Topic > Wound Healing Management - 1946

Wound healing management in various healthcare settings can vary depending on the treatment performed, in our scenario a patient came to us regarding a complication that occurred after a resurfacing procedure. This essay will discuss the procedure that occurred and the issues and implications surrounding the procedure in terms of infection control. How the wound was created and what should have happened during the repair process and what is not expected to happen. We will also look at the possible causes of delayed wound healing and how we plan to manage this situation, we will also discuss how to prevent this from happening again. A resurfacing procedure is considered any treatment that removes one or more layers of skin. Resurfacing treatments may include and are not limited to microdermabrasion or more intense dermabrasion, laser resurfacing with different types of lasers or intense pulsed lights, and chemical peels at different depths (Philips & Hughes, 1998). After any type of resurfacing procedure, be it a chemical peel or microdermabrasion, collagen formation is activated in the papillary dermis and elastin is produced in the papillary dermis (Phillips & Hughes, 1998). Some infections that can occur following treatments such as microdermabrasion or chemical peels are bacterial infections. Bacterial infections can occur due to the barrier being compromised and the types of infections that can occur are herpes simplex, staphylococcus, streptococcus and pseudomonas (Khunger, 2007). Laser resurfacing has its own list of complications that can occur. In terms of skin removal, laser resurfacing can remove an approximate amount of 1.0cm of skin…half the paper…). It is also very important that when treating all patients we use a new set of gloves for each patient and the use of sterile gloves for dressings, open wounds and surgical procedures. If we were to apply a dressing for our client we would need to use sterile gloves as the wound is open and we would like to prevent bacteria from entering (Flores, 2008). It is also important to use as much disposable equipment as possible with our client and that all equipment is properly disinfected for each patient (Capriotti, 2003). We should also educate our client on the same principles, the client must also be very diligent in terms of hand hygiene and avoid touching the treated area as much as possible and if the wound is open apply some sort of dressing to prevent it from becoming contaminated (Collawn, 2001 & Martin-Madrazo et al., 2009).