Reference no: EM133362594
Case Study : Tina Dalton
Mrs Tina Dalton is 68 years old woman who is generally in good health. Tina is a non-smoker, only drinks occasionally, but has a sedentary lifestyle.
Her past medical history includes a peptic ulcer and her surgical history includes partial gastrectomy for the peptic ulcer in 1975.
Tina was admitted to hospital with severe abdomen pain. She had a laparotomy procedure performed including a reduction of an incarcerated parastomal hernia.
Tina was admitted to ICU post operatively for hypotension and then discharged to a ward. Two weeks later Tina developed Abdominal/ Parastomal Wound Dehiscence and a wound infection
Tina's wound presents as follows:
Wound etiology: Surgical Wound Dehiscence(SWD)
Wound location: Abdomen
Thickness: Full
No of areas: Two area of dehiscence
Size: 20×4×1.4cm
Wound tissue: 70% red granulation, 30% yellow fibrinous slough
Exudate: Heavy
Questions:
1. Following your initial review of the wound information, Tina has asked you about wound healing and what she can expect. Explain the three stages of wound healing.
2. Tina has overheard a discussion between staff and would like to know what is meant by a surgical wound dehiscence. Provide an explanation which would be easy for Tina to understand.
3. Provide one example of a wound management product used for each of the three phases of wound healing that can be beneficial for Tina's wound.
4. List three purposes for using wound drains which may need to be considered as part of the wound management for Tina.
5. List two types of wound drains which may be an option in the treatment of Tina's wound. Include your reasoning for each.