Lecture Outline Figures, Tables, and Features Resources and In-Class Activities Outside Assignments/ Evaluation Instructor’s Notes Content Text page PPT slide Discuss the factors that affect wound healing (age, circulation to and oxygenation of tissues, nutritional status, condition of the wound, immunosuppression, medications, overall patient health). Review the complications that may occur with wound healing (infection, hemorrhage, dehiscence and evisceration, fistula formation) and the psychological effects of wounds on the patient (pain, anxiety, fear, impact on activities of daily living, change in body image). 21–27 Figures 31-2 Wound complications, p. 965, PPT slide 26 31-3 Fistula, p. 966 Focus on the Older Adult Nursing Strategies to Address Age-Related Changes in Wound Healing, p. 964 Pre-Lecture Quizzes Fill-in-the-Blank The partial or total separation of wound layers is known as ________________, the result of excessive stress on wounds that are not healed. Discussion Topics Compare and contrast the healing process (including factors that will affect that process) between the following two patients: An elderly patient who presented with a stage I pressure ulcer last week and a 25-year-old with an abdominal stab wound that was surgically repaired 2 days ago. List all the physical factors you can think of that can affect wound healing, and provide a strategy to facilitate healing for each factor. Case Studies You are a nurse in a unit in a hospital caring for a 27-year-old professional football player who underwent surgery to repair a compound fracture of surgical Written Assignments Visit a health care facility to assess and document the condition of a patient recovering from a serious wound. Write a brief report discussing the process of wound healing, the factors that affect this process, and the condition of the wound assessed. Group Assignments Interview experienced nurses in various health care settings about their experience with caring for patients with pressure ulcers. Then, answer the following related questions and share your findings in a class discussion: What types of patients may be predisposed to the condition? What factors contribute to the development of pressure ulcers? What treatment do you find most
his femur. The surgery went smoothly and you are responsible for his postoperative care after he returns from PACU. What is his skin’s role in preventing infection before surgery? Describe how you would expect his wound to heal. Indicate factors that could affect the healing of his wound. For which complications would you monitor his wound? Outline signs and symptoms that might indicate his wound is infected. In what time frame might they appear? Apply the Concepts NCLEX-Style Review Questions: Students can use the NCLEX-Style Review Questions to review and practice for the NCLEX. Spanish-English Audio Glossary effective? How do you attempt to prevent pressure ulcers in your patients? Have you incorporated any new methods for treating pressure ulcers in your care plan? What is the psychological effect of pressure ulcers on the patient? Test Generator Questions Use the test generator software to identify questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Study Guide Legend: IR: Instructor’s Resource; SR: Student’s Resource; PPT: PowerPoint (IR); *Premium content: additional purchase required 31.3 Identify patients at risk for pressure ulcer development.
his left buttock, which has progressed to a pressure ulcer in which subcutaneous fat is visible. Outline the mechanisms that contributed to the development of the pressure ulcer. What specific assessments should be performed to prevent formation of pressure ulcers? How would you stage his pressure ulcer? Indicate the information that would be included in an assessment of his wound. Identify appropriate outcomes for this patient’s plan of care. Apply the Concepts NCLEX-Style Review Questions: Students can use the NCLEX-Style Review Questions to review and practice for the NCLEX. Spanish-English Audio Glossary effective? How do you attempt to prevent pressure ulcers in your patients? Have you incorporated any new methods for treating pressure ulcers in your care plan? What is the psychological effect of pressure ulcers on the patient? Test Generator Questions Use the test generator software to identify questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Study Guide Legend: IR: Instructor’s Resource; SR: Student’s Resource; PPT: PowerPoint (IR); *Premium content: additional purchase required 31.4 Describe the method of staging of pressure ulcers.
Lecture Outline Figures, Tables, and Features Resources and In-Class Activities Outside Assignments/ Evaluation Instructor’s Notes Content Text page PPT slide Be sure your students understand how pressure ulcers develop from blanching of the skin through the four stages of pressure ulcer development. Review the process for cleaning and dressing a pressure ulcer. 30–35 Boxes 31-3 Comparison of Stages of Pressure Ulcers, pp. 970–971 Research in Nursing Bridging the Gap to Evidence-Based Practice, p. 969 Pre-Lecture Quizzes True/False The first indication that a pressure ulcer may be developing is a blanching of the skin over the area under pressure. Case Studies You are a visiting nurse caring for a 32-year-old writer who became paraplegic as a result of a motorcycle accident 1 year ago. He is recovering from a subsequent depression; your visits are to monitor not only his emotional outlook but also to encourage his hygienic and offer strategies for his success. He wears a leg bag and is incontinent of stool. You are monitoring a red spot on his left buttock, which has progressed to a pressure ulcer in which subcutaneous fat is visible. Outline the mechanisms that contributed to the development of the pressure ulcer. What specific assessments should be performed to prevent formation of pressure ulcers? How would you stage his Written Assignments Visit a health care facility to assess and document the condition of a patient recovering from a serious wound. Write a brief report discussing the process of wound healing, the factors that affect this process, and the condition of the wound assessed. Make a list of the type of blended skills you will need to diagnose and treat patients with alterations in skin integrity. Group Assignments Interview experienced nurses in various health care settings about their experience with caring for patients with pressure ulcers. Then, answer the following related questions and share your findings in a class discussion: What types of patients may be predisposed to the
pressure ulcer? Indicate the information that would be included in an assessment of his wound. Identify appropriate outcomes for this patient’s plan of care. Apply the Concepts NCLEX-Style Review Questions: Students can use the NCLEX-Style Review Questions to review and practice for the NCLEX. Spanish-English Audio Glossary condition? What factors contribute to the development of pressure ulcers? What treatment do you find most effective? How do you attempt to prevent pressure ulcers in your patients? Have you incorporated any new methods for treating pressure ulcers in your care plan? What is the psychological effect of pressure ulcers on the patient? Clinical Assignments Work in pairs to identify the pressure points on the body most susceptible to the development of a pressure ulcer. Devise positions to alleviate specific pressure ulcers and eliminate the effect of friction and shearing forces. Test Generator Questions Use the test generator
software to identify questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Study Guide Legend: IR: Instructor’s Resource; SR: Student’s Resource; PPT: PowerPoint (IR); *Premium content: additional purchase required 31.5 Accurately assess and document the condition of wounds. Lecture Outline Figures, Tables, and Features Resources and In-Class Activities Outside Assignments/ Evaluation Instructor’s Notes Content Text page PPT slide Teach your students to use the nursing process for wound assessment. Discuss the techniques (inspection and palpation) used to assess wounds and make other important assessment observations (such as the existence of sutures, drains or tubes, manifestations of complications). Review the NANDA nursing diagnoses in the textbook and brainstorm with the class to develop a list of possible 32, 36–37 Figures 31-6 Incision with sutures, p. 976 31-7 Braden scale for predicting pressure sore risk, p. 977 31-8 Pressure Ulcer Scale for Healing (PUSH) PUSH Tool 3.0, p. 979, PPT slide 32 996 Pre-Lectures Quizzes True/False Serosanguineous drainage, which is clear and watery, is composed primarily of the clear, serous portion of the blood and from serous membranes. There is no standard frequency for how often dressings should be changed. Fill-in-the-Blank Written Assignments Visit a health care facility to assess and document the condition of a patient recovering from a serious wound. Write a brief report discussing the process of wound healing, the factors that affect this process, and the condition of the wound assessed.
diagnoses for patients with wounds. 31-19 Wound and skin assessment/ documentation tool, p. 995 31-20 Electronic wound and skin assessment/ documentation tool, p. Tables 31-4 Common Types of Drains, p. 975 Boxes 31-4 RYB Wound Classification, p. 976 Focused Assessment Guide Skin Integrity, p. 974 Guidelines for Nursing 31-1 Measuring Wounds and Pressure Ulcers, p. 975 Examples of NANDA-I Nursing Diagnoses Patient With a Wound or Pressure Ulcer, p. 980 Examples of Nursing Interventions and Nursing Outcomes Classifications (NIC/NOC) Dead tissue that appears as dry, black, and leathery is known as ________, which delays wound healing. Case Studies You are a visiting nurse caring for a 32-year-old writer who became paraplegic as a result of a motorcycle accident 1 year ago. He is recovering from a subsequent depression; your visits are to monitor not only his emotional outlook but also to encourage his hygienic and offer strategies for his success. He wears a leg bag and is incontinent of stool. You are monitoring a red spot on his left buttock, which has progressed to a pressure ulcer in which subcutaneous fat is visible. Outline the mechanisms that contributed to the development of the pressure ulcer. What specific assessments should be performed to prevent formation of pressure ulcers? How would you stage his pressure ulcer? Indicate the information that would be included in an assessment of his wound. Identify appropriate Make a list of the type of blended skills you will need to diagnose and treat patients with alterations in skin integrity. Test Generator Questions Use the test generator software to identify questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Lippincott DocuCare: Fundamentals: Wound Care: Irwina Russellinski *Study Guide
success. He wears a leg bag and is incontinent of stool. You are monitoring a red spot on his left buttock, which has progressed to a pressure ulcer in which subcutaneous fat is visible. Outline the mechanisms that contributed to the development of the pressure ulcer. What specific assessments should be performed to prevent formation of pressure ulcers? How would you stage his pressure ulcer? Indicate the information that would be included in an assessment of his wound. Identify appropriate outcomes for this patient’s plan of care. Apply the Concepts NCLEX-Style Review Questions: Students can use the NCLEX-Style Review Questions to review and practice for the NCLEX. Spanish-English Audio Glossary related questions and share your findings in a class discussion: What types of patients may be predisposed to the condition? What factors contribute to the development of pressure ulcers? What treatment do you find most effective? How do you attempt to prevent pressure ulcers in your patients? Have you incorporated any new methods for treating pressure ulcers in your care plan? What is the psychological effect of pressure ulcers on the patient? Interview someone with a skin alteration regarding the psychological effects that person is experiencing as well as the effect of the wound on the person’s activities of daily living. After preparing a list of
software to identify questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Study Guide Legend: IR: Instructor’s Resource; SR: Student’s Resource; PPT: PowerPoint (IR); *Premium content: additional purchase required 31.7 Implement appropriate dressing changes for different kinds of wounds. Lecture Outline Figures, Tables, and Features Resources and In-Class Activities Outside Assignments/ Evaluation Instructor’s Notes Content Text page PPT slide Describe the two methods of caring for wounds (closed method and open method) and review when and why each method is used. Discuss the types and purposes of dressings available for wound healing. Make sure the students understand that the number and types of dressings used depend on the location and size of the wound and the amount and type 35–46 Figures 31-9 Surgical pad applied as last layer of wound dressing, p. 983 3-10 Precut dressing placed around surgical drain, p. 983 31-11 Transparent film dressing placed 993 Pre-Lecture Quizzes Fill-in-the-Blank Ties attached to an adhesive backing to hold dressings in place are known as _____________ straps. Apply the Concepts NCLEX-Style Review Questions: Students can use the NCLEX-Style Review Group Assignments Interview someone with a skin alteration regarding the psychological effects that person is experiencing as well as the effect of the wound on the person’s activities of daily living. After preparing a list of possible effects, identify
questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Study Guide Legend: IR: Instructor’s Resource; SR: Student’s Resource; PPT: PowerPoint (IR); *Premium content: additional purchase required 31.9 Apply hot and cold therapy effectively and safely. Lecture Outline Figures, Tables, and Features Resources and In-Class Activities Outside Assignments/ Evaluation Instructor’s Notes Content Text page PPT slide Teach your students how to apply heat and cold to a specific part or all of a patient's body to bring about local or systemic change in body temperature. Discuss the various devices for applying heat or cold. Explain the physiologic effects of the application of heat and cold and the nursing care necessary for patients receiving heat and cold therapy. 49–53 Figures 31-21 Cloth-wrapped ice bag, p. 1000 Guidelines for Nursing Care 31-6 Assisting With a Sitz Bath, p. 999 Nursing Plan of Care 31-1 For Mary Biesicker, pp. Features Concept map Apply the Concepts NCLEX-Style Review Questions: Students can use the NCLEX-Style Review Questions to review and practice for the NCLEX. Spanish-English Audio Glossary Web Assignments Use the Internet to research the use of hot and cold therapy for bringing about a change in body temperature. Note any new therapies regarding this practice, and report your findings to the class. Test Generator Questions Use the test generator software to identify
displaying the nursing process for Lucius Everly, p. 1001 Skills 31-8 Applying an External Heating Pad, pp. questions related specifically to this objective. *Adaptive Learning Powered by prepU Individualized, adaptive learning through quizzing and remediation is available for this chapter. *Study Guide Legend: IR: Instructor’s Resource; SR: Student’s Resource; PPT: PowerPoint (IR); *Premium content: additional purchase required