2. These types of practices are controlled by the Medical Advisory Boards of the various hospitals. Many hospitals continue this practice to allow for the area to be sterilized prior to the procedure, not giving credibility to the mounting evidence that this practice increases the infection risk when weighed against either clipping the area or using depilatory creams (Tanner J, N. 2011). 3. A review of the literature indicated that there was no evidenced based rationale for the removal of hair at the operative site, unless it interfered with the actual procedure.
The client’s outcomes expected from the three articles chosen are: the client will... Learn how perineal wounds heal and factors to prevent infection. Learn that episiotomy is recommended to be used selectively and not routinely. Learn that episiotomy is a risk factor for anal sphincter injury, perineal injury and pain. The article by Steen (2007) is a Meta-analysis study focusing on perineal tears and episiotomy how they heal and the process involved.
Also mentioned, is the increased risk of localized hypothermia and risk for infection as wet gauze to the wound can cause vasoconstriction and in theory, also decrease leukocyte mobility and efficiency of phagocytes. Gauze fibers may also be retained in the wound bed further increasing risk of infection. Lastly, the author suggests that the use of wet to dry dressings are not cost effective since they are labor intensive, require secondary dressings to contain exudate, and usually require nursing care within the community. The article closes by saying that further research is needed to fully understand the impact that dressing selection has in wound healing but suggests that practitioners should question the continued use of wet to dry dressings. Currently, Greenville Hospital System’s policy for healing of wounds by second intention is best met with the use of wet to dry dressings.
Advance directive laws merely give doctors and others immunity if they follow it, the only reliable strategy is to discuss your values and wishes with your healthcare providers ahead of time to make sure they are clear about what you want. Although, a doctor can be held liable in a court of law for not following those orders. There is a limited amount of time in which a patient can make a medical malpractice claim. The statute of limitations for these claims may vary by each state. Life and Death Issues in Healthcare A Review of the Case Study During a scheduled appointment a patient is given the unfortunate diagnosis of colon cancer.
Deciding when to decontaminate your hand can be a little bit daunting. This is why, therefore, guidelines have been made to highlight the four key factors in hand hygiene to help workers and patients decide when to decontaminate their hands. Healthcare workers needs to anticipate the level of contact with patients or objects to eliminate the chance of developing further pathogen related disease. Furthermore, workers also need to foresee the extent of contamination that can occur with the contact and patient’s various care activities being performed (Boyce and Pittet, 2002, Pratt et al, 2001). There is without doubt, that these factors have set a foundation to promote a safe hand hygiene practice without guessing when and where to decontaminate.
Antibiotics are given before and after the procedure to avoid fetal infection. Amniocentesis is useful in diagnosing many genetic disorders before the baby is born. In families with genetic diseases or for a mother with previously born child affected by some genetic condition, the test is useful to confirm or to assess the risk of recurrence. Triple test is a test where markers in the blood are tested for Down syndrome, trisomy 18 and trisomy 13. This test does not confirm the diagnosis of these syndromes but tells us about the
EBT1 Task 3-Research Integration and Outcome Evaluation A1- Preoperative Hair Removal As a circulating nurse a daily and very routine practice is preoperative hair removal for several types of surgical cases. Preoperative hair removal is a common source that contributes to postoperative surgical site infections. Currently hair removal is done to prevent interference with the surgical wound, closure of the surgical wound, surgical tapes and dressings, and to prevent patient discomfort when removing adhesive dressings (Adisa, Lawal, Adejuyibe, 2010.) A study evaluating hair removal with a razor versus with depilatory cream done by Adisa, Lawal, Adejuvibe in 2010, showed that postoperative wound infections are related to the presence and degree of skin injuries obtained during hair removal which is commonly done with a razor. Current CDC guidelines suggest that hair removal should not be performed unless “the hair at or around the incision will interfere with the operation” (Mangram, Horan, Pearson, Silver, & Jarvis, 1999, p.266) A2a,b,c- Basis for Practice, Rationale, Explanation The Association of periOperative Registered Nurses (AORN) supports the practice and development of perioperative nurses.
Each culture differs from the other cultures in the way it reacts with the new scientific discoveries and inventions, depending on it’s own values and beliefs. Some people think of embryo research as a solution to many medical diseases, and that’s true for the patients’ benefit. However, what about the fate of the embryos which the doctor used for research and then got rid of after? Sometimes doctors or patients’ families consider hiding the health information from the patient as an acceptable option for the patients’ own interest to avoid emotional harm. Although, what about the patients’ right to know their health conditions?
In addition to medical treatment of skin conditions, dermatologists may also do aesthetic, elective procedures for patients who wish to improve skin tone and decrease signs of aging. Some of these aesthetic treatments may include laser treatment, botox injections, or collagen injections. Educational and Training Requirements for Dermatologists: Because dermatologists are physicians, they must have either an M.D. or a D.O. degree (medical doctorate).
The legislation is imperative to prohibit in selling antimicrobial drugs without prescription or adding antibiotics to animal food for growth promotion. In addition, nurses may hold a key to prevent the healthcare-associated infection spreading, monitor the therapeutic and adverse effects of antibiotics, and teach the patient about adherence to prescribed medication regimes. Antimicrobial resistance is the pressing health issue affecting the whole world, and thus, this problem should be approached from a worldwide perspective. The consequences of microbial resistance is seriously affecting human health leading prolonged illness, increased risk of death, and potentially risen chances of spreading the resistant pathogens. The conventional treatment has become ineffective to the pathogens and infections persist, which results in prolonged illness and a greater risk of death.