Posts by Leslie Clark
Wound Care One – A Layered Defense
Transcription A major step of basic wound care is the application of dressings. The best analogy for use in dressings is found in our military. The Navy is called the Layered defense of the carrier battle group. The aircraft carrier leads the carrier battle group, the carrier is protected in layers. If an enemy wants…
Read MoreCarpal Tunnel Seminar by Dr. Bill Reynolds
Dr. Reynolds speaks about the causes and remedies of carpal tunnel syndrome as it relates to workers compensation.
Read MorePost-Operative Care
Post-operative care is very similar to pre-operative care. Using the doctors instructions, your goal as a caregiver is to maintain the patients health and a clean and protected wound environment, which promotes healing. Remember that two of the three phases of care require you as the caregiver to follow the doctor’s directions in a manner…
Read MoreTorso Dressing
Wrapping the torso involves the use of stretch gauze. This is a size 10 stretch gauze for the torso. It is being measured for this particular patient. To determine where the arms will be on the stretch gauze, it is placed on the patient in the area where the half moons are made it is…
Read MoreSupplies of Wound Care
Families use basic first aid kits to handle minor scrapes and scratches that occur often to people at play and work. Supplies from a first aid kit which may be useful for wound care are: Gauze Pads Numerous gauze pads are available, but each provide a barrier to the outside environment and provide comfort. Medical…
Read MoreThe Steps of Wound Care
As a plastic surgeon, my success rate is high for closing wounds. Early in my practice I reviewed my success in wound care and found out that nearly 70% of the wound referred to me were closed without the need of major surgical procedures. If I performed a simple surgical procedure, it was often simple…
Read MoreCharacteristics of a Good Dressing
The characteristics of a good dressing include the following: Professional appearance Stationary at rest and allow for movement of the joints Functional Allow for medicinal application Layered Provide firmness Applied from distal to proximal The first impression others will have about a dressing is it’s appearance. What would a reaction be to a dressing that…
Read MorePhysician Wound Care
When the patient is ready for surgery or in-office care, the technical skills of the surgeon and the surgical team come into play. Surgery upon wounds may include debridement, which is the surgical cleansing of the wound, primary closure, skin grafts, skin flaps, muscle flaps, or free flaps. While in-office care may include debridement and simple closure.
Read MorePreoperative Wound Care
Preoperatively, the patient is prepared for surgery. This is the history and physical examination, the HNP. The HNP is the physicians greatest ally. The HNP consists of the history of present illness, past medical history, past surgical history, current medicines, allergies, family history, social history, review of systems, and the physical examination itself. Knowing the current…
Read MoreDetermining the Type of Breast Implant
Size The size of an implant is determined in consultation with the patient. What are their goals in having breast augmentation? Some women just want to be augmenting themselves to look more natural. Some women who’ve had babies want to regain the upper pull fullness that they lost when the babies were done nursing. Depending on…
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