Wound Management Case Scenario-Free-Samples-Myassignementhelp.com

Question: Why do you think the Wound Management Nurse disagrees with betadine-soaked gauze packing as a dressing choice for Mr Jones's cavity wound? Answer: Wound management involves a successful assessment of the size, depth and appearance of the wound and its effective treatment (Stevens et al., 2014). This essay will focus on a wound management case study. Betadine is an antiseptic medicine made up of povidone-iodine used to treat minor skin infections and wounds (Ward Sr Corey, 2014). In the case scenario, Mr. Jones wound needs to be treated post a surgical lancing of a 12*11mm cutaneous abscess, formed due to action of MRSA bacteria. However, the nurse disagrees with the recommendation of the surgeon for using betadine for wound healing. A randomized controlled trial conducted among 22 subjects tested the outcomes of honey dressing and povdione-iodine dressings and measured the healing at an interval of 6 weeks. 7 subjects showed complete healing in honey dressing group compared to none in the betadine group (Gulati et al., 2014). Further, studies have shown conflicting results that suggest that betadine creates toxic effects on mucous membranes and large open wounds (Huynh et al., 2014). The toxic effects of betadine were demonstrated on epithelia HeLa cells an increase in toxicity was exhibited in the form of upregulation in apoptosis at concentrations that were low than the clinical doses (Sato et al., 2014). Drugs like heroin and morphine, among others although provides pain relief but they affect the immune system. Individuals who take drugs suffer from insufficient wound closure and are highly susceptible to infection. Heroin addicted patients suffer from infected non-healin wounds. Immunosuppression delays the recruitment of immune cells and further delaying wound closure and bacterial clearance (Abavare Abavare, 2012). Malnutrition causes metabolic alterations that affect wound healing. Vitamin C and A are required for collagen synthesis and epitheliazation, while zinc is necessary for cell mitosis and proliferation (Deer Stewart, 2016). Thus, from the above evidences it can be concluded that the nurse has displayed a good behavior in not adhering to the instructions of using betadine for wound healing owing to its toxic effects on tissues. References Abavare, L., Abavare, C. (2012). Wound botulism resulting from heroin abuse: can you recognize it?.Journal of Emergency Nursing,38(3), 301-303. Deer, T. R., Stewart, C. D. (2016). Wound healing. InAtlas of Implantable Therapies for Pain Management(pp. 89-92). Springer New York. Gulati, S., Qureshi, A., Srivastava, A., Kataria, K., Kumar, P., Ji, A. B. (2014). A prospective randomized study to compare the effectiveness of honey dressing vs. povidone iodine dressing in chronic wound healing.Indian Journal of Surgery,76(3), 193-198. Huynh, E., Tran, P., Pham, P., Hamood, A., Mitchell, K., Reid, T. W. (2014). 5% Betadine solution in not effective in inhibiting the growth of different Gram Negative and Gram Positive Pathogens in vitro.Investigative Ophthalmology Visual Science,55(13), 5787-5787. Liu, J. X., Werner, J. A., Buza III, J. A., Kirsch, T., Zuckerman, J. D., Virk, M. S. (2017). Povidone-iodine solutions inhibit cell migration and survival of osteoblasts, fibroblasts, and myoblasts.Spine. doi: 10.1097/BRS.0000000000002224 Sato, S., Miyake, M., Hazama, A., Omori, K. (2014). Povidone-iodine-induced cell death in cultured human epithelial HeLa cells and rat oral mucosal tissue.Drug and chemical toxicology,37(3), 268-275. Stevens, D. L., Bisno, A. L., Chambers, H. F., Dellinger, E. P., Goldstein, E. J., Gorbach, S. L., ... Wade, J. C. (2014). Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America.Clinical infectious diseases,59(2), e10-e52. Ward Sr, W. G., Corey, R. M. (2014). To Wash or Not to Wash: That Is the Question: Commentary on an article by SJ van Meurs, MD, et al.:Selection of an Optimal Antiseptic Solution for Intraoperative Irrigation. An in Vitro Study.JBJS,96(4), e34.