Download Dermal Wound Presentation outiline

Nohemi Rivera – Instructor Morin
Ruben Olmsted – Instructor Osborn
Theresa Polly – Instructor Osborn
Mary Ramirez – Instructor Osborn
Leslie Salinas – Instructor Osborn
Dermal Wound
•Introduction:
-Group members
-Main topic: Dermal wounds
•Describe what a dermal wound is.
•Identify types of wounds, classifications of wounds, and dressings.
•Describe assessment and treatment of wounds.
•Briefly describe different phases of wound healing.
-Hemostasis
-Inflammatory Phase
-Proliferation Phase
-Maturation Phase
•Present 3-D model
•Identify factors affecting wound healing.
•Concept map discussion
•Nursing Diagnoses
(1) Impaired tissue integrity related to lack of blood flow to tissue and protein malnutrition as
manifested by damaged to mucosal membrane or subcutaneous tissue secondary to
dermal wound.
Goal: Patient will regain skin integrity as evidenced by wound decreasing in size and an
increase granulation tissue within 10 days.
Interventions:
∙notify wound care nurse
∙teach skin and wound assessment and ways to monitor for signs and symptoms of
infection
∙collaborate with physician and pharmacy by reporting abnormal lab values and
administering prescribed medications
(2) Risk for infection related to broken skin and traumatized tissue.
Goal: Patient will not present sings that indicate risk for infection as evidenced by a
normal temperature and WBC counts, with differentials, within normal limits within 3
days.
Interventions:
∙report signs and symptoms of infection to primary physician
∙educate patient on how to look for signs or symptoms of infection
∙collaborate with patient, family, and other staff on maintaining hand hygiene
•Class game