Wound care practice. Case History and Wound Profile of the Patient

Wound Care Practice
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Various people think that wounds are the result of accidents, but it is not the truth. Even a clean surgical incision can be regarded as the wound, so are the places through which the catheters or tubes are entered into the body. Skin is the largest and most prominent organ of the body, and it helps protect the internal organs from germs like viruses, fungi and bacteria and other harmful effects (Mohan, 2012). An open wound is an injury that involves an internal or external break in the body cells. There are risks of microbes getting into the body and causing infections due to the wound. All people experience open wounds at some points in their life, most of which are minor and can easily be treated at home. However, road accidents or cuts with sharp objects are the more serious cases that require the victim to seek medical assistance as soon as possible. There are four main types of wounds: abrasion, laceration, puncture, and avulsion.
At her 62, Mrs. C was suffering from long-term insulin dependent diabetes mellitus and Addison’s disease. She was married but had no children at all. Throughout her life, she did not drink alcohol and hated smoking. She belonged to a family where diabetes mellitus was found in every second person. The patient was referred to the Wesley Centre for Hyperbaric Medicine where she was treated for seven ulcers that were ruining Mrs. C’s health for nearly 3 years. It was found that the ulcers varied in severity and creating more problems for the patient since the time she started getting hydrocortisone injections.
Case History and Wound Profile of the Patient
Mrs. C was having a history of diabetes mellitus, retinopathy, Addison’s disease, and hypertension. In recent years, she had gained a lot of weight, developed the peripheral vascular disease, and underwent a femoral popliteal bypass. She also had a revision of the graft that was partially blocked one year later. In order to recover from ulcers, Mrs. C had to rely on hydrocortisone injections to the wound beds, but the current regimen for the illness consisted of dressings only.
The doctor of Mrs. C recommended her Somac, Zocor, Avapro, Cortrate, Florinch, and Colgout, whom she once told that she was having allergies of serious nature. During the assessment, Mrs. C talked about her diabetes-related wounds, which were getting serious with time. She was asked to rely on hyperbaric oxygen therapy for some days, and during the same assessment period, it was found that Mrs. C had seven ulcers. They were located on the lower parts of her legs, on the calves and other external parts of her body, and their sizes varied from one another with an approximate length of 45mm and width of 32mm. The wound beds were 100 percent delicate, and the bases were getting deeper with the passage of time.
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From this figure, it is clear that the wounds were visible and ill-looking, but they were odorless. At a point, they damaged the lower parts of both of her legs, and at the other points, they began bleeding; the exudate was moderate, but it used to be controlled with dressings on a daily basis. The wound swabs that were taken during assessment turned to Staphylococcus aureus and...