4.1 Discuss and appraise your approach to managing wounds that are classified as either healable, non-healable or maintenance. Comments on the differences of the approaches between these classifications.
Managing wounds whether it is healable, non-healable or maintenance are becoming more complex and dynamic process that are influenced significantly by the new discoveries and technologies, available researches work, companies’ recommendation, health care institutions recommendation, patients’ beliefs, practitioners’ belief, and availability of the logistics and human resources. My wound management style is based on the adaptation of informed framework, research based, tested recommendation ...view middle of the document...
In the assessment process, this is the opportunity to identify the probable cause of the wound, compounding factors, contributing factors, wounds classifications, patient cantered concerns, and the circle of care, knowledge gaps, and the affordability of the logistics. It is imperative to identify and classify the wound whether it is healable, maintenance or no healable wound so appropriate approached could be instituted. Wounds are healable if it has potential to heal with treatable aetiology. Maintenance wound is somewhere in-between healable and non-healable with treatable origin, and it is not healing because only of some identified manageable factors not currently achieved. Non healable wound are those cannot achieve healing because of unmanageable underlying causes.
Taking cares of individual through holistic approached could not be done by one single professional alone. To assure the best possible care to the patients and their wound they should always include the multidisciplinary approached/ inter-professional approached to contribute their expertise. There is no such single individual alone can do everything for the wound management. The team approached is highly regarded for the successful outcome in the wound management. Let’s say for instance, you have complicated diabetic infected foot, you need a physician to manage the patient general health care and to cure the patient medical problem, you need the vascular surgeon to work on the vascular impairment, you need the Orthopaedic to deal with osteomyelitis, you need dietician to modified the patient diet for wound healing promotion, and you need the podiatrist to customized the patient shoes for optimal offloading. In the team you also need the physiotherapist and occupational therapist for patient optimal functioning on daily activities, home health professional care services when the patient went home and needs of primary nurse for proper wound dressing selections and coordination of care.
After classifying the wound, there are establish wound care paradigm that we could base on our wound management. There are wound care paradigm can be used for the person with healable chronic wound and for person with non-healable or maintenance wound. It is significant to identify whether the wound is healable, non-healable or just for a maintenance. Identifying the wound classification correctly will allow you to choose the best modalities of care.
It is important to know the causes of the wound, and any other elements compounding the wounds development and to treat them if possible. It is also important to hear and dealt with the patient concerns and to provide them proper education. It is not only the causes of the wound, local wound care or management is also a consideration. For the wound to heal, it should consider the wound bed preparation includes the debridement (if appropriated to do so), infection control management, moisture and edges of the wound management.