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  • Essay / Risk of impaired wound healing - 1200

    Introduction. This report will discuss the risk of impaired wound healing in patients in the community. Patients may be at risk due to advanced age, malnutrition, and underlying medical conditions (Timmons, 2003, White, 2008). However, this report raises concerns about the lack of knowledge among patients about the importance of nutrition, which can be a risk factor (Casey, 1998, Dealey, 2005, Timmons, 2003). In this regard, a management file in the form of a brochure intended for these patients has been developed (see appendix), likely to improve patients' knowledge. The report will assess how the risk could be minimized using this brochure. The rationale for the selection of identified risk comes from observations, during community placement, where many patients presented with chronic wounds, which did not heal, despite nursing interventions, which is supported by Moffat (2001). Personal observations have highlighted that some patients may have a knowledge deficit on the importance of a balanced diet to achieve wound healing. However, despite nurses' involvement in verbal health promotion, some patients were reluctant to follow nurses' advice, which may increase their risk (Wientjes, 2008).Methodology.Following this observation, a review literature was undertaken, including RCN Journals, Library and online resources using key words, such as “delayed wound healing”. In addition, observation on the availability of health promotion tools on wound healing was carried out, as part of my internship. Personal observations have highlighted some gaps in existing patient packages. Furthermore, a literature review and observations revealed that most packages are designed for nurses rather than patients. For example, the Woun...... middle of paper ....... This also requires cooperation from patients. and effective pain management (Gould, 1999). Nurses can assess this by undertaking observational audits, which may include accurate recording of wound presentation, measurements and photographs (Sterling, 1996). This may involve nurses using the wound care chart to reassess patients, within six weeks. Additionally, nurses can ask questions about patients' diets and ask if patients have food in their refrigerator. Additionally, nurses can check patients' blood test results to determine their glucose levels and nutrient insufficiency (Walkland, 2002). Success can be measured by the reduction in weekly patient visits, a result of patient cooperation. This report highlighted that wound healing can be improved through patient education and cooperation in improving their diet (Casey, 1998, Dealey, 2005, Timmons, 2003).