...Education on Wound Care for Diabetic Patients Education on Wound Care for Diabetic Patients Abstract Non-compliance of wound care management has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations...
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...knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually) (Leaf Healthcare Inc., 2014). Nurses are in a position to decrease these numbers but barriers remain. Staff nurses in acute care settings, as well as hospital based transitional units provide care for patients with...
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...Incision Care Abstract This paper explores several articles that show results about wound care education research and its effects throughout the world. It also provides information about a case study based on this type of research. The case study included an interview process and a presentation to the client. An important component of this research includes providing education specifically to parents or guardians of the pediatric population which include patients aged from zero to eighteen years of age. Since clients are often unaware of the appropriate interventions following incision care treatments, it is important to discuss and instruct them about the correct methods of providing care after a procedure. Keywords: wound care education, knowledge and skill of wound care, patient education, wound infection Wound Care Education Patients or caretakers of pediatrics patients are often unaware of how to care for incisions after medical procedures. Nurses are responsible for educating patients on the effects and complications of these treatments. Since wound infection has been attributed to many incision procedures, it is crucial that clients improve their knowledge and skills to reduce this type of infection when sent home. According to the Journal of Clinical Nursing, after providing a wound care program to 89 participants, there was greater understanding, skills, and satisfaction from the group who was provided the program than from those without the education. Also...
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...Medical-Surgical Nurses’ mission is “to promote excellence in medical-surgical nursing.” They wanted to improve knowledge, skills and professionalism by educating and providing new materials to enhance learning. The organizations purpose is to improve patient care, advocate for the specialty of medical-surgical nurses, and being able to connect to others who has compassion and commitment. To improve patient care, they focused on their actions and voice, and provided evidenced-base practice, research and knowledge. Membership is open to everyone who is interested in the care of adults. Annual membership fee is $84.00 but students, seniors, new grads and associates can also become a member at a different fee. The benefits of being an AMSN member includes free journals and newsletters, free online continuing education, discounts on AMSN study resources, conventions, and application for scholarships, awards, and grants. Its professional culture and values of the organization is to improve patient care. AMSN could assist me with my professional development and lifelong learning by continuing to provide me with information on evidence-based practice for better quality patient care and safety. It also enhances my knowledge through the continuing education they offer for their members. American Association of Diabetes Educators (www.diabeteseducator.org) I chose American Association of Diabetes Educators as one of the organizations that I’m interested in because...
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...Differences Between RNs Prepared at ADN Versus BSN Level Nursing education in the United States offers many levels of competency falling under the licensed title of registered nurse (RN). These levels offered in a continuum, begin with nursing as a vocation in the form of licensed practical/vocational nurse (LPN/LVN) followed by an associate degree (ADN), baccalaureate of science degree (BSN), masters of science degree (MSN) and doctorate. All have curriculums that build upon the previous designation in hopes of creating a highly sophisticated nursing profession geared toward handling an evolving healthcare system of diverse populations, technical advances and outcomes. This paper will focus on comparing the competencies between the ADN versus BSN education in order to highlight the need to pursue a BSN level of education. Research conducted by Poster et al. (2005) notes differing curriculum for each type of nursing program produces a difference in entry-level postgraduate competencies within clinical behavior, judgments and knowledge base. These differences according to the American Association of Colleges of Nursing (2005) are largely in the “research, theory, public and community health, management, and humanities (AACN, 2005). The associate degree education was a response to nursing shortages and provided an affordable, rapid educational choice to motivated individuals who wanted to enter the medical field. The education is provided at a community college covering the sciences,...
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...Reduction of Nosocomial Wounds Phillip Cook American Sentinel University Hospital acquired wounds or nosocomial wounds have been a problem to the health systems across America for some time. They can be caused by several factors such as pressure, friction, or shear. In 2008, The Centers for Medicaid and Medicare (CMS) began withholding payment for hospital acquired conditions such as pressure ulcers ("Centers for Medicare," 2012). Hospitals have placed a priority on identifying those patients that are high risk for nosocomial wounds as well as protocols for preventing the wounds. Background of the Project Nosocomial wounds are a possibility for any patient that is admitted to the hospital. Patients are admitted to hospitals in various physical conditions and nosocomial wounds are caused by several factors. According to the Mayo Clinic (Mayo Clinic staff, 2011), nosocomial wounds are a result of pressure on the skin that inhibits the blood flow to skin and underlying tissues. This may come as a result of different problems such as: 1. Sustained pressure from the skim being trapped between a boney prominence and a surface such as a wheelchair or a bed. 2. Friction from moist skin being pulled across a surface 3. Shear from two surfaces moving in the opposite direction such as the bed and the patient. This movement damages the tissue making it more vulnerable to sustained pressure. Add to this the compromised nutritional status of the patients and...
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...Differences Between RNs Prepared at ADN Versus BSN Level Nursing education in the United States offers many levels of competency falling under the licensed title of registered nurse (RN). These levels offered in a continuum, begin with nursing as a vocation in the form of licensed practical/vocational nurse (LPN/LVN) followed by an associate degree (ADN), baccalaureate of science degree (BSN), masters of science degree (MSN) and doctorate. All have curriculums that build upon the previous designation in hopes of creating a highly sophisticated nursing profession geared toward handling an evolving healthcare system of diverse populations, technical advances and outcomes. This paper will focus on comparing the competencies between the ADN versus BSN education in order to highlight the need to pursue a BSN level of education. Research conducted by Poster et al. (2005) notes differing curriculum for each type of nursing program produces a difference in entry-level postgraduate competencies within clinical behavior, judgments and knowledge base. These differences according to the American Association of Colleges of Nursing (2005) are largely in the “research, theory, public and community health, management, and humanities (AACN, 2005). The associate degree education was a response to nursing shortages and provided an affordable, rapid educational choice to motivated individuals who wanted to enter the medical field. The education is provided at a community college covering the sciences,...
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...off feet. Work orientation may interrelate to poverty and explains why the client puts work above health issues. Poverty impacts education, self-esteem, quality of life, and lifestyle. The nurse should...
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...Wound Care Specialists has a current ownership structure of a LLC. This company is majority owned by Cressey Company, with founders being other majority owners. They are located within fourteen states. Those states are AR, LA, MS, FL, GA, IL, KS, MO, MS, NE, NM, OH, OK, and TX. Within these fourteen states there are a total of ninety-five clinics. These clinics are filled with hospital services such as critical access, acute care, LTAC, and HBO. They also have a series of products that are typically involved with wound care. There website being http://www.woundcarespecialists.com/ take a look and see how professional and how deliberate they are for employers as they are for customers. ” Wound Care Specialists is one of America’s largest operators...
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...Differences between ADN and BSN Prepared Nurses Merriam-Webster defines nurse as: “a person who cares for the sick or infirm; specifically: a licensed health-care professional who practices independently or is supervised by a physician, surgeon, or dentist and who is skilled in promoting and maintaining health”. This definition gives no differentiation between the nurse educated at the Bachelor of Science in nursing (BSN) level and the nurse educated at the Associate degree of nursing (ADN) level. Many do not realize there is difference between the two. Both nurses subscribe to the same nursing philosophies and teachings but the baccalaureate nurse expands upon those philosophies and teachings to provide a higher standard of care. On a day to day basis, nurses are asked to draw on their training, experiences and education to make decisions about the care of their patients. Many times it is the nurses that suggest treatments and medications to the physicians since they have more one-on-one time with the patients. A BSN educated nurse may think of a treatment or medication based on her course work or even experience on the job that an ADN nurse would not. In many long-term care facilities, the method of treatment of wounds is often left up to the nurse to decide and get approved by the physician. Every nurse has different experiences with what has worked in the past for different wounds. A female resident with an amputated foot developed a pressure ulcer on the stump. An ADN nurse...
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... 2013 Educational Preparation For many years I have been asking myself and many peers, from different areas of backgrounds, education and areas of practice. “Is there a difference in having a Bachelor Degree in Nursing (BSN) versus an Associate Degree in Nursing (ADN) when it comes to taking care of patients and employment?” I received a variety types of answers. Some of the answers were that there is more theory with Bachelors, they get paid more, helps with going into management, depends on the situation and experience is what makes a better nurse - no matter the degree. Besides the obvious of the longer length of the education and higher costs in obtaining a higher degree, what is that many employers are now preferring and requiring staff to have at least a BSN? Now, I am looking into studies that have been done and are ongoing through many schools and agencies. These findings continue growing. I found several differences between the ADN and the BSN educated nurse. I will discuss a few of them here. Similarities between the BSN and ADN Both the ADN and the BSN are similar and can function in many roles. Caring for the sick, skilled in promoting and maintaining health, having the same nursing philosophies and teachings, and many of the hands on skills. Both are qualified in passing of the same NCLEX licensing exam. ADN’s education are affordable and accessible which prepare the nurse for competent technical bedside nursing. Both students experience many of...
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...Running head: Educational Preparation in Nursing Educational Preparation in Nursing Steven Justo Abstract The leaders of nursing throughout history have shaped not only the practice of the nursing, but also entrance to the profession via, Diploma, Associates Degree and Bachelors Degree programs. While multiple avenues exist to gain entry into the nursing profession as a Registered Nurse (RN), not all nurses are equally prepared for a professional career in nursing. An aging Baby Boomer generation entering into retirement relying more heavily on the healthcare system, will create a greater demand not only for Registered Nurses with Bachelors Degrees, but furthermore for those RNs with advanced post-graduate degree education to be able to manage an ever changing and challenged healthcare landscape. Educational Preparation The purpose of this paper is to examine the differences between Diploma, Associates Degree, and Bachelors Degree prepared nurses who take the National Council of State Boards of Nursing’s (NCSBN’s) Nursing Licensure Exam for Registered Nurses (NCLEX-RN) exam. While all three types of nurses are authorized to take and pass the NCLEX board exams for licensure, not all RNs are equally prepared to handle and manage the complex and ever changing healthcare landscape and in particular regards to preparedness of practice of the professional nurse. Differences in Competencies Diminishing Diploma Programs Established in 1873, Massachusetts General Hospital...
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...Wound, Ostomy and Continence Nurses Society Join WOCN Society today and be a leader in WOC care. Discover the Benefits of Membership * Wound, ostomy, continence nursing (WOCN) was founded in 1968 and has more than 5,000 health care members. WOCN is an international nursing society who are experts in the care of patients with wound, ostomy and incontinence (WOCN, n.d.). * Our Vision is to become the trusted nursing organization in the world for advancing wound, ostomy and continence care. * Our Mission is to ensure optimal WOC care through initiatives focused on educational, clinical & research opportunities that will guide the nurse professionals to deliver expert care with wounds, ostomies, & incontinence care. * The Purpose of WOCN is to advance the practice of wound, ostomy and continence care and to improve better rehabilitation outcomes. * Leading health care organizations recognize WOCN Society as the premiere nursing specialty organization to improve WOC patient outcomes (WOCN, n.d.). * WOCN is dedicated to the professional growth, success and achievement of its members. WOCN MEMBERSHIP BENEFITS INCLUDE * A subscription to WOCN bi-monthly publication as well as online access to archived and current issues. * Wound Care, Ostomy, & Continence Improvement Courses. * The opportunity to attend conferences. * Access to the online Resource Library including, pictures, forms, policies, and guidelines provided by members...
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...specialist in wound care and tissue viability Skills general wound care practises including assessment,management and documentation providing education to staff nurses /multidisciplinary team in all areas of wound care clinical skills including wound debridement, doppler assessment,application of compression bandaging and negative pressure involved in clinical audits policies and procedures budgetary control of dressings ,mattresses etc involved in various tendering processes Work History Clinical Nurse Specialist Tissue Viability University hospital Waterford Staff Nurse dressing clinic University hospital Waterford Staff nurse- vascular ward Beaumont hospital agency- staff nurse vascular, emergency dept,ICU, surgical etc Alliance nursing agency Staff Nurse- orthopaedic and Emergency Dept St Vincents Hosp Sydney,Prince Of Wales Sydney staff nurse- care of the elderly Merlin Park Hospital home help New York health care agency 06/2007 - 01/2015 Waterford, Ireland 05/2001 - 05/2007 Waterford, Ireland 01/1999 - 05/2001 Dublin, Ireland 01/1998 - 01/1999 Dublin, Ireland 05/1996 - 05/1997 Sydney, Australia 11/1995 - 07/1996 Galway, Ireland 09/1991 - 12/1991 New York, USA 2005 2004 2003 2001 1998 1995 1991 Education certificate: University Hospital Waterford - ECDL-European Driving Licence Waterford, Ireland certificate: Waterford Institute Of Technology - nursing management Waterford, Ireland Higher Diploma: Royal College Of Surgeons - Tissue Viability and general wound care Dublin...
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...promote circulation. Secondly, patient should take an IV antibiotics based on the culture result, need to take high protein diet to promote the healing of tissues and replace the serum. Finally, Wound dressing should be done daily with aseptic technique so that infection can be minimized (Herchline, 2015). Identify the muscle groups likely to be affected by Ms. G's condition by referring to "ARC: Anatomy Resource Center." ➢ Muscle groups affected ➢ Flexor digitorum lungus ➢ Tibialis anterior ➢ Flexor halluces longus ➢ Tibia posterior ➢ Plantaris What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer....
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