This assignment is concerned with developing skills in the ability to relate theoretical knowledge and evidence, obtained from nursing literature, to a patient for whom caring for. This particular study aims to evaluate the care given to a patient diagnosed with leg ulceration. It will focus on the wound management and bandaging system used, however one important aspect of the successful care regime is the nurse patient relationship (House 1996). This will be assessed to establish if the interaction between the patient and nursing team bore any influence in the care given.
The patient will be called Geraldine, this is to act in accordance with the code of professional conduct, set by the Nursing and Midwifery council (NMC) (2002) section 5.1, not to breach confidentiality of the patient. Geraldine is a 78year old lady who lives alone. She enjoys walking reading and gardening. She has a daughter who lives near by and visits every day to help with her mother's general care.
Gerldine's daughter works part-time but always fits her in each day.
Geraldine fell in her house and cut her leg, causing a wound to occur around the outer gaiter area of her right leg. She thought this would heal, however 6 weeks later there were no signs of the lesion closing over. She contacted her GP who sent a referral form to the leg ulcer clinic, asking for an assessment to be completed. It was established from the lesion that this was a small leg ulcer.
Dale et al (1983) identifies a leg ulcer as a lesion of the skin below the knee, which has not healed within six weeks. According to Williams, (1999) there are several types of leg ulcers. Some are named here as arterial, venous, diabetic, rheumatoid or necrotic.
Before treatment can commence assessments are...