Nursing Pathophysiology

Question: Discuss about the Nursing Pathophysiology. Answer: Identification of Problem: After initial assessment of Zhi Mei Huang, her right leg is found to have a waxy manifestation with both white and red colored appearances and devoid of blisters. During pressure application, it is found that from the burnt area pus is seeping out. From the preliminary considerations, it can be said that anterior portion of the right leg of Zhi Mei Huang is subjected to 4% second-degree deep partial thickness burn injury. Additionally, after the death of her husband, as there is no primary care provider and she have to cook herself she suffers from malnutrition and excessive weight loss, which might interfere, wound healing process (Shimura et al. 2016). Owing to the fact that in her old age she may suffering from dementia and usually forget to eat this aids the weight loss (Mitchell et al. 2014). Since the burn injury takes place a week ago, no such preliminary care has been given instead of Chinese healing balm, which worsens the situation. Moreover, Zhi Mei Huang have limited Engl ish proficiency which hinders nursing intervevtions due to communication gap. Goals: Major intensions that have to be taken during nursing interventions are Provision of accurate medications to reduce irritation, inflammation, risk of titanic infections and aid the recovery process. Proper investigation to find out the reason of excessive weight loss and its connection with the recovery of the injury. Proper assessment of consequences occurs due to the application of conventional Chinese healing balm instead of any preliminary care. Proper investigation to find out if Zhi Mei Huang need assistance of physio social workers to rest properly during health recovery process. Identification of risk factors that may cause pressure injury as Zhi Mei Huang is immobilized due to excessive pain in her leg. Proper dressing of the wound for complete removal of the pus that is located within the burnt area. Expected Outcomes: Proper wound care by ointments can restore the burn related structural changes in the skin. Antibacterial medication can diminish the infection and inflammatory responses that occur due to the lack of initial treatments. Periodic dressing procedure with advanced equipments can effectively support the healing process. The connection between health declination and excessive weight loss and its consecutive effect on wound healing can be found by pathological investigations. Provision of work assistance can also help Zhi Mai Huang to rest herself properly and aids quick recovery of her health. Etiology: Human skin is made up of three layers Epidermis, Dermis and Hypodermis or The deeper subcutaneous tissue (Fenner and Clark 2016). Dermis, the middle layer of skin comprises two layersPapillary region and Reticular region. Reticular region of the dermis is composed of numerous blood vessels, pain sensors, hair follicles and connective tissues (Mikesh et al. 2013). Deep partial thickness burns affects the reticular region of the skin when hot or steamy liquids pour over the body parts (Vloemans et al. 2014). Deep partial burn injuries affect the dermal structures of skin without affecting the pain sensors. Therefore, deep partial burns are extremely painful. When deep partial burn injuries affct a wide region of skin it causes hypovolemic effects on the patient due to decrease in blood volume through evaporation from the injury sites (Chou et al. 2015). Swelling, decrease in blood flow and preliminary care deprivation leads to wound progression (Bhatia et al. 2016). Skin play key role in immunity and damage of it increase the chance of infection. Infection leads to infiltration of immune cells in the wound area and increases the load of dead cell debris which results in formation of pus. Nursing Interventions: Optimum care for quick recovery of Zhi Mei Huang can be given by Providing required medication to give relief from pain, irritation and inflammation, tetanus prophylaxis to reduce the chance of infection (Glat et al. 2015). Providing nutritional supplements through enteral feeding that is required to quicken the healing process and also diminishes the health issues that Zhi Mei Huang is going through (Mandell and Gibran 2014). Providing adequate care to eliminate the chance of pressure injuries by helping her to move with the help of supporting equipments like walking sticks, tripods and quadrupeds. Maintaining moisture around the burnt area as it helps in recovery. Latest equipments like hydrocolloids, silicones or polyurethane can be used during dressing as they help in maintaining moisture (Vloemans et al. 2014). Ancient equipments like paraffin gauze and silver sulfadiazine should be avoided to prevent wound drying (Glat et al. 2015). Arranging interpreter to eliminate the communication gap between Zhi Mei Huang and healthcare providers to provide optimum care after understanding the issues completely. After healing, certain post wound care should be given by advising Zhi Mei Huang to avoid sunlight and how to take necessary care for itching issues (Gauglitz 2013). References: Bhatia, A., OBrien, K., Chen, M., Wong, A., Garner, W., Woodley, D.T. and Li, W., 2016. Dual therapeutic functions of F-5 fragment in burn wounds: preventing wound progression and promoting wound healing in pigs.Molecular Therapy. Methods Clinical Development,3, p.16041. Chou, C.Y., Chiao, H.Y., Wang, C.Y., Dai, N.T., Chen, S.G., Chen, T.M. and Tzeng, Y.S., 2015. Major chemical burn injury combined with a penetrating injury of the abdomen leading to hypovolemic shock.Formosan Journal of Surgery,48(1), pp.26-29. Fenner, J. and Clark, R.A., 2016. 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