Assignment

ASSIGNMENT
ON
WOUND CARE
SUBJECT: COMMUNITY HEALTH NURSING
SUBMITTED TO : Respected Bhawna Mam

[head of department]
SUBMITTED ON : 25.4.2023
SUBMITTED BY : Tenzin Norzom
Post.basic.bsc2nd year
Roll No : 31
CONTENTS OF ASSIGGNMET
 DEFINITION [wound care]
 CAUSES
 CLASSIFICATION
 SIGN AND SYMPTOMS
 MANAGEMENT
i. Dressing
 DRESSING [definition]
 TYPES OF DRESSING
 PREPARATION OF ARTICLES
 PROCEDURE IN DETAIL
 DOCUMENTATION
 BIBLIOGRAPHY
DEFINITION
Wound, a break in the continuity of any bodily tissue due to
violence, where violence is understood to encompass any action
of external agency, including, for example, surgery.
CAUSES OF WOUNDS
1. Mechanical agents [mechanical force]
2. Chemical agents [animal bites, liquid, gas]
3. Radiant agents [x-ray, atomic acid]
4. Biological agents (pathogenic organisms)
CLASSIFICATION OF WOUNDS
On the bases on On the bases on

their nature the contamination
1.clean wounds [(1-2% infection rate)

1. Open wounds
2.contaminated wounds (15-20%
2. Closed wounds
infection rate)
3. Contusion (Bruise)
4. Laceration 3.clean contaminated wounds
5. Avulsions (<10% infection rate)
6. Punctures 4.dirty or infected wounds (>40%
7. Perforating infection rate)
SIGN AND SYMPTOMS OD WOUND
 Oozing pus, foul smell (in infected wound only)
 Not being able to use or move the affected area
 Possible fever with infection
 Heat
 Pain and tenderness
 Swelling
 Redness
 Bleeding or oozing of blood
MANAGEMENT
DEFINITION [DRESSING]
A dressing is a sterile pad or compress applied to a wound to
promote healing and protect the wound from further harm. A
dressing is designed to be in direct contact with the wound, as
distinguished from a bandage, which is most often used to hold
a dressing in place
TYPES OF DRESSING
1.Gauze Dressing
2.Non-Antiseptic Dressing
3.Antiseptic Dressing
4.Wet Dressing
5.Pressure Dressing
6.Seft adhesive transparent dressing
PREPARATION OF ARTICLES
 Community bag
Purpose-To keep all articles
 Soap
Purpose-To clean the hand to prevention from
infection
 Towel
Purpose-To dry the hand
 Bowl
Purpose-To put the antiseptic to dip the cotton
ball
 Dettol[antiseptic]
Purpose-To clean the wound
 Cotton balls
Purpose-To dip the cotton ball in antiseptic to
clean the wound
 Gauze
Purpose-To cover and pressure the wound
 Bandage
Purpose-To to cover the wound
 Paper bag
Purpose-To put the waste
 Ointment
Purpose-To Heal the wound
PROCEDURE IN DETAIL
Preparation
 Introduce yourself to the patient and explain what
you are doing and why. If possible, provide privacy.
 Position the patient comfortably and make sure the
surrounding area is clean and tidy before you start.
 Check the patient’s care notes to update yourself on any
changes in the patient’s condition and to make sure the
dressing is due to be changed.
 Prepare the hight table, place the newspaper, and put
the bag on the newspaper.
 Wash your hands and put on an apron.
 Take out the needed articles and prepare for dressing.
 Open any other sterile items needed onto the sterile field
without touching them
Removing an old dressing

 Wash your hands and put on non-sterile gloves (to
protect yourself) before removing an old dressing.
Dispose of this dressing in a separate dirty clinical waste
bag.
 Complete a wound assessment. This includes a visual
check and comparing and evaluating the smell, amount
of blood or ooze (excretions) and their colour, and the
size of the wound.
Cleaning and dressing the wound
 Make sure that you have selected the correct dressing type
and materials to provide full and appropriate coverage of the
type, size and location of the wound as per the care plan or
the physician or senior charge nurse’s recommendations.
 Wash your hands and put on sterile gloves. If the gloves
become desterilised, remove them, re-wash your hands and
put on new sterile gloves. This is best practice, but where
resources are not available, safe modifications to this
process can be made, for example by using non-sterile
gloves to protect the nurse while removing the dressing and
then washing the hands with gloves on and using alcohol gel
on the gloves to make them clean enough to clean the
wound and redo the dressing. This then protects both the
nurse and the patient.
 Start from the dirty area and then move out to the clean
area. Be very careful when doing this as the tissue or skin
may be tender and there may also be sutures in place. Clean
the area without causing further damage or distress to the
patient.
 Make sure you do not re-introduce dirt or ooze by ensuring
that cleaning materials (i.e., gauze, cotton balls) are not
over-used. Change them regularly (use once only if possible)
and never re-introduce them to a clean area once they have
been contaminated.
 Make sure that you have selected the correct dressing type
and materials needed to provide full and appropriate
coverage for the type, size and location of the wound,
according to the care plan or the physician’s or senior charge
nurse’s recommendations.
 Dress the wound as per instructions.
 Note: Ensure that the materials and dressing pack are only
used for one eye at a time to prevent cross contamination. If,
for some reason, another part of the face or the other eye
also needs a dressing change, then open another pack and
start on the other side with clean hands and gloves.
After the procedure

 Fold up the dressing/procedure pack and place all
contaminated material in a bag designated for clinical waste,
making sure all sharps are removed and disposed of in a
sharps container.
 Remove gloves and place in waste bag.
 Wash your hands.
 Clean the trolley with soap and water or disinfectant
solution as before.
 Record (document) on the patient’s chart your wound
assessment, the dressing change and the care you have
given.
 Provide the patient with some dressing management
education and answer any questions before you go.
 Report any changes to a senior nurse or doctor.
BIBLIOGRAPHY
 Traumatic brain injury | medical condition | Britannica[DEFINITION]
 Wounds: Types, Classification of wounds, Treatment and Care - Jotscroll
[causes,classification]
 Wounds - Signs And Symptoms (homenaturalcures.com) [SIGN AND
SYMPTOMS]
 Dressing or care of wound (slideshare.net) [TYPES OF DRESSING]
 Community Eye Health Journal » Techniques for aseptic dressing and
procedures (cehjournal.org) [procedure]

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ASSIGNMENT

SUBJECT: COMMUNITY HEALTH NURSING

SUBMITTED TO : Respected Bhawna Mam

On the bases on On the bases on

1.clean wounds [(1-2% infection rate)

Removing an old dressing

After the procedure

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