wounds represent a devastating health care problem with significant clinical, physical and social implications. Evidence suggests that consistent, meticulous and skilled care provides the primary means by which successful wound care and healing is promoted. The occurrence of wounds has plagued humankind throughout recorded history and remains a major source of morbidity and mortality in several disciplines of clinical medicine. Within this thesis, an effort will be made to address the basics of appropriate and potentially successful nursing in wound care and the promotion of healing. Section 1 will provide introductory information on the problem of wound care. In Section 2, the relevant literature will be reviewed while Section 3 will present the research methodology used within the thesis. In Section 4, the results of the thesis will be provided, offering a framework that can be used for insuring that the essential basics in wound care are provided….

In this regard, the documentation should include the four main assessment components; which are, nutrition, wound etiology, wound appearance and pain (Assessment and Documentation Issues in Wound Care).
In other words a careful written as well as visual record should be kept of all the possible factors and variables relating to the patient's condition and to the progression or otherwise of the healing process.

There are two further reasons that are important to note with regard to the issue of documentation. These are, firstly, that thorough documentation serves as a legal record of the quality of care and wound management; and secondly, it also provides invaluable information relating to the environment and surroundings that impact the healing process. As one study notes, "….we have seen that the environment of the patient may cause profound difficulties in wound healing. Identifying and understanding these co-morbidities will help you bring in important interventions and….

This highlights the seriousness of the need for proper wound care in long-term care facilities, demonstrating the extent to which the nurse must define and provide oversight to standards in this area.
What steps should be taken to ensure proper wound care?

The first and most important aspect of ensuring that wound care is attended with proficiency is the provision of comprehensive training for nurse professionals. There are an array of strategies which can be applied to help hasten the process of healing or which can have the impact of lessening the likelihood or severity of recurrence. Indeed, the study by O'Meara et al. (2000) recognizes that such high risk individuals as diabetics are particularly vulnerable to recurrence and that 'secondary wound care' is a central part of reducing this likelihood. Accordingly, O'Meara et al. indicate that "the prevention and treatment of chronic wounds includes many strategies, including the use of….

Certification for wound care are available but wound care is not typically addressed as an area of specialization for nurses. There is a corresponding lack of wound care training for nurses in key fields including those who work with diabetics. Research shows that proper wound care can minimize complications related to lack of mobility including bed sores, and reduce the rates of amputations. Comprehensive wound care training is therefore essential for nurses working with the elderly, diabetics, and burn victims.
Second, organizational issues stymie effective wound care interventions. One of the organizational issues cited most frequently in the literature is a lack of standardization of wound care procedures. A lack of standardization is one of the most often-cited reason for the ineffective implementation of wound care treatment, as nurses with varying levels of training employ wound care strategies sporadically and without guidance. Dressing, re-dressing, use of antimicrobial agents, and environmental….

Chronic Wound Care: Nursing Assessment
And Intervention

Chronic Wound Care: Nursing Assessment and Intervention

Chronic Wound Care: Nursing Assessment and Intervention

Chronic wounds are a challenge for both the clinician and the patient. For the nurse, issues of chronic wound care include the type of wound, the condition of the patient, and presence of infections, possible antibiotic therapy, and patient education on chronic wound care management. For the patient, issues revolve around how the patient will provide for their own long-term chronic wound care, compliance, cosmetic issues, effects on quality of life, potential self-esteem issues, and other factors related to the overall health of the patient. The following paper discusses the topic of chronic wound care for the nurse and for the patient. A nursing assessment for chronic wound care is provided using two approaches: the NANDA diagnostic approach, and the PICO process. In order to properly illustrate the issue, a vignette case study….

Clinical Pactice Guideline - Sugical Infection Issue
Sugical Infection Issue

Clinical Pactice Summay:

National Collaboating Centee fo Women's and Childen's Health. (2008, Octobe; eaffimed in 2011). Sugical site infection: pevention and teatment of sugical site infection. Lodnon (UK): National Institute fo Health and Clinical Excellence (NICE).142 p. [256 efeences].

Scope and Pupose

The scope and pupose of the clinical pactice guideline entitled "Sugical site infection: pevention and teatment of sugical site infection, is to povide guidance fo sugical site infections (SSI). A sugical site infection is a wound that occus when an invasive sugical pocedue has taken place. The sugical site infection guideline does not addess management of the opeating theate envionment and envionmental factos, no does the sugical site infection guideline addess pophylaxis and management of antibiotic-esistant bacteia. Anesthetic factos elating to the sugical site infection (SSI) ae also not addessed by the sugical site infection guideline.

The objectives of the sugical site infection guideline….

Healthcare
As standard procedure warranted in this case, her obstetrician injected her with varicella zoster specific immunoglobulin. The injection did occur too late, but this is a special case warranting attention and was a prophylactic to protect the baby. A few days later the N developed chickenpox anyway. The reasons why the vaccine did not take could have been the fact that the N had already been exposed, and the situation is referred to as "breakthrough varicella," (National Centre for Immunisation, 2009, p. 3). Breakthrough varicella is a mild form of the infection, and yet is still contagious. Varicella vaccine should not be given to the baby until it is twelve months of age, but it may not be necessary at all due to the potential in vitro exposure to the varicella zoster virus. Infants "should receive no specific treatment or vaccination after exposure to Varicella zoster virus (VZV) but can….

com). A certain amount of errors is to be expected, but there should not be so many that it demonstrates a certain level of skewedness about the model in its entirety. Thus, if the NHI model is the one which is selected, then it needs to be tested against a range of different scenarios. The following demonstrate some truly relevant what-ifs: what if the doctors only move half the projected volume; what if medicare slashes rates; what if competitors open a comparable program (dgapartners.com).
There are a range of factors which can change or adjust once a healthcare facility opens their doors for business. And as much as this facility is attempting to engage in a solid humanitarian effort, at the end of the day, it's still a business and people need to get paid. Thus, before engaging in further developmental activities, one needs to determine in what ways the model….

The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.

eferences

Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx

Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/

New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM

Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential

Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF

Prepare Your Facility for the National Emphasis Program (NEP). (2012).….

eferences

Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.

Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor eview, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.

Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.

Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..

IOM. (2003). Hidden Costs, Value….

While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.

10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.

Like other highly trained professionals, experienced nurses develop a….

Health Care Past, Current, And Future
The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by President Barack Obama to reform a chaotic, poor-functional and expensive health care system. Thesis: It is a scandal of massive proportions that a well-functioning, citizen-friendly universal health care system cannot be instituted in America, the world's most democratic superpower. Until the divisive and toxic political climate can be reformed, there is no chance of major reforms -- or for universal health care coverage -- in these United States.

Past Health Care Services -- Early America

Health care in colonial America in the….

Healthcare Economics
When considering the ever-changing and highly competitive economic landscape of the modern world; governments, businesses and institutions must remain diligent in their care and compassion for their citizens and staff members. With the current exponential growth and advancement of technology and the computerization of business and learning, voters, workers and consumers have become much more connected to the organizations they patronize (Kurzweil). Accordingly, these important groups are faced with the continuous task of finding new ways to understand and subsequently accommodate the needs of their followers, while simultaneously securing lucrative business models and job environments. One of the most important needs presented in all demographics is reliable healthcare. Thus, with the inelasticity in the demand for healthcare, countries need to determine an applicable system, whereby citizens can have access to the medical services they will inevitably need. Collective access to healthcare represents the main problem in field of healthcare….

Workarounds in Healthcare Facilities
Workarounds refer to the alternative methods "of accomplishing an activity when the usual system / process is not working well" (Pennsylvania Patient Safety Advisory, 2013). In as much as workarounds may temporarily solve existing problems, they also indicate inefficiencies and deficiencies in the current system. Workarounds may at times be effective and more convenient, compared to the system in existence, but a regular use of the same could endanger both the safety of patients and the facility's reputation. A workaround can, therefore, be termed as an at-risk behavior that does not yield concrete long-term solutions to existing problems. Therefore, "workarounds perceived as necessary by the user for patient care, efficiency or safety, may be beneficial, neutral, or dangerous for patients' safety" (Koppel, Wetterneck, Telles & Karsh, 2008, p. 1).

A description of Workarounds in a Selected Facility

Workarounds can take a variety of forms. For instance, I know of….

Suturing
As the module suggests, "Each wound that is encountered and considered for repair must be addressed independently," ("Wound considerations"). This is true whether the injury is an acute one, or whether there is a procedure involved. Generally, however, suturing can take place in an outpatient care clinic regardless of whether there was an acute injury or not. It depends a lot on the nature of the injury, and the nature of the procedure, though. Generalizing about situations like injuries and procedures is unnecessary, unproductive, and potentially dangerous. Each would certainly requires an evaluation of the situational and patient variables. The age and overall health condition of the patient, and the age of the wound are all taken into consideration when there has been an acute injury; the type of the wound also needs to be taken into consideration when there was an injury. Acute injury patients might not be regular….