SOLVED72

When planning care for wound healing in DM’s case, it is essential to consider several factors from the information provided. Firstly, her advanced age of 68 years old and her 12-year history of coronary heart disease indicate that she may have compromised circulatory and immune systems, making wound healing more challenging and slower (Wang et al., 2021). Additionally, her recent quadruple coronary artery bypass surgery, long operation time, post-operative bleeding, and congestive heart failure suggest that she has undergone significant physiological stress, which can also impact wound healing (Feuchtinger et al., 2005). The wound history is crucial in determining the appropriate treatment. The large, red “butterfly” shaped wound on the sacrum, recorded on post-operative day three, indicates that pressure on the area may have occurred during the surgery or post-operatively due to immobilization. The development of a black wound with a sloughy edge on day five suggests the possibility of necrotic tissue formation. The presence of scant tan exudate along with erythema around the wound indicates the presence of inflammation and potential infection. To determine the best product to use for treatment, it is important to consider the wound characteristics. The wound’s location on the sacrum makes it susceptible to pressure and shearing forces, emphasizing the need for pressure redistribution surfaces to minimize further damage (Wang et al., 2021). The shape of the wound is described as a “butterfly,” suggesting irregularities in its dimensions. Accurate measurements should be taken to monitor changes in size over time. Assessing wound depth is critical for assessing tissue damage, since inspection of the wound bed reveals the existence of necrotic or healthy granulation tissue, which guides treatment recommendations (Preston et al., 2017). Monitoring drainage characteristics such as type and odor are crucial for managing wounds and detecting infection. Evaluating periwound skin health provides insight into potential complications, while pain assessment aids in planning effective care and ensuring patient comfort throughout the healing journey (Preston et al., 2017). Several potential complications may develop in DM’s case, and proactive measures should be taken to minimize them. Infection is a significant concern, especially given the evidence of erythema surrounding the wound. To reduce the chances of infection, it’s important to adhere to rigorous aseptic procedures, which involve practices like proper hand hygiene and changing dressings in a sterile manner. Adequate nutrition and hydration are crucial for wound healing, considering the patient’s history of coronary heart disease and the potential implications on healing. Ensuring optimal nutrition, with appropriate protein and micronutrient intake, can support the body’s healing processes , Respond to this discussion focusing on pressure ulcer treatment no more than 100 words
SCIENCE
HEALTH SCIENCE
NURSING

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