Wound Care

More documents

Recommendations

Info

132 Nurse to Nurse Seaman S. Evaluation and management of lower extremity ulcers: adherence to prescribed therapy can save limbs. Advance for Nurse Practitioners. Mar 2002;10(3):32–47. Seidel H, Ball J, Dains J, Benedict GW. Mosby’s Guide to Physical Examination. 4th ed. St. Louis, MO: Mosby; 1999. Sussman C, Bates-Jensen B. <strong>Wound</strong> <strong>Care</strong>, A Collaborative Practice Manual for Physical Therapists and Nurses. Gaithersburg, MD: Aspen Publications; 1998. Worley CA. 'It hurts when I walk:' venous stasis disease—differential diagnosis and treatment. Dermatology Nursing. Dec 2006;18(6): 582–3.
Chapter 5 ARTERIAL INSUFFICIENCY, ULCER ASSESSMENT, AND MANAGEMENT PRINCIPLES KEY POINTS PERIPHERAL VASCULAR DISEASE FACTS REVIEW OF THE ARTERIAL SYSTEM —Arterial Anatomy and Physiology —Pathophysiology of Arterial Disease —Risk Factors for PAOD • Nursing assessment DIAGNOSTIC PROCEDURES —Noninvasive Procedures —Treatment Issues and Challenges Copyright © 2009 by The McGraw-Hill Companies, Inc. Click here for terms of use.
Page 2 and 3:
Nurse to Nurse WOUND CARE
Page 4 and 5:
Nurse to Nurse WOUND CARE Donna Sce
Page 6 and 7:
Professional Want to learn more? We
Page 8 and 9:
This page intentionally left blank
Page 10 and 11:
Page 12 and 13:
Page 14 and 15:
xii List of Acronyms RBC Red blood
Page 16 and 17:
Page 18 and 19:
2 Nurse to Nurse THE ROLE OF ETHICS
Page 20 and 21:
4 Nurse to Nurse — Who does not h
Page 22 and 23:
6 Nurse to Nurse • Specific amoun
Page 24 and 25:
8 Nurse to Nurse disclosure of info
Page 26 and 27:
10 Nurse to Nurse Remember Doing go
Page 28 and 29:
12 Nurse to Nurse or guarantee anyt
Page 30 and 31:
14 Nurse to Nurse Remember Provide
Page 32 and 33:
16 Nurse to Nurse evaluation and ca
Page 34 and 35:
18 Nurse to Nurse • The Hastings
Page 36 and 37:
20 Nurse to Nurse Jacobs BB, Taylor
Page 38 and 39:
22 Nurse to Nurse KEY POINTS • Su
Page 40 and 41:
24 Nurse to Nurse Hair follicle Seb
Page 42 and 43:
26 Nurse to Nurse Table 2-1 Common
Page 44 and 45:
28 Nurse to Nurse — Brands of lig
Page 46 and 47:
30 Nurse to Nurse • Acute wound:
Page 48 and 49:
32 Nurse to Nurse Explicit chemoatt
Page 50 and 51:
34 Nurse to Nurse • Diabetic foot
Page 52 and 53:
36 Nurse to Nurse healing. This pha
Page 54 and 55:
38 Nurse to Nurse or staples may be
Page 56 and 57:
40 Nurse to Nurse increase in tempe
Page 58 and 59:
42 Nurse to Nurse º If the wound i
Page 60 and 61:
44 Nurse to Nurse º Linear wounds
Page 62 and 63:
46 Nurse to Nurse Trauma Patient/ca
Page 64 and 65:
48 Nurse to Nurse º Poor protein i
Page 66 and 67:
50 Nurse to Nurse — Vitamin A: me
Page 68 and 69:
52 Nurse to Nurse MULTIDISCIPLINARY
Page 70 and 71:
54 Nurse to Nurse • Refer the pat
Page 72 and 73:
Page 74 and 75:
58 Nurse to Nurse KEY POINTS • De
Page 76 and 77:
Head Bony prominence Shoulder Sacru
Page 78 and 79:
62 Nurse to Nurse • The proposed
Page 80 and 81:
64 Nurse to Nurse Epidermis Muscle
Page 82 and 83:
66 Nurse to Nurse Non blanchable er
Page 84 and 85:
68 Nurse to Nurse — High intensit
Page 86 and 87:
70 Nurse to Nurse • Elevated temp
Page 88 and 89:
72 Nurse to Nurse • Corn starch s
Page 90 and 91:
74 Nurse to Nurse • Diet and flui
Page 92 and 93:
76 Nurse to Nurse — Occupational
Page 94 and 95:
78 Nurse to Nurse — Use antifunga
Page 96 and 97:
80 Nurse to Nurse — Keep the woun
Page 98 and 99: 82 Nurse to Nurse • Stage III —
Page 100 and 101: 84 Nurse to Nurse Apply hydrogel di
Page 102 and 103: 86 Nurse to Nurse • The word “p
Page 104 and 105: 88 Nurse to Nurse Table 3-3 Compone
Page 106 and 107: 90 Nurse to Nurse Table 3-5 Categor
Page 108 and 109: 92 Nurse to Nurse • Risk for pres
Page 110 and 111: 94 Nurse to Nurse — If patient ha
Page 112 and 113: 96 Nurse to Nurse • The Hartford
Page 114 and 115: 98 Nurse to Nurse Hall JC. Sauer’
Page 116 and 117: 100 Nurse to Nurse KEY POINTS • V
Page 118 and 119: 102 Nurse to Nurse Deep leg veins E
Page 120 and 121: 104 Nurse to Nurse Muscle contracti
Page 122 and 123: 106 Nurse to Nurse • Trap hypothe
Page 124 and 125: 108 Nurse to Nurse • Varicose vei
Page 126 and 127: 110 Nurse to Nurse Nursing Alert A
Page 128 and 129: 112 Nurse to Nurse formation due to
Page 130 and 131: 114 Nurse to Nurse Measure 5 centim
Page 132 and 133: 116 Nurse to Nurse • Some studies
Page 134 and 135: 118 Nurse to Nurse — Stockings ar
Page 136 and 137: 120 Nurse to Nurse Figure 4-4 Extre
Page 138 and 139: 122 Nurse to Nurse • Provide thor
Page 140 and 141: 124 Nurse to Nurse Table 4-5 Advant
Page 142 and 143: 126 Nurse to Nurse Table 4-8 Indica
Page 144 and 145: 128 Nurse to Nurse Table 4-10 Indic
Page 146 and 147: 130 Nurse to Nurse • Treatment fo
Page 150 and 151: 134 Nurse to Nurse KEY POINTS • F
Page 152 and 153: 136 Nurse to Nurse Chronic pain and
Page 154 and 155: 138 Nurse to Nurse Aorta Superficia
Page 156 and 157: 140 Nurse to Nurse Tunica initima E
Page 158 and 159: 142 Nurse to Nurse Morphologically,
Page 160 and 161: 144 Nurse to Nurse Carotid bifurcat
Page 162 and 163: 146 Nurse to Nurse — These patien
Page 164 and 165: 148 Nurse to Nurse ischemia from th
Page 166 and 167: 150 Nurse to Nurse Table 5-1 Relati
Page 168 and 169: 152 Nurse to Nurse DIAGNOSTIC PROCE
Page 170 and 171: 154 Nurse to Nurse — Paint with a
Page 172 and 173: 156 Nurse to Nurse º Enhanced work
Page 174 and 175: 158 Nurse to Nurse • Cleanse gent
Page 176 and 177: 160 Nurse to Nurse Hilleman D. Mana
Page 178 and 179: 162 Nurse to Nurse KEY POINTS • P
Page 180 and 181: 164 Nurse to Nurse • 5% to 10% of
Page 182 and 183: 166 Nurse to Nurse — Hypertrophy
Page 184 and 185: 168 Nurse to Nurse Symptoms include
Page 186 and 187: 170 Nurse to Nurse Table 6-1 Wagner
Page 188 and 189: 172 Nurse to Nurse Table 6-2 Evalua
Page 190 and 191: 174 Nurse to Nurse — Antimicrobia
Page 192 and 193: 176 Nurse to Nurse — Erythrocyte
Page 194 and 195: 178 Nurse to Nurse Table 6-4 Wagner
Page 196 and 197: 180 Nurse to Nurse 3. Armstrong DG,
Page 198 and 199:
182 Nurse to Nurse Mayfield JA, Rei
Page 200 and 201:
184 Nurse to Nurse KEY POINTS • L
Page 202 and 203:
186 Nurse to Nurse — The most com
Page 204 and 205:
188 Nurse to Nurse Yoga, meditation
Page 206 and 207:
190 Nurse to Nurse MANAGEMENT AND T
Page 208 and 209:
192 Nurse to Nurse Nursing Tip If t
Page 210 and 211:
194 Nurse to Nurse — Contraindica
Page 212 and 213:
196 Nurse to Nurse Bryant RA. Acute
Page 214 and 215:
Page 216 and 217:
200 Nurse to Nurse KEY POINTS • C
Page 218 and 219:
202 Nurse to Nurse • Solitary les
Page 220 and 221:
204 Nurse to Nurse — Place a shal
Page 222 and 223:
206 Nurse to Nurse All these agents
Page 224 and 225:
208 Nurse to Nurse º These product
Page 226 and 227:
210 Nurse to Nurse Abnormal lung fu
Page 228 and 229:
212 Nurse to Nurse — No sun expos
Page 230 and 231:
214 Nurse to Nurse — Specific ref
Page 232 and 233:
216 Nurse to Nurse • Treatment
Page 234 and 235:
218 Nurse to Nurse (systemic lupus
Page 236 and 237:
220 Nurse to Nurse • In individua
Page 238 and 239:
222 Nurse to Nurse • Usually star
Page 240 and 241:
224 Nurse to Nurse 3. Pruitt BA, Le
Page 242 and 243:
Page 244 and 245:
228 Nurse to Nurse KEY POINTS • E
Page 246 and 247:
230 Nurse to Nurse functional outco
Page 248 and 249:
232 Nurse to Nurse — Phase change
Page 250 and 251:
234 Nurse to Nurse — Provided is
Page 252 and 253:
236 Nurse to Nurse • Support clie
Page 254 and 255:
238 Nurse to Nurse º Dressings* º
Page 256 and 257:
240 Nurse to Nurse include the CNA
Page 258 and 259:
242 Nurse to Nurse client and careg
Page 260 and 261:
244 Nurse to Nurse the health-care
Page 262 and 263:
246 Nurse to Nurse — Consistency:
Page 264 and 265:
248 Nurse to Nurse Only when perfor
Page 266 and 267:
250 Nurse to Nurse • Certain woun
Page 268 and 269:
252 Nurse to Nurse — Safe to use
Page 270 and 271:
254 Nurse to Nurse — Wound contam
Page 272 and 273:
Table 9-2 CDC Criteria for Surgical
Page 274 and 275:
258 Nurse to Nurse Infected wounds:
Page 276 and 277:
260 Nurse to Nurse smaller wound di
Page 278 and 279:
262 Nurse to Nurse — Delayed heal
Page 280 and 281:
264 Nurse to Nurse of any injury to
Page 282 and 283:
266 Nurse to Nurse — In the early
Page 284 and 285:
268 Nurse to Nurse Table 9-3 Indica
Page 286 and 287:
Page 288 and 289:
Page 290 and 291:
Page 292 and 293:
276 Nurse to Nurse Table 9-13 Indic
Page 294 and 295:
278 Nurse to Nurse Table 9-16 Advan
Page 296 and 297:
Page 298 and 299:
282 Nurse to Nurse Table 9-21 Indic
Page 300 and 301:
Page 302 and 303:
Page 304 and 305:
288 Nurse to Nurse • Stage IV: fu
Page 306 and 307:
290 Nurse to Nurse Shows 30° sidel
Page 308 and 309:
292 Nurse to Nurse Slide hand (palm
Page 310 and 311:
294 Nurse to Nurse — Appropriate
Page 312 and 313:
296 Nurse to Nurse — Diet and flu
Page 314 and 315:
298 Nurse to Nurse — Home rehabil
Page 316 and 317:
300 Nurse to Nurse Pressure Ulcer T
Page 318 and 319:
302 Nurse to Nurse • Home rehabil
Page 320 and 321:
304 Nurse to Nurse • Diabetes nur
Page 322 and 323:
306 Nurse to Nurse — Two (2) inch
Page 324 and 325:
308 Nurse to Nurse weight distribut
Page 326 and 327:
310 Nurse to Nurse — Gravitationa
Page 328 and 329:
312 Nurse to Nurse Hill-Rom Huntlei
Page 330 and 331:
314 Nurse to Nurse • Cleanse gent
Page 332 and 333:
316 Nurse to Nurse — Avoid use of
Page 334 and 335:
318 Nurse to Nurse Cunningham D. Tr
Page 336 and 337:
Page 338 and 339:
322 Nurse to Nurse KEY POINTS • S
Page 340 and 341:
324 Nurse to Nurse with the ability
Page 342 and 343:
326 Nurse to Nurse º Tensile stren
Page 344 and 345:
328 Nurse to Nurse Melanocytes tran
Page 346 and 347:
330 Nurse to Nurse PATIENT HISTORY
Page 348 and 349:
332 Nurse to Nurse — Often darker
Page 350 and 351:
334 Nurse to Nurse — Any changes
Page 352 and 353:
336 Nurse to Nurse — Any thyroid
Page 354 and 355:
338 Nurse to Nurse — The sclera m
Page 356 and 357:
340 Nurse to Nurse • Symmetry, ul
Page 358 and 359:
342 Nurse to Nurse • Senile lenti
Page 360 and 361:
344 Nurse to Nurse • Document the
Page 362 and 363:
346 Nurse to Nurse 9 O’ Clock Rig
Page 364 and 365:
348 Nurse to Nurse Nursing Alert Al
Page 366 and 367:
350 Nurse to Nurse • Provide supp
Page 368 and 369:
352 Nurse to Nurse Whenever the pat
Page 370 and 371:
Page 372 and 373:
356 Index Arterial ulcer, 33 Arteri
Page 374 and 375:
358 Index Debridement (Cont.): cuta
Page 376 and 377:
360 Index Hematopoietic system, in
Page 378 and 379:
362 Index Multizoned support surfac
Page 380 and 381:
364 Index Pressure ulcers (Cont.):
Page 382 and 383:
366 Index Skin temperature, in lowe
Page 384 and 385:
368 Index Wheelchair positioning, 9
show all

Wound Care

Create successful ePaper yourself

Delete template?

Save as template?