Wound Management A Nurse s Guide
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1 VEA Bringing Learning to Life Program Support Notes Wound Management A Nurse s Guide Health Care 20 mins Teacher Notes by Tracey MacFadyen, Registered nurse is RN. Clinical Nurse Educator Produced by VEA Pty Ltd Commissioning Editor Jess Hourigan B.Bus Executive Producer Simon Garner B.Ed. You may download and print one copy of these teacher notes from our website for your reference. Further copying or printing must be Suitable for: Nursing To order or inquire please contact VEA: Australia 111A, Mitchell Street, Bendigo, Victoria 3550 FREECALL: Phone: (03) Facsimile: (03) vea@vea.com.au Website
2 For Teachers: Introduction Wound management is an informative program tailored for nurses and nursing assistants, to enable them to have a broader knowledge of wounds and how to assesses, implement, evaluate and document all aspects of wound care. This program will help you achieve the outcomes of treating and understanding what classification wounds can be categorised in to, therefore helping you to implement the right treatment for the healing process to be achieved. Program Timeline 00:00:00 Introduction 00:00:54 Skin anatomy 00:05:23 Classification of wounds 00:08:25 Wound procedures 00:12:04 Wound dressing 00:16:20 Documentation 00:19:08 Conclusion 00:19:36 Credits 00:20:06 End program Website References Other Relevant Programs available from VEA Cultural Diversity and Nursing Practice Skin Integrity and Pressure Ulcers Wound Management / Staging Pressure Areas Prevention of Pressure Ulcers Please visit our website for more relevant programs VEA Bringing learning to life - 2 -
3 Student Worksheet: Before Viewing the Program 1. What is wound Management? 2. What are the classifications of wounds? 3. What is aseptic technique? 4. What is your knowledge of wound care? 5. Have you ever had a wound that needed treatment? - 3 -
4 While Viewing the Program 1. What is the structure of the skin (groups) 2. What vitamin is needed for skin development? 3. Who is at most risk of skin deterioration what risk groups. 4. What is the function of the skin (groups)? 5. How can wounds be classified? 6. What are the three intentions of the skin? 7. What are the three colours of classifications? - 4 -
5 8. What is the optimal cleaning agent for a wound and why? 9. What is debridement? 10. What are the wound procedures? 11. What dressing would you use on a moderate exudates wound? 12. Why is documentation of wounds important? (groups) - 5 -
6 After Viewing the Program 1. Discuss the program and findings in groups 2. What would you do when faced with a necrotic or sloughy wound? 3. What method of documentation would you use? 4. What dressings do you have in your clinical areas? 5. What types of wounds do you see and treat in clinical areas? - 6 -
7 Suggested Student Responses Before Viewing the Program 1. What is wound Management? Wound management is assessing the wound and implementing what is needed to treat the wound 2. What are the classifications of wounds? Red, Yellow, black 3. What is aseptic technique? To maintain a sterile environment for the wound to heal. 4. What is your knowledge of wound care? 5. Have you ever had a wound that needed treatment? - 7 -
8 While Viewing the Program 1. What is the structure of the skin (groups) Epidermis Dermis Subcutaneous tissue 2. What vitamin is needed for skin development? Vitamin d 3. Who is at most risk of skin deterioration what risk groups. Elderly Diabetics 4. What is the function of the skin (groups)? Protection Sensory perception Thermoregulation Excretion Metabolism Absorption 5. How can wounds be classified? Age Depth Colour 6. What are the three intentions of the skin? Primary Secondary Tertiary 7. What are the three colours of classifications? Red Yellow Black 8. What is the optimal cleaning agent for a wound and why? Normal saline 9. What is debridement? To take dead tissue away from wound to enable the wound to heal. 10. What are the wound procedures? Assess Plan Implement Evaluate 11. What dressing would you use on a moderate exudates wound? Foam or hydro colloid dressings 12. Why is documentation of wounds important? (groups) To enable other professionals to maintain an awareness and treatment schedule
9 After Viewing the Program 1. Discuss the program and findings in groups 2. What would you do when faced with a necrotic or sloughy wound? 3. What method of documentation would you use? 4. What dressings do you have in your clinical areas? 5. What types of wounds do you see and treat in clinical areas? - 9 -
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