Module 6: Critical Co-Factors to Wound Healing Flashcards
What question should we ask during the “Working Out” phase of wound care?
In establishing the plan of care, what are the ways in which the patient and family will be actively involved in the wound care?
(and what is needed for from the team to support them in achieving this?)
How does “Exploring & Zeroing In” looks like in wound care?
Assessments and setting goals are enhanced when the HCP is authentically collaborating with the patient; being curious and attentively listening.
What factors can enhance patient adherence and confidence in the treatment plan?
- Empowerment
- Collaborative partnership
- Creating an healing environment
What are the consequences of treatment plans that do not take into account the realities of patients?
Unidentified barriers can quickly result in complications to wound healing. It can also compromise the wound healing process.
What is the “Self-Management Education Model” (SME)?
A systematic intervention that involves active patient participation in self-monitoring (physiological processes) and decision-making (managing).
How is the SME (Self-Management Education) model different from the Traditional Model of Education (TME)?
In TME, the healthcare professional is the only acknowledged expert.
In SME, it recognizes the importance of collaborating between patient and HCP.
SME relies on the development of problem-solving skills to increase their ability for self-care.
What are the steps of SME?
- Assess & identify personal self-management needs
- Informed consideration of self-care options
- Collaborate on decisions and goals for action
- Implement a realistic plan for skills training
- Evaluate and support long-term self-management
What are questions that encourage collaboration within the spiralling process and SBN? (They help to know the patient and support them to participate in self-management of the care of their wound)
- What is the patient and family’s current knowledge, literacy level and preferred language?
- Have you assessed the patient for level of pain, anxiety, and depression, which can affect cognitive processing?
- What is the functional capacity of the patient and family (think about ADLs and IADLSs)?
- What is the capacity/level of dexterity, activity and mobility of the patient and family?
- What financial and psychosocial ressources are available to the patient and family?
- What has the impact of treatment been on the patient and family and what are their reactions to requiring wound care?
- Has the patient and family been fully informed of the care required and given their consent to treatment?
- What cultural factors have been considered in the care provided?
What important nutritional factor needs to be assessed during wound care?
Protein is an important nutritional component for wound healing.
However, not everyone eats meat. Learn about your patient’s food habits and restrictions and incorporate this into the plan of care.
How can dressings impact self-esteem during wound care?
Certain dressings are bulky or even disfiguring.
Dressing may limit the type of garments that can be worn or change the way the body is covered.
Think creatively about how to accommodate customary clothing with dressings.
How can gender expression be included within wound care?
This can include using the patient’s preferred terms for anatomy, accommodating requests for care by nurses of a particular gender, or providing care in the presence of a family member if requested.
