In: Nursing
List the signs and symptoms of surgical wound infection in a client.
Explain 2 factors that affect wound healing.
Define serous, serosanguineous, sanguineous and purulent.
Identify 2 ways in which you can reduce the risk of falls in all patient populations.
2. What is the purose of a code system (Code blue, pink, white etc.)
3. Identify 2 de-escalation techniques that could be implemented to reduce the risk of patient agitation or aggression.
clear hand writting only
1.signs of surgical wound infection
•Pus or drainage.
•Bad smell coming from the wound.
•Fever, chills.
•Hot to touch.
•Redness.
•Pain or sore to touch.
Some of the factors affect wound healing are
Age
Aging affects everything in the body and that includes the structure and function of the skin. Everything slows down during the aging process, including the phases of wound healing. Skin gets thinner and the body shows a decreased inflammatory response meaning that, as you get older, your skin is predisposed to injury and will heal slower when injury occurs.
Nutrition
Proper nutrition is vital to optimal healing. A wound is unable to heal properly if you lack the necessary nutrients for cell repair and growth.
Exudate is a great indicator as to how a wound is healing. Exudate's color, thickness, and odor are all clues as to whether a patient's wound is healing well or if there is a problem. The most common forms of exudate are:
Serous - a clear drainage
Sanguineous - a bloody drainage
Serosanguineous - a clear, blood-tinged drainage
Purulent - a thick yellow, brown, green or grey drainage
1. Serous
This is the most common form of exudate seen being emitted from a
wound. It is a sign of normal wound healing. As the skin is
knitting itself back together, there are natural wastes, such as
dead cells and proteins. The wastes are gotten rid of via this
clear, oozing liquid known as serous exudate. Serous exudate
usually has no odor.
2.sanguneous drainage
Sanguineous drainage It is the fresh red blood that comes out of the injury when it first occurs. It will thicken as the blood starts to clot. This initial drainage occurs when a wound is in the first stage of healing, known as the inflammatory stage. Sanguineous drainage may last longer in deeper wounds.
3.sero sanguneous
Serous drainage is composed mainly of plasma. It is often thin and watery and will usually have a clear to yellowish or brownish appearance. Small amounts of serous drainage are normal during the first stages of healing.Serosanguineous means contains or relates to both blood and the liquid part of blood (serum).
4..purulent
It is not a characteristic of normal healthy wound healing. Exudate that becomes a like a thick, milky liquid or thick liquid that turns yellow, tan, grey, green, or brown is almost always a sign that infection is present.This drainage contains white blood cells, dead bacteria, wound debris and inflammatory cells. These purulent types of wound drainage are commonly called "pus" and often have a foul or unpleasant smell.
Ways to prevent fall
1.Make it easy to identify high-risk patients. In addition to giving red socks to patients who are at high risk for falling, the hospital puts an armband on high-risk patients and uses a visual cue outside the patients' doors alerting providers of the fall risk. By making it easy to identify high-risk patients, clinicians and staff can quickly initiate the correct protocols to reduce the risk of falling.
2. Provide safety companions. increased the number of safety companions for people who are disoriented and unable to follow direction. Safety companions provide continuous observation and aid to patients to prevent falls.
2.Hospitals often use code names to alert their staff to an
emergency or other event. These codes can be communicated through
an intercom in the hospital or directly to staff using
communication devices like pagers. Codes allow trained hospital
personnel to respond quickly and appropriately to various
events.the codes can also prevent concern or panic by visitors and
people being treated at hospital. Some of the codes are Code blue:
medical emergency
Code brown: external emergency (disaster, mass casualties
etc.)
Code CBR: chemical, biological or radiological contamination
Code orange: evacuation
Code purple: bomb threat
Code red: fire
Code yellow: internal emergency
Code grey: combative person without a weapon
3.agitated patient should be handled with training to prevent risk
Respect personal space while maintaining a safe position.
Do not be provocative.
Establish verbal contact.
Be concise; keep the message clear and simple.