Patients with Burns Nursing Care Plan

Question: Discuss about thePatients with Burnsfor Nursing Care Plan. Answer: Identification of the Problem (Nursing Diagnosis) Zhi Mei Huang is brought in by her grand-daughter Rebecca Huang with a deep burn wound on her leg. Based on the information provided, Zhi Meis burn injury is at least a week old. From a pathophysiology point of view, the patient is in pain and given that its been a week since she got burnt, the wound might already have succumbed to bacterial infection. The depth of the tissue destruction also indicates that the wound might be infected. Zhi Mei leaves alone which explains her rapidly deteriorating health condition and her use of traditional medicine to might not have been enough to wade off the inevitable infection. Expected Outcome (Goals) Zhei Mei will verbalize tolerable reprieve from pain on a scale of 1-10 and will be in a position to walk without much struggle. The therapeutic process is expected to prescribe pain reliever medication and encourage the patient to open up about ant fluctuation in pain levels ranging from 8 to 10. After the treatment process, Zhei Mei will be expected to be free of infection, and her overall weight is also projected to improve and scheduled measurement regarding how much she weighs before and after the treatment process. The nurse will also monitor the patients level of comfort after adequate pain relief therapy and engage her in physical therapy based on the response. Etiology Based on information provided by Zhei Mei, she got her burn wound having being burnt by hot oil while preparing food at home. Her grand-daughter explains that her grandmother recently lost her husband thus the reason why she has to live alone and cook food by herself. It is evident that she bears a scald which is a deep wound to the skin caused by a hot liquid. Intervention As part of the therapeutic process, Zhei Meis physical status will be regularly examined to make sure that the recovery process is successful. An IV induced antibiotic will be used to prevent and stop further infection of the burn wound. A periodical self-assessment technique will be used to see whether Zhei Mei feels pain in the wound. The biosynthetic wound dressing will at all times be kept dry to prevent reinfection. Vital signs will be closely monitored to avoid any sudden medical alterations. Rationale According to Richard and Herbert (2007) verbalizing pain means putting feelings into words thus helping patients accept the situation they are in and ultimately facilitates psychological preparation while promoting trust and rapport between the nurse and the patient. Systematic measurement of comfort helps nurses in knowing when medication becomes efficient and that adequate pain relief and effective antibiotic treatment is achieved (Moorehead et al., 2014). Measuring weight can contribute to determining the overall effectiveness of the antibiotic treatment (Butcher et al., 2013). Weight loss for burn victims could translate into a resurgence of bacterial pathogens in the burnt area of the skin (Murray et al., 2012) Evaluation of Intervention After two days of nursing intervention, dull ache on Zhei Meis leg takes precedence and will require positional alterations and prescribe additional PRN medication. On day 2, reposition is expected to ease pain level from 10 to 8 on a 0-10 computing scale. Using Zhei Meis daughter as an interpreter, nurses are supposed to discuss lingering pain, and further provide an anxiety-free and trusting environment for successful recovery Critical Reflection Zhei Mei gets to a hospital with severe burn wound on one of her legs. After performing my assessment, I took notice of the fact that she was in pain and her wound was infected. It had been a week. We discussed her medical history and current situation and took note of the fact that she wasnt taking care of herself as she ought to, and this might have contributed to her antibodies not fighting bacteria in her wound. Over time, the human immune system requires the right nutrition to help it fight foreign invaders (Kau et al., 2011). Zhei Mei had stable vital signs, but given her age, it was crucial to monitor her heart rate continuously. After two days of thorough treatment and therapy, the patient reported significant pain reduction and increased comfort. Comprehending the pathophysiology of illnesses is crucial since it plays a vital role in teaching both patients and nurses about a variety of disease processes. The few things I focused on include accurate medication administration and enhancing patents comfort levels. For the treatment management, it is crucial to recall monitoring issuing of pain reliever and antibiotic drugs which imply that nurses should have knowledge about the right dose, right patient and the right time to issue the drugs. References Richards, J. and Hubbert, A.O., 2007. Experiences of expert nurses in caring for patients with postoperative pain.Pain Management Nursing,8(1), pp.17-24.Kolcaba, K., 2003.Comfort theory and practice: a vision for holistic health care and research. Springer Publishing Company. Moorhead, S., Johnson, M., Maas, M.L. and Swanson, E., 2014.Nursing Outcomes Classification (NOC): measurement of health outcomes. Elsevier Health Sciences. Butcher, H.K., Bulechek, G.M., Dochterman, J.M.M. and Wagner, C., 2013.Nursing interventions classification (NIC). Elsevier Health Sciences.Ahuja, R.B. and Bhattacharya, S., 2004. Burns in the developing world and burn disasters.BMJ: British Medical Journal,329(7463), p.447. Kau, A.L., Ahern, P.P., Griffin, N.W., Goodman, A.L. and Gordon, J.I., 2011. Human nutrition, the gut microbiome and the immune system.Nature,474(7351), pp.327-336.