Recent Question/Assignment

Textbook reference:
? Coleman, K. (2016). Chapter 29: Maintaining and promoting skin integrity and wound care. In Koutoukidis, G, Stainton, K & Hughson, J. Tabbner's nursing care. (7th ed.). Chatswood, NSW: Churchill Livingstone.
? Lewis., T. (2016). Chapter 22 – Infection prevention and control. In Koutoukidis, K. Stainton, & J. Hughson. Tabbner's nursing care. (7th ed.) Chatswood, NSW: Churchill Livingstone.
? Tollefson, J., Watson, G., Jelly, E. and Tambree, K. (2016). Essential Clinical Skills: Enrolled Nurses. 3rd ed. South Melbourne: Cengage Learning Australia.
Website reference:
• Australian Commission on Safety and Quality in Health Care (2012). NSQHS Standards factsheet – Standard 8: Preventing and managing pressure injuries. Retrieved from
https://www.safetyandquality.gov.au/publications/nsqhs-standards-fact-sheet-standard-8-preventing-and-managing-pressure-injuries/
• Centers for Disease Control and Prevention. (2011). Guideline for Prevention of Surgical Site Infection. Retrieved from https://www.cdc.gov/hicpac/ssi/table7-8-9-10-ssi.html
• Daunton, C., Kothari, S., Smith, L. & Steele, D. (2012). A history of materials and practices for wound management. Wound Practice and Research. 20 (4). pp. 174-186. Retrieved from http://www.woundsaustralia.com.au/journal/2004_01.pdf
• Shah, J. B. (2011). The history of wound care. The Journal of the American College of
Certified Wound Specialists. 3 (3), pp. 65–66. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601883/
• Wounds Australia (2017). Welcome to Wounds Australia. Retrieved from
http://www.woundsaustralia.com.au/home/
• Wound Healing Institute Australia (2017). Who We Are. Retrieved from
https://www.whia.com.au/about/who-we-are/
1. Explore and briefly describe the historical development of contemporary wound management strategies in your own words (in 130 – 160 words).
2. Explore and briefly describe in your own words the National Safety and Quality Health Service (NSQHS) Standard relevant to wound management (in 100-130 words).
3. Discuss various causes of internal and external wounds in your own words (in 50-80 words).
4. List three (3) common fungal infections.
1.Ringworm (Tinea) is a group of fungal skin infection disease caused by dermatophytes of several kinds.It is characterised by itching, scaling and painful lesions.
2. Athlete’s foot (Tinea Pedis) is a common fungal infection that affects foot.
3. Onychomycosis –is a fungal infection of the toenails or fingernails that can involve any component of the nail including the matrix, bed or plate.
5. Identify two (2) common viruses causing wound infection.
6. Identify two (2) examples of wounds caused by micro-organisms. Identify the causative agent.
7. What are the classifications of surgical wound? Provide two (2) examples of each of the classifications of surgical wound (Class I - IV).
8. Identify and briefly describe the stages of pressure ulcers.
9. What are venous ulcers? List three (3) risk factors for venous leg ulcers.
10. Identify two (2) predisposing factors and two (2) diagnostic measures for arterial ulcers Predisposing factors: Diagnostic measures:
11. Briefly describe what mixed ulcers are.
12. There are different types of exudates commonly seen in wounds. List four (4) types of discharges from wounds.
13. Briefly explain malignant wound. List three (3) principles underpinning malignant wound management.
14. Briefly explain the important characteristics of a neuropathic ulceration.
15. List five (5) signs of wound infection.
16. What is the difference between a topical wound infection and sepsis resulting from a wound?
17. Identify the classification of burns.
18. Identify two (2) existing methods for calculating burn size.
19. What is the difference between blind and complete fistulas?
20. Discuss the management of discharging sinuses.
21. Briefly describe the difference between split thickness and full thickness skin grafts. • Split thickness skin graft: • Full thickness skin graft:
22. What are visceral wounds? What are the major causes of visceral injuries?
23. Identify the principles of wound management.
24. Identify two (2) main approaches that can be used in preventing pressure sores using pressure relieving devices.
25. Identify two (2) examples each of high-tech and low-tech pressure relieving devices. • Low-tech devices: • High- tech devices
26. How could nurses working with elderly and frail clients benefit from a wound prevention program?
27. Mention the recommended operative management of severe spleen injuries and explain why.
28. Briefly describe how to apply the following primary health care principles in wound management.
• Community participation:
• Intersectoral approaches to health:
29. Briefly explain the components of chain of infection (pathogens, reservoir, portal of exit, modes of transmission, portal of entry, and susceptible host) that you might discuss with the person, family or carer in relation to a wound.
30. Identify two (2) examples each for the three (3) lines of defence against pathogens.
31. Describe, with the help of an example, how the following factors affect the susceptibility to infection:
a. Immune status:
b. Medications:.
c. Comorbidities:
d. Age:.
32. Identify and explain two (2) community resources and two (2) educational resources associated with wound management in Australia. Community resources associated with wound management in Australia: Educational resources:
33. Discuss the roles of Wounds Australia and Wound Healing Institute Australia.
34. When is it most appropriate for a nurse to assess the person’s pain and administer analgesics when implementing wound management? Identify two (2) examples of classes of analgesics that could be administered to a person when providing wound care management.
35. Define wound debridement.
36. List the types of wound debridement.
37. Briefly explain open and closed wound drainage systems and provide an example for each. • Open drainage system
• Closed drainage system
38. Why is it important to assess and interpret albumin and glucose values in a person with a wound?
39. Provide three (3) examples of personnel you could collaborate with in interpreting laboratory results relating to wound care management.
40. What is the significance of Doppler assessment in wound management? Identify two (2) conditions where Doppler assessment of the wound is contraindicated.
41. What is the golden standard for the treatment of venous ulcers?
42. List three (3) benefits of compression therapy.
43. Provide three (3) benefits of clinical photography of a pressure ulcer of a person at the time of admission.
44. Briefly explain the process of wound tracing.
45. List the factors to be included in a holistic assessment of the wound
46. A film dressing was applied on a Stage 1 pressure injury. However, the injury progressed to Stage II due to mismanagement of the person at home.
a. Identify two (2) goals you should set for this person.
b. Which wound care product is most appropriate for this stage of pressure injury.

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