Wound Healing Assessment

Evaluation

There are only few evidence-based guidelines in relation to bioburden control; there has not been a precise assessment conducted by using a small number of participants of controlled studies. At the same time, some of the interventions were inconsistent since it was gathered only using observational data. Even though slowed wound healing is recurrently contaminated with bacteria, several go on to be cured without any further complication. The frequency of dressing change will always depend on the healthcare professionals that are performing the wound assessment. However, a balance should be maintained between the patient and bacteria to avoid factors that can contribute to wound healing delay. According to Australian Wound Management

This will allow proper management of wound and improve an overall dietary intake of the patient. Mr BW had decreased the amount of nutrition he was receiving after surgery, and this had a big impact into his health and contributed to the impairment of wound healing process that resulted to delayed wound healing. Daily weighing was also implemented as part of a daily routine to monitor the patient risk for malnutrition, which can affect wound-healing process. Peate and Glencross (2015, p 29) emphasized that ‘many patients with chronic and/or complex wounds and/or conditions will require thorough assessment and attention to their nutritional intake to optimize healing rates’. An improvement in Mr BW weight was noticeable, however it was only a small gain and more encouragement was needed for Mr

Aside from the above wound dressing applications that were used in Mr BW wound, there are alternative wound products that can be used. Vliwaktiv dressing is ideal wound dressing for a malodorous wound, and it can be used as an antimicrobial absorbent dressing. Other than it filter the wound odour, it has also the capacity to absorb excess discharges from the wound. The other wound product is Allevyn cavity dressing; it is a type of foam dressing that has the ability to absorb mild to moderate discharges. At the same time, this dressing is highly absorbent and permits oxygenation in the wound. There are some dressings that are ideal for the wound because based on the individual subjective assessment certain dressings can function its purpose, however, there are some considerations that is important prior to using a dressing. Solosite is very effective is moisturising a wound bed, and this is what most examining person will consider in choosing a hydrogel that can rehydrate wound bed, eliminate dead tissue and reduction of pain around the perineal wound. However, it is inappropriate for Mr BW wound since there is already an evidence of slight maceration. According to The Royal Children’s Hospital Melbourne (2012), solosite has a ‘potential to macerate surrounding tissue’. Although Mr BW wound is slightly macerated and the prevention of wound infection is