Patients come in every day with wounds from various accidents and health conditions. So let's dive into wounds and the nursing role!
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Learn how to identify the different stages of wound healing by the color of your wound, and what it means for your recovery.
Advanced Wound Care Supplies Shipped Direct From Our FDA Certified Warehouse to You. Calcium Alginate, Hydrogel, Silicone Absorbent Dressings and More.
We cover the 5 exudate wound drainage types, serous vs sanguineous drainage, and what the quantities mean. Learn how to provide better exudate treatment today.
Are you a dedicated home health nurse seeking to excel in documentation tailored for various healthcare roles and services? Struggling with creating detailed nursing notes? Home health care involves wound care, patient and caregiver education, intravenous therapy, injections, and more. Precise documentation is vital for delivering quality care, ensuring patient safety, and compliance with standards.Presenting Home Health Nursing Documentation Made Easy: Templates, Best Practices & Cheat Sheets. This invaluable resource offers:- Templates and cheat sheets for diverse wound types.- Tips for crafting effective nursing notes.- Tools for wound assessment and documentation.- Samples of complete and accurate home health reports.- Guidelines for proper documentation practices.Enhance your documentation skills for LVNs, RNs, Registered Nurses, and home health professionals. Improve efficiency, accuracy, and the quality of care provided to patients. Elevate your home health nursing documentation expertise today with this essential resource. Order now to streamline your documentation process!
We go over the history of moist wound healing, its current use in wound care practice, and how to advocate for proper wound healing.
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This week, we share some words of wisdom from Carol Marshall-Hanson, RN who is a Certified Wound Ostomy Nurse (CWON) at Seton Healthcare Family in Austin, TX. She gives her tips and best practices for patients with ileostomies. “Ileostomy” by BruceBlaus is licensed under CC BY-SA 4.0. Ileostomy is a surgery in which a small opening, called a stoma, is made in the abdomen. The surgeon brings a piece of the lowest part of the small intestine, called the ileum, through the opening where digested food passes into a pouch attached to the stoma. A temporary stoma is one that is usually taken down within 6-8 weeks. It can be a loop or end stoma. A permanent ileostomy is one that will stay with the patient for life. These are usually due to cancer. Causes for ileostomies include Crohn’s disease, colonic dysmotility, ulcerative colitis, familial polyposis, diverticulitis, and some cancers. FOOD DO’S and DON’TS Don't: Foods high in non-soluble fiber Foods that do not breakdown during digestions Example: nuts, whole corn, popcorn, and shellfish Do: Eat a B-R-A-T diet to thicken stool Examples: bananas, white rice, peeled apples (avoid the skin), and toast It is OK to use Lomotil or other anti-diarrheal meds to thicken stool It is OK to use Beano, Gas-X, etc, to decrease gas production HYDRATION AND ELECTROLYTES Drink plenty of water, Gatorade, and similar fluids! A person with an ileostomy loses a great deal of fluid as it does not stay inside the body long enough for liquids to be absorbed. Probably the most common cause for readmission to the hospital within a week of going home is dehydration accompanied by electrolyte imbalance Loss of Sodium can cause confusion, seizures Loss of Potassium and Magnesium can cause muscle cramps, irregular heartbeat, and even heart attacks Dehydration can also lead to kidney injury If dehydration and electrolyte imbalance is suspected, attempt oral intake of food and water or electrolyte-based fluids to replenish. If unable to tolerate food/water or too confused, have family/friend transport or call EMS to transport them to the ER immediately MEDICATION PRECAUTIONS Bowel transit time is at best around 3-hours with an ileostomy, so large hard pills or those with coatings intended to dissolve over several hours will be excreted before they dissolve. AVOID: Long-acting, enteric-coated, sustained-release medications. Large pills (Potassium, Vitamins). Try Gummy Vitamins instead! PERISTOMAL SKINCARE Ileostomy stool contains digestive enzymes (bile and pancreatic fluids) that digest food. If they leak onto the skin, they will “digest” the skin causing severe irritation and pain. (See instructions on using Antifungal Powder and No-Sting wipes for skin irritation around the stoma or ask your ostomy nurse for help if irritation develops on the skin around the stoma). Do not, under any circumstances, let your doctor prescribe ointments or creams to go on the peristomal skin. No pouch will adhere on top of ointments and creams. To avoid skin problems from enzymatic erosion: Change the pouch generally about every 3-4 days. Cut or obtain a pre-sized wafer 1/8-1/4” larger than the stoma. If the stoma is oval, you MUST custom-cut the wafer opening to protect the skin. Consider using a barrier ring. These rings look like a gasket and can be stretched or formed to any size/shape needed. They absorb and expand when in contact with liquid stool; compared to stoma paste that is eaten away from liquid stool and can cause leaks. Stoma paste also leaves a very sticky residue that is hard to get off, compared to barrier rings that leave very little residue on the skin. Call your ostomy nurse if you have frequent pouch leakage and start to develop skin irritation. The worse the skin gets, the harder it is to get ANYTHING else to adhere around the stoma. MARSHMALLOWS Eating marshmallows can slow down output within 5-10 minutes. Eating a few before bedtime can reduce the risk of leakage at night. Marshmallows are also great to carry in an emergency kit for changing appliances and traveling. The best part? It’s okay to make smores! Remember to check with your doctor before making any dietary wound care changes. Resources Organizations United Ostomy Associations of America CrohnsandColitis.org Crohns & Colitis Foundation Crohns and Me Blogs & Community Stolen Colon Uncover Ostomy Crohnsdisease.com Gutless and Glamorous The Vegan Ostomy 10 Spoonie Self-Care Tips
Explore effective wound care tips, self-management techniques, and SmartPAC benefits for a quicker healing.
We take a look at five common wound care myths, explaining why these myths are untrue and how to counter them in your practice.
Nurse's Guide to Wound Care: 9798867022549: Medicine & Health Science Books @ Amazon.com
WOUND CARE DOCUMENTATION! Study guides for nursing students, nurses or anyone in the health care field! Your purchase will give you a .pdf DIGITAL copy of the study guide that can be printed at your own use. This work is copyrighted and reproduction without written permission is prohibited. Utilize this guide! It is important to know how to view and document wounds. There can be various causes of wounds as there are may wound types. Pressure ulcers are staged 1-4, unstageable and suspected deep tissue injury. Understanding what type of wound you are caring for is important in the interventions that may be needed. Nurses should have the knowledge, judgement and skill to appropriately treat and assess wounds. If you have any questions or requests for study guides feel free to contact me! You are appreciated :) Happy studying! -2NURSINGSTUDENTS
Lawsuits often are settled out of court because the medical record is not defensible. Watch out for these 9 common wound care documentation pitfalls.
