The management of wound healing in various health care settings can vary according to what treatment is performed, in our scenario a patient has come to us in regards to a complication that has occurred after a resurfacing procedure. This essay will discuss the procedure that has occurred and the issues and implications surrounding the procedure in terms of infection control. How the wound was created and what should have occurred during the repair process and what isn’t expected to occur. Possible causes of delayed wound healing will also be looked at and how we expect to manage in this situation, we will also discuss how we could prevent this from reoccurring.
A resurfacing procedure is considered to be any treatment that removes a layer of skin or layers of skin. Resurfacing treatments can include and are not limited to micro-dermabrasion or the more intense dermabrasion, laser resurfacing with different types of laser or intense pulsed lights and chemical peels ranging in different depths (Philips & Hughes, 1998). After any type or resurfacing procedure, whether it would be a chemical peel or micro-dermabrasion, collagen formation is activated in the papillary dermis and elastin is produced in the papillary dermis (Phillips & Hughes, 1998). Some infections that can occur through having treatments such as micro-dermabrasion or chemical peels are bacterial infections. Bacterial infections can occur due to the fact that the barrier is impaired and the types of infections that can occur are herpes simplex, staphylococcus, streptococcus and pseudomonas (Khunger, 2007). Laser resurfacing has its own list of complications that can occur. In terms of removal of skin laser resurfacing can remove an approximate amount of 1.0cm of skin...
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...).it is also very important that when treating all patients that we use a new set of gloves for each patient and the use of sterile gloves for wound dressings, open wounds and surgical procedures. If we were to apply a dressing for our client we need to use sterile gloves as the wound is open and we would want to prevent bacteria from entering (Flores, 2008). It is also important that we use as much disposable equipment as possible with our client and that all equipment is properly disinfected for each patient (Capriotti, 2003). We would also need to educate our client on the same principles, the client has to be very diligent as well in terms of their hand hygiene and to avoid touching the treated area as much as possible and if the wound is open to apply some sort of dressing to avoid it from becoming contaminated (Collawn, 2001 & Martin-Madrazo et al., 2009).
Carlton, a 6-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot. His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton’s foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton’s mom put some gauze over the wound and prepared to take him to the local community health clinic.
When microdermabrasion removes the outer layer of skin the body then goes into a healing mode that promotes the making of new healthier cells. Microdermabrasion is like when one sustains an injury to his skin and the body sends treatment molecules to heal the damage. Mariane Fernandes conducted an experiment with the aim to evaluate the effects of microdermabrasion on skin rejuvenation. Fernandes stated in her article “Effects of microdermabrasion on skin rejuvenation” in the Journal of Cosmetic and Laser Therapy that “Microdermabrasion treatment promoted skin rejuvenation through an increase in skin thickness due to an increase in epidermal thickness and collagen organization” (Fernandes 26). Acne weakens and thins the skin epidermal layers, causing acne scars. Microdermabrasion heals the weak, thin, and fragile skin, which makes the skin smooth and more resistant to other damaging conditions. Doctor Bruce M. Freedman an aesthetic plastic surgeon and assistant professor of plastic surgery at Georgetown University also analyzed the dermatological changes associated with microdermabrasion in “Clinical and histologic changes determine optimal treatment regimens for microdermabrasion” in the Journal of Dermatological Treatment. Freedman’s experiment also yielded results of an increase of epidermal thickness
A study in Hong Kong also evaluates the use of double-gloving during surgery (Guo, 2012). This study fouses more on nurses instead of surgeons. They also focus more on glove perforation as opposed to sensitivity and dexterity. Guo states that “the purpose of our study was to assess the effectiveness of double-gloving in protecting perioperative nurses from having contact with patients’ blood and body fluids during surgery by comparing the frequency of glove perforation between single-gloving and double-gloving groups” (Guo, 2012).
The Beauty Industry being such a wide market of services and products include providing for the care of our skin, hair, selling of perfumes and cosmetics (“What is the Beauty Industry?”2014) and now developing more extensively into basic cosmetic surgery and treatments, now gives society a big opportunity to pamper and nourish themselves in more extensive ways. Throughout this essay, the branches of dermatology and dermal therapies will be explained; common skin disorders and specifically a treatment called ‘Ultrasonic Peeling’ and how it can potentially help with skin disorders imposed today will be explored and described in detail. After the investigation of what Ultrasonic Peeling is and how it works, I will also state my opinion on how well I think the treatment benefits its users, give my evaluation if I would consider using it, what I think the positives and negatives are and in scenario, assess whether it is a treatment that more salons should consider offering.
The Company publishes "Modern Methods of Antiseptic Wound Treatment," which quickly becomes one of the standard teaching texts for antiseptic surgery. It helps spread the practice of sterile surgery in the U.S. and around the world.
There can never be enough emphasis on its teaching in school, communities, colleges, hospitals, clinics etc. There are a lot of journal articles, books and research material available to support this easy prevention technique. Rachel Barrett and Jacqueline Randle (2008) in their journal, Hand hygiene practices: nursing students perceptions, state that “Hands of healthcare workers and patients are therefore a primary cause for the transmission of infections by both endogenous and exogenous spread” (Para. 1). This is a relevant point which must be highlighted in every study material and teaching plans by the tutors in healthcare settings. Without proper hand hygiene it not possible to decrease the ill effects of infections spread through contact. The authors further discuss that other standard precautions should be kept in mind as those are important too. For example, while doing dressing change or assessing the pressure ulcer it is crucial to wear gloves as hand washing alone would not be enough to protect from contamination. However, the main point to remember is that gloves should not be used as a substitute for hand
Education of the patient will begin. Depending on the size of the abscess and how extensive the procedure was the patient may need a relative or friend to drive them back home. Not only would the patient need a ride back home, they may need to be watched for 24 hours. As part of pain management pain medication may be given to the patient to decrease pain. Antibiotics may be given to fight or prevent infection caused by the bacteria. The patient will also need to list all medications that they are taking so there will not be any contraindications with the medications that the patient is given. Advise the patient that more than one follow-up appointment will be necessary in order to properly treat the wound. Before the end of the appointment, the medical assistant should give the patient written instructions along with an emergency number and the number to the practice incase the patient has any questions or concerns. Advise the patient to return to the practice if they experience any fever, chills, or the abscess returns. If red streaks appear around the wound tell the patient to call the emergency department immediately. After the the procedure and patient education has been completed, make sure all the step of the procedure has been documented in the patient’s record and all follow-up procedures have been
Facial laser resurfacing is a type of facial laser treatment which is practiced for eliminating old age. This treatment is used generally for areas around the eyes and mouth regions in addition to minimizing the irregularly pigmented skin and scars. You can get a vibrant, young look after facial laser resurfacing is done. In Facial la...
In 1865 before an operation, he cleansed a leg wound first with carbolic acid, and performed the surgery with sterilized (by heat) instruments. The wound healed, and the patient survived. Prior to surgery, the patient would need an amputation. However, by incorporating these antiseptic procedures in all of his surgeries, he decreased postoperative deaths. The use of antiseptics eventually helped reduce bacterial infection not only in surgery but also in childbirth and in the treatment of battle wounds.
Carbon dioxide laser, a recent development, emits extremely high energy. It vaporizes the scarred skin tissue layer leaving fresh skin behind. The benefit of this process is that very less medical complications are associated with this.
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
...s and hoses, control buttons, switches, hand pieces, and X-ray units (Collins). After every patient’s visit, the operatory is to be sterilized and disinfected. All areas that were that were not covered with a barrier, or if the barrier was compromised, must be wiped down with surface disinfectants similarly used in hospitals. OSHA requires disinfectants to be potent enough to fight against HIV and HBV infections (Collins). If there is any blood present on a surface, tuberculocidal type disinfectant should be utilized.
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.
The normal wound healing process mainly consists of four main stages being haemostasis, inflammation, proliferation or new tissue formation, and tissue remodeling or resolution. For a wound to heal well the above mentioned stages should occur in a sequential and orderly manner. Disturbances, abnormalities and delays in any of the above stages may lead to impaired healing or even chronic wounds. In adults, this process of normal healing takes place in the following steps (1)rapid haemostasis (2)appropriate inflammation (3)mesenchymal cell differentiation, proliferation, and migration to the wound site (4)suitable angiogenesis (5)prompt re-epithelialization and (6) proper synthesis, cross-linking, and alignment of collagen to provide strength to the healing tissue.
Due to the fact that during a surgery you will be using your hands you must be very careful even if you are wearing safety equipment. Protective wear can help tremendously by eliminating any easy route of transmission of any viruses, or diseases etc. Through medical school it will be required that surgeons wear gear that will protect them. Always wear protective gear no matter how little the operation could be, surgeons will always be exposed to some kinds of bacteria which can be foreign to your own. According to Paul A. Ruggieri M.D.’s novel, “I love being a surgeon. I love being able to make a clear, tangible difference in the quality of a person’s life. Sometimes I even save a life. I am honored every time a patient comes to me, and I’m humbled at the trust that’s given.” Surgeons should have the same mindset as Dr. Ruggieri because making a difference in someone else 's life should be a huge priority. They should want to help someone with their problems. Surgeons leave a mark on other people’s life, and it should always be a positive one. The satisfaction knowing a surgery was performed on someone and treated their problems would feel