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Draining Wounds, Fistulae, and Peristoma...l Wounds
Draining wounds, fistulae, and peristomal wounds present challenges to nurses and can cause significant concern to patients and their carers. The management of these wounds can be complicated—depend...ing on the individual patient, the wound, the resources available, and the skill of the nurse. This chapter discusses draining wounds, fistulae, and peristomal wounds.
Wound Care Nursing: A Guide to Practice
At some time, all nurses can expect to manage a person with a wound. And because they spend so much time with their patients, nurses have a special opportunity to provide modern, evidence-based wound ...care with a person-centered focus.Wound management no longer relies on tradition and superstition. Modern wound management is based on scientific principles and evidence-based research. The focus of modern wound management has evolved from simply surviving wounding to the rapid restoration of form and function by overcoming barriers to healing. This book provides guidance on the most contemporary approaches to wound management in a variety of contexts.
This chapter discusses the care of people with terminal illnesses who have skin breakdown and wounds. There are a number of underlying conditions and diseases which give rise to skin breakdown, togeth...er with frailty, at any age. People can need palliative wound care for years, months, or weeks when disease is life-limiting. The focus will be on the care of people with malignant wounds. These wounds develop when the skin is infiltrated by malignant cells with subsequent fungation and ulceration. A small metastatic nodule can develop into an extensive fungating and ulcerating wound, with associated exudate, malodour and bleeding. Malignant wounds cause significant distress to the individual concerned and their family and social group. These wounds present major challenges to clinicians. Nurses, in particular, are the frontline professionals when it comes to the day-to-day care of people with malignant wounds, and their families. The nursing care of people with malignant wounds, and palliative wound care generally, is about recognising the relationship between the physical nature of wounds and the distress they cause, which requires us to plan wound care interventions with an understanding of the impact of broken skin and wounds on the individuals concerned, their family and social group. Physical wound care is complemented by empathy, hope and support.
Pressure Sores: Preventing the Preventab...le
Pressure sores are preventable adverse events that occur in 15 to 20% of all patients admitted to hospitals in Australia.They cost the healthcare system over $300 million per annum, and just one indiv...idual stage four pressure sore can cost over $60 000 to treat. This lecture explores a number of issues related to pressure sores and their treatment, but places particular emphasis on preventative measures that all nurses can incorporate into the care of their patients.
Appendix 5: Stomal Care & Appendix 6: Le...g Ulcer Management
Appendix 5: Stomal CareHeather Hill Appendix 6: Leg Ulcer ManagementSue Templeton ...
Lower Limb Lymphodema
Incidence and impact of lower-limb lymphoedema in women who have been treated for gynaecological cancer Presentation of lymphoedema Preventative care Management Includes a relevant case study ...Lymphoedema is caused by failure of the lymphatics. Lymphoedema of the lower limbs is characterised by swelling of one or both limbs and can lead to disabling functional impairment and immobility, together with an altered body image and psychological morbidity (Tobin et al. 1993; Woods 1993). This chapter discusses secondary lymphoedema of the lower limbs as a result of gynaecological cancer.