HLT54115 Nursing

Abdominal hysterectomy

A patient with abdominal hysterectomy usually has the cervix, uterus, or both of the organs removed through the abdomen itself. The outcome of this would either be vertical or horizontal midline incision, depending on the approach of the surgeon and the size of the area being treated. The surgeon may have to choose to either remove all or just part of the uterus depending on the reason for the hysterectomy. When both the both tubes, both ovaries and the entire uterus are removed the entire process is referred to as hysterectomy.

(1) Wound dehiscence refers to the condition where a wound partially or completely opens up along the sutures to create a new wound (Anuj Gupta, 2010). Wound dehiscence can have a great impact on the patient and requires readmission, surgical interventions or administering antibiotics.

(3) Wound healing may not be a smooth path; the process of healing may progress forward or backwards depending on several outside factors. Looking into Sarah’s case her wound is sore and smelly even after taking the prescribed antibiotics; this is clear indication that her wound is not healed. Sarah’s wound may take long to heal considering her age. Age influences and affects everything in one’s body including the structure and operation of the skin. During the aging process everything slows down including the stages of wound healing. This may be Sarah’s case since she is 51 years old. As one gets older the skin becomes thinner and the body show decreased inflammatory response therefore leading to exposure to injury hence slowing the healing process.

Sarah should check on her diet and ensure she takes nutritious food since nutrition is vital to optimal healing. Lack of proper nutrients does not favor cell repair and growth. Sarah should also observe her body weight since anybody surpassing their ideal body weight by 20% has higher risks of infection when a wound is healing. Another factor that can affect optimal wound healing is Skin moisture. The Skin needs enough fluid and moisture in order to be viable. As in Sarah’s case older people are inclined to dry skin which puts them at risk of skin injuries, infections and thickening and this impairs wound healing. A person suffering from chronic conditions and has a wound may have a slower rate of healing their wound, since this condition has a direct impact on the body’s natural ability to heal. Repeated trauma is another case that slower the healing of the wound. If a patient has undergone severe trauma the body’s fighting mechanism is limited and the wound heals slowly.

Wounds and wound healing are purely considered as medical phenomena, thou there is growing evidence that the psychological effect on the patient is of equal significance (DiPietro, 2010). Psychological consequences of having a wound may include, stress, and sleep disturbance. These outcomes may be as a result of the physical effect of the wound. (Ling Na, 2017) This would affect the day to day activities of the patient since a stressed person may not be able to give out their full potential even at their work place and this too applies to a person who undergoes sleep disturbances since during work hours they may feel sleepy leading to poor productivity in the work place and this may even lead dismissal from the work place which may have a great impact in an individual’s life.

(4) Management of postoperative pain and torment eradicates suffering and leads to earlier mobilization, few day in healing center, reduced hospital costs, and increased patient satisfaction and fulfillment. (Anuj Gupta, 2010) Postoperative management isn’t a standardized administration but focuses to the needs of the patients. Considering factors such as age, level of fear or uneasiness, surgical strategy, individual preference and response to helpful agent’s administered. For Sarah to manage the pain, she should minimize the medication dose to lessen side effects. There is great need for pain control as it is helpful and humanitarian need of every surgical strategy. Lack of adequate pain control may result to increased mortality. Factors that may contribute to compelling postoperative pain management incorporate: acute management team, patient education, and customary staff preparation and training.

(5) Prevention of surgical site infections includes meticulous operative procedure, timely administration of necessary preoperative antibiotics and appropriate preventive measures  pointed  at neutralizing the risk of bacterial, viral and fungal contamination brought approximately by operative staff, operative room environment and the patients  endogenous skin flora. To minimize more infections Sarah should consider the above.

(6) The practice of interdisciplinary team is important in specialized wellbeing care setting. An interdisciplinary approach includes group individuals from distinctive disciplines working together for a common goal. In Sarah’s case, the interdisciplinary teams include;

• Team of clinician may come in and help her on ways that would facilitate her wound healing.
• Sarah’s family members may also contribute greatly to ensure her healing is faster, by providing nutritious food which would aid her healing.
• The care group needs to combine efforts, utilizing the intrigue approach in order to be able to meet the patient’s goals and needs. The interdisciplinary team ensures that the team members have clear goals which are well understood. They participate in joint evaluation, diagnosis and objective setting; they promote team cohesiveness and inventiveness through group commitment.
• Friends are also essential for motivation in the treatment process

(7) For difficult wound treatment to be successful, the entire assessment of the patient should be conducted. For a wound to heal adequate nutrition should be ensured, this is often overlooked but it is very important for normal wound healing. Dermlin is one of the products used and caters for wound healing. It is a wound recuperating dressing product affirmed clinically by world renowned clinicians for quick mending of wounds. It absorbs exudations from the wound and this helps prevent secondary infections, stimulating the expansion of human epithelial cells, resulting in quick healing and less scar formation.

Conclusion:

Product such as dermlin would help Sarah in the healing of her wound. There has been expanded experimental prove suggestive of an impeded response by maturing cells stretch. It takes a dynamic process for a wound to heal. Normal wound healing occurs in a precisely and timely manner.

References:

Anuj Gupta, . K. (2010). Clinical aspects of acute post-operative pain management & its assessment. PMC US national library of medicine, pp. 97-108.

DiPietro S. G. (2010). Factors Affecting Wound Healing. US National Library of Medicine , pp. 219-229.

Ling, P. a. (2017). Psychosocial Well-Being Associated With Activity of Daily Living Stages Among Community-Dwelling Older Adults. US National library of medicine.

Yao, K. (2013). Post-operative wound management. Australian Family Physician, pp. 867-870.