Wound Care Case Study

Wound Care Case Study

Q NO 1

Following are the three stages in which the etiology of venous ulcer of Mrs. Young could be diagnosed.

Assessment tools used for instrumental diagnosis

This assessment includes the vein localization and the verification of the function of the valvular apparatus (epifascial, transfascial and subfascial venous system) by the directional doppler sonography

Plethysmography

Dupelxesonographie

Ascending venography,

Magnetic resonance imaging,

Possibly microcirculation investigation

A differential diagnosis of venous leg ulcers

Peripheral arterial disease, isolated or in combination with a chronic venous insufficiency

Angiodysplasia

Lymph

Vasculitides

Periarteritis nodosa

Pyoderma

Ulcerated skin tumors

Myeloproliferative disorders

Hematologic causes such as: Sickle cell anemia

Another method used for the diagnosis of venous ulcer is the Doppler ultrasound of leg veins which helps in the identification of the following factors:

The existence or not of a significant reflux (duration> 1 second) on the superficial venous trunks (veinssaphenous vein) at the butts of these veins and perforating veins

Whether or not a significant reflux on deep veins, most often associated with a syndrome

Postphlebitic, or sometimes incontinence primitive. Obstructive syndrome deeper, rarer, witnessed a thrombotic process repermeabilise old and poorly

Q NO 2

For the development of an effective wound care strategy Mrs. Young should consult with a podiatrist, which is a health professional who prevents, diagnoses and treats problems of the foot, and is responsible for comprehensive care and its relationship with the rest of the body (Callam et.al,, 1988, pp.358-360). The structure and function of the feet are very complex and require a podiatrist deep knowledge in various fields, as well as the skills and abilities required to perform and produce any type of foot treatment using therapeutic procedures specific to their discipline. It would be immensely beneficial for Mrs. Young to consult with a podiatrist as the podiatrist has access to both additional tests to reach a diagnosis and to track off pathologies such as; biomechanical testing, X-ray, laboratories (Coleridge, 1988, pp.1726-1777).

Q NO 3

One of the most important principles of proper preparation of the wound is certainly cleaning and decontamination of the wound bed as only a clean wound can heal quickly and without complications. Devitalized tissue covering the wound, such as necrosis, fibrin, debris and high bacterial load may significantly affect wound healing, resulting in the total or partial stagnation in the healing process, the process can facilitate healing, because only a clean wound can heal (Palfreyman, 2008, pp.34-37).

Compression therapy

External compression is the basic therapy for the treatment of chronic venous insufficiency. The clinical symptom of CVI encompasses all disorders of the venous flow in the lower extremities whose origin can be, for example, insufficient functioning of the venous valves, a constriction of veins and a venous pump failure. The result is deterioration in the microcirculation resulting in damage to the tissue and may result in venous ulceration. Following are some of the essential factors which a clinician or a nurse must focus on while the treatment of venous wounds

The sinsteticade wadding band for use under bandages support, compression or casts, when required a ...