Question Supporting document Patient Details : Mrs. Miriam Gold, 85 years’ oldPresenting Problems : Fluids overload (dialysis will be ceased due to palliative approach), Pneumonia & metastatic cervical cancerPast history : COPD, GORD, CABGsCognitive : drowsy and vagueSocial : lives home with husband. Patient and family want no further treatmentDiet : mild thick fluids (as tolerated)Continence : incontinent, pad in situMobility : RIBMedications : patient is receiving medication via a syringe driver: Fentanyl 200 mcg + Midazolam 10 mg (24/24PRN medication: Fentanyl 25-50 mcg (S/C), Midazolam 2.5-5 mg (S/C) Mrs. Gold was admitted to the ward for palliative treatment. Husband and children are not coping at home and she was in a lot of pain due to her malignant wound on her L) groin. The malignant wound on her groin is purulent and it has developed a sinus. The odour coming out from the wound is offensive. The patient requires pain relief before dressing changes and for any pad changes/hygiene care. It was reported that her groin and peri-anal area is red due to bowel incontinence & discharge from her cervical cancer.Mrs Gold is complaining of burning pain in her groin and perianal region.Mrs Gold’s history notes state that she has developed a rectovaginal fistula as a result of the disease progress and radiotherapy. Mrs Gold also has a long standing venous ulcer that is not healing.Picture 1: Malignant wound on groin Picture 2: Venous ulcer QUESTION 1Holistic assessment of the patient including:medical history and examination of the patient and the woundstype of wounds with definition and the causes of wounds -example, injury, fungal infection, micro-organism, viral infection, disease. any investigation required for the woundwound management principles QUESTION 2Evaluation of the wound including wound bed status (include colour/s) & characteristic:Wound bed status (include colour/s) Wound characteristicsWound measurementsCondition of surrounding skin (example- intact, breaking down) Wound exudate (colour, consistency, odour)Any further assessment – example; Doppler, wound swab.PLEASE INCLUDE REFERENCING Health Science Science Nursing NURSING 006 Share QuestionEmailCopy link Comments (0)
Question Supporting document Patient Details : Mrs. Miriam Gold, 85 years’ oldPresenting Problems : Fluids overload (dialysis will be ceased due to palliative approach), Pneumonia & metastatic cervical cancerPast history : COPD, GORD, CABGsCognitive : drowsy and vagueSocial : lives home with husband. Patient and family want no further treatmentDiet : mild thick fluids (as tolerated)Continence : incontinent, pad in situMobility : RIBMedications : patient is receiving medication via a syringe driver: Fentanyl 200 mcg + Midazolam 10 mg (24/24PRN medication: Fentanyl 25-50 mcg (S/C), Midazolam 2.5-5 mg (S/C) Mrs. Gold was admitted to the ward for palliative treatment. Husband and children are not coping at home and she was in a lot of pain due to her malignant wound on her L) groin. The malignant wound on her groin is purulent and it has developed a sinus. The odour coming out from the wound is offensive. The patient requires pain relief before dressing changes and for any pad changes/hygiene care. It was reported that her groin and peri-anal area is red due to bowel incontinence & discharge from her cervical cancer.Mrs Gold is complaining of burning pain in her groin and perianal region.Mrs Gold’s history notes state that she has developed a rectovaginal fistula as a result of the disease progress and radiotherapy. Mrs Gold also has a long standing venous ulcer that is not healing.Picture 1: Malignant wound on groin Picture 2: Venous ulcer QUESTION 1Holistic assessment of the patient including:medical history and examination of the patient and the woundstype of wounds with definition and the causes of wounds -example, injury, fungal infection, micro-organism, viral infection, disease. any investigation required for the woundwound management principles QUESTION 2Evaluation of the wound including wound bed status (include colour/s) & characteristic:Wound bed status (include colour/s) Wound characteristicsWound measurementsCondition of surrounding skin (example- intact, breaking down) Wound exudate (colour, consistency, odour)Any further assessment – example; Doppler, wound swab.PLEASE INCLUDE REFERENCING Health Science Science Nursing NURSING 006 Share QuestionEmailCopy link Comments (0)
