Reflective Essay: INTEGUMENT WOUND CARE
The activities that I participated in during the 6th workshop were comprehensive integument wound assessment and care. The main objectives were to perform a thorough assessment of wounds on the buttock to identify abnormal features, the healing process and also to carry out a wound dressing procedure on the scars. During the online classes, the lecturer provided us with a mannequin which were we supposed to use to practice how to carry out the wound assessment and wound dressing procedures. Therefore, in this reflective essay, I will synthesize and evaluate my ability to perform the above activities.
Previously, I was nervous about performing an accurate and comprehensive wound assessment because I did not know exactly which features to assess and how to identify abnormal findings accurately. I also did not feel competent enough to carry out an effective wound dressing procedure using the aseptic technique. Therefore when I was allowed to assess and dress the wounds on the buttocks of the mannequin, I felt insufficient, but I encouraged myself that I could learn and hopefully become competent in carrying out the procedures. Before starting the process, I gathered confidence; I prepared the required equipment for wound dressing such as a sterile dressing pack, normal saline fluid, sterile gloves and a bin for disposal of dirty. I also ensured I had a place to document the findings because documentation plays a vital role in monitoring the progress of wound healing (Asmirajanti et al., 2019). During the procedure, I removed the dirty gauze from the wounds and then carefully assessed the wound for healing and any features of complications. I then proceeded to perform the wound dressing using the aseptic technique to prevent exposure of the wounds to infections (Pickering et al., 2015). In the end, I felt delighted about how I had done the procedures and promised myself to do more practice to sharpen my skills because there were some areas that I felt I did not perform to the required standards.
The experience I had learning about the assessment of integument wounds on the buttocks of the mannequin and dressing of the wounds was very productive. This is because I acquired skills on how to rate the wound healing process, how to identify abnormal features on the wound such discharge of pus, bleeding, swelling and warmth (Milan ., 2016). I also tried to perform the wound dressing procedure using the aseptic technique. On the other hand, I had some weakness when performing the procedure, such as: I was not able to correctly identify the features that show wound healing and complications. Furthermore,I was also not able to maintain the aseptic technique through the wound dressing procedure because I accidentally re-contaminated the sterile field. Therefore, although it was a good learning experience, I still required to do more practice so as to become perfect especially during care of patients with wounds.
The outcome of the practical experience on assessment and dressing of the wounds was generally average. The challenges I had in performing the assessment were about how to correctly assess the wound for healing and to accurately identify wound complications. I experienced this setbacks because I had neither done more practice nor familiarized myself about how to overcome these challenges because perfection of any nursing skill requires continuous practice and thorough reading. The other challenge I had was how to effectively maintain the aseptic technique throughout the procedure. This challenge occurred because I mistakenly recontamination of the sterile field during wound dressing with the dirty gauze. This challenge could have been avoided if I had been careful enough during the procedure.
The experience on integument wound assessment and dressing of the wound was timely because I was able to identify my strengths and weaknesses in performing the procedure. The challenges that I had in assessment of signs of wound healing, identifying features of wound complications as well as maintaining of aseptic technique formed the basis on my learning areas that I needed to perfect on so as to avoid such challenges when handling patients with wounds. Therefore, this experience was very crucial in equipping me with skills that could allow me to competently perform the procedure.
At the end of the practical experience, I identified the challenging areas and how I could solve the challenges. For instance, I decided to consult my colleagues and also read the medical-surgical textbooks on assessment of signs of wound healing and identifying wound complications. I also watched videos on wound assessment. This resources helped me so much in familiarizing myself with the correct way of doing the procedure. I solved the challenge on maintaining of aseptic technique throughout the procedure by reading on principles of aseptic techniques and how it is effectively done for optimal results. I also resolved to do more practice on performing wound dressing properly.
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