The purpose of this assessment is to demonstrate knowledge of factors that impact on wound healing,...

Question

The purpose of this assessment is to demonstrate knowledge of factors that impact on wound healing, as well as, to develop awareness of best practice strategies implemented by nurses as part of the wound management plan.

Wound healing may be delayed by a number of systemic factors impacting on an individual, and/or other local factors, such as infection. Nurses work collaboratively with the interdisciplinary health care team and implementa plan to manage identified risk ‘factors’ for wound healing. They also use evidence-based strategies such as moist wound healing techniques and aseptic non touch technique (ANTT) when performing wound dressings.

For this assessment you are required to:

Discuss factors that may be a barrier to wound healing and best practice strategies the nurse can include in the wound management plan to minimise their impact.

In your response you must include:

 wound infection and at least one (1) systemic factor
 aseptic non-touch technique and moist wound healingInstructions:

 You are required to use four (4) journal articles to support your discussion.
 Three (3) articles will be provided to you and must be used in your essay.
 You will find these on Backboard in the Assessment folder.
 You are therefore, required to locate and use one (1) additional journal article.
 ONLYthesefour (4)sources should be used.

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Abhinaba · Accepted Answer

Running Head: WOUND INFECTION AND HEALING
1
WOUND INFECTION AND HEALING
2
WOUND INFECTION AND HEALING 
Table of Contents
4WOUND INFECTION
4Systemic Factors
4WOUND HEALING PROCESS
5Rapid Haemostasis
5Inflammatory Phase
5Proliferative Phase
5Remodelling phase
6MOIST WOUND HEALING
6ASEPTIC NON-TOUCH TECHNIQUE (ANTT)
8References
Wound Infection
Infected wound refers to a localized defect or breach in the skin integrity which favours cascade of processes step by step. The various steps involved are (i) exposure of underlying tissue and, (ii) microbial colonisation and proliferation in the presence of optimum moisture, temperature and nutritive conditions (iii) formation of biofilms involving consortia of bacteria, fungi and viruses (iv) inflammation of the targeted tissue (iv) delayed healing process. 
Systemic Factors 
The systemic factors involved are age (aging population serves a major risk), gender and sex hormones (males are prone to more risk as compared to females because estrogens hormone in females negatively impacts the healing of wounds by controlling different genes particularly associated with inflammation) (Yuan, Foushee, Johnson, Jockheck-Clark & Stahl, 2018). Nutrition and stress which causes diseases like diabetes, cardiovascular problems, immune compromised conditions contributing to more adverse conditions (Slater, 2008).
Wound Healing Process
The loss of skin in wound infection, if neglected, then it paves way multiple organ dysfunction syndromes, for a systemic infection, and sepsis, which could be fatal. Therefore, wound healing is necessary to avoid any complications later on. Wound healing helps in protecting the exposed area of the body and reduces the scope of infection and is therefore, a vital process consisting of planned steps occurring in a specific and governed way (Guo & DiPietro, 2010). The events involved are discussed as follows:
Rapid Haemostasis
Rapid Haemostasis starts immediately after the injury takes place with shrinkage in the blood vessels followed by blood clotting; these processes, further result into the secretion of pro-inflammatory cytokines and growth factors such as platelet-derived growth factor (PDGF), transforming growth factor (TGF)-β, epidermal growth factor (EGF) and fibroblast growth factor (FGF) (Dugan et al., 2019).
Inflammatory Phase
After clotting, inflammatory cells move towards wound by a mechanism called chemotaxis which is denoted by the invasion of engulfing cells like neutrophils, macrophages and T-lymphocytes. Neutrophils act against the wound causing organisms by producing reactive oxygen species (Leaper,

The purpose of this assessment is to demonstrate knowledge of factors that impact on wound healing, as well as, to develop awareness of best practice strategies implemented by nurses as part of the...

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