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NUR344 Diabetes Wound Management
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NUR344 Diabetes Wound Management
0 Download3 Pages / 644 Words
Course Code: NUR344
University: Charles Darwin University
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Australia
Question:
Demonstration of review of the literature in reference to the topic, provides additional sources to emphasise arguments.
Answer:
Wound management of diabetic patient
This post is based on the wound management in diabetic patients. Wound healing in diabetic patients can be problematic as high blood sugar level prevents the nutrients from energizing the cells and prevents the immune system of the body from functioning in an efficient way. All these increase the inflammation of the body cells causing a slow healing of the wounds. With increase in complications of the health care, people are experiencing serious problem related to diabetes and wound management. The widespread prevalence of diabetes in the community has made it a community issue and hence should be addressed at a primary care level. Diabetic wound management should be taken as a community nursing initiative. The major goals for the nurses would be – health promotion, prevention of leg amputation by diabetic ulcer, wound management of diabetes, patient and care and simplification of the patient’s compliance (Turns, 2012). A specialist wound management service can be developed in to an innovative and response service.
According to me, Community nurses can schedule out specific timings for attending patients with diabetes, this would help to manage time amidst the work load of primary care. Nurses has been found to be playing effective role in the prevention of foot ulcers and the amputation of the lower limbs by educating the patients, screening the high risk people from the community and provision of proper care (Aalaa, et al.,2012). The community nurses can set up health promotion strategies twice in a month teaching about how to perform physical examination and take care of their wounds on a daily basis, such as checking for consistency of the exudates (Krasner et al., 2012). Demonstration can be given regarding dressing of the wound, encouraging the patients to follow the simple sets of rules to prevent the recurrence of the wounds, like checking the shoes before wearing them, maintenance of cleanliness and continuing care of the skin and the nails (Munshi et al., 2016). A regular follow up is required in case of patients whose mobility is restricted, in that case a specified follow up plans has to be considered and nurses can visit their homes. In my academic career, when I was doing an internship in a clinical setting, I have witnessed that mental health patients have to stand in long queue, in comparison to those with other clinical problems. Due to the increased crowed the authority scheduled fixed timings for the mental health patients. This not only reduced the chaos, but also the nurses could make the assessment systematically.
Questions
I would like my respected friends to comment on the funding required to make this initiative possible as shifting diabetic wound care from tertiary level of care to primary level of car and appointing the community nurse would require additional funding.
References
Aalaa, M., Malazy, O. T., Sanjari, M., Peimani, M., & Mohajeri-Tehrani, M. (2012). Nurses’ role in diabetic foot prevention and care; a review. Journal of Diabetes and Metabolic Disorders, 11, 24. https://doi.org/10.1186/2251-6581-11-24
Krasner, D., Rodeheaver, G., Woo, K., & Sibbald, G. (2012). Chronic Wound Care 5. BookBaby. https://books.google.co.in/books?hl=en&lr=&id=DlZfDQAAQBAJ&oi=fnd&pg=PT19&dq=diabetic+wound+management+care+a+community+nursing+initiative&ots=NA5MtWfwNw&sig=a2RQa89LXeLoQp_cB2vdqDfUi40#v=onepage&q&f=false
Munshi, M. N., Florez, H., Huang, E. S., Kalyani, R. R., Mupanomunda, M., Pandya, N., … & Haas, L. B. (2016). Management of diabetes in long-term care and skilled nursing facilities: a position statement of the American Diabetes Association. Diabetes care, 39(2), 308-318. https://doi.org/10.2337/dc15-2512
Turns, M. (2012). The diabetic foot: an overview for community nurses. British journal of community nursing, 17(9), 422-433. https://doi.org/10.12968/bjcn.2012.17.9.422
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