principle of wound management

Student Version

Section A – Program/Course details
Qualification code: HLT54115 Qualification title: Diploma of Nursing
Unit code:
HLTENN006 Unit title:
Apply principle of wound management in clinical environment
Department name: CRN number: Enter CRN number
Section B – Assessment task details
Assessment number: 2 Semester/Year: 3/2019
Due date: Duration of assessment: 1 month
Assessment method Assessment task results ☐Ungraded result
☒Other: Graded
Section C – Instructions to students
Task instructions:
You are required to write an individualised wound management plan for case study 1 and case study 2. This assessment require you to address all the following topics:

1. Holistic assessment of the patient that includes:

• medical history and examination of the patient and the wounds
• type of wounds with definition and the causes of wounds (ie. injury, fungal infection, micro-
organism, viral infection, disease, etc).
• any investigation required for the wound
• wound management principles

2. Evaluation of each type of wound that includes:

• wound bed status (include colour/s) & characteristics
• wound measurements
• condition of surrounding skin (ie intact, breaking down)
• wound exudate (colour, consistency, odour)
• any assessment required (doppler, wound swab, etc)


3. Expectation of healing process for each type of wound; taking into consideration the wound and any factors that may impact on the healing process (ie chronic health conditions, location of wound, infection, mobility, age, nutrition, etc)

4. Wound management plan (for each type of wound), includes:

• moist wound healing
• skin & risk assessment
• wound cleansing
• pressure support and relieving devices
• prevention programs
• selection of wound dressing products (choose 1 product as a primary dressing for each wound).
• secondary dressing (if required)
• pain management timeframes appropriate to wound care (if required)

5. Health education for the patient regarding the wound. (ie. nutrition, elimination, mobility and any preventative measures)

6. Pain management relating to the wound including:

• medication/s accurately discussed
• frequency and dose
• justification for using a medication
• patient’s education about pain management

Submission Guidelines :

– Students to complete and attach Assessment Cover Sheet to completed Assessment Task.
– This is an individual assignment
– The assignment must be submitted via Brightspace by Friday, 12 April 2019. Your file must be saved using the following format:
Section D – Conditions for assessment
Conditions: Student to complete and attach Assessment Submission Cover Sheet to the completed Assessment Task.
 This is an individual assignment.
 Discuss with your assessor if you feel you require special consideration or adjustment for
this task
 Student must meet all the conditions in the marking guide to be deemed satisfactory in this
task.
 You must pass all the questions in order to pass the assessment.
 Students may resubmit this task if deemed not successful within the enrolment period as
per Holmesglen assessment procedure if they meet the requirement to be eligible to a
resubmission.
 Students may appeal and assessment decision according to the Holmesglen procedure.
 You must submit your assignment via Turnitin. Similarity should not be over 30% for the
assignment to be marked.

Equipment/resources students must supply: Equipment/resources to be provided by the RTO:
Add equipment/resources here. Case scenarios
Section E – Marking Sheet – Student Answer Sheet
Student ID:
Student name:
Unit code: HLTENN006 Unit title: Apply principle of wound management in clinical environment
Date:







































































































































































































































































































































































































































































































































































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Section F – Feedback to Student
Has the student successfully completed this assessment task? Yes No
Additional Assessor comments (as appropriate):

Resubmission allowed: Yes No Resubmission due date:
Assessor name:
Assessor signature:
Student signature:
Date:

Supporting document

Case Studies

Unit code: HLTENN006 Unit title: Apply principle of wound management in clinical environment
Student ID:
Student name:
Date of submission:
Student signature:

the rectum. The wound base of the ulcer consists of 70% sloughy tissue and 30% granulation tissue.

On day 3 in hospital, patient suffered from a burn because he spilled a hot coffee over his L) arm. He sustained a second degree burn because of this.

Picture 1 : diabetic ulcer

Picture 2 : infected arterial ulcer

Pic 3 : Pressure Ulcer

Case Study 2

Patient Details : Mrs. Miriam Gold, 85 years old

Presenting Problems : Fluids overload (dialysis will be ceased due to palliative approach),

Pneumonia & metastatic cervical cancer

Past history : COPD, GORD, CABGs

Cognitive : drowsy and vague

Social : lives home with husband. Pt & family wants no further treatment

Diet : mild thick fluids (as tolerated)

Continence : incontinent, pad in situ

Mobility : RIB

Medications : pt is on syringe driver : Fentanyl 200 mcg + Midazolam 10 mg (24/24)

PRNs : Fentanyl 25-50 mcg (S/C), Midazolam 2.5-5 mg (S/C)

Mrs. Gold was admitted to the ward for palliative treatment. Husband and children are not

coping at home and she was in a lot of pain due to her malignant wound on her L) groin.

The malignant wound on her groin is oozing a lot of pus and it has developed a sinus. The

odour that coming out from the wound is quite strong. The patient requires pain relief before

dressing change and for any pad changes/hygiene care. It was reported that her groin

and peri-anal area is burning red due to bowel incontinence & discharge from her cervical

cancer.

In patient history notes stated that, Mrs.Gold had developed a rectovaginal fistula as a

result of disease progress and radiotherapy. In addition to this, the patient has a long

standing venous ulcer that is not healing.

Picture 1: Malignant wound on groin

Picture 2 : venous ulcer

Assessment Submission Cover Sheet (VET)

Student to complete relevant sections and attach this cover sheet to each assessment task for submission.

Student information To be completed by Student
Student name:
Student ID:
Program/Course details
Qualification code: HLT54115 Qualification title: Diploma of Nursing
Unit code:
HLTENN006 Unit title:
Apply principle of wound management in clinical environment
Department name: CRN number: Enter CRN number
Assessment information To be completed by Student
Teacher name: Fiona Magdalena Dwisaptono
Due date: Date submitted:
Re-submission:

Student declaration
By submitting this assessment task and signing the below, I acknowledge and agree that: This completed assessment task is my own work. I understand the serious nature of plagiarism and I am aware of the penalties that exist for breaching this. I have kept a copy of this assessment task. The assessor may provide a copy of this assessment task to another member of the Institute for validation and/or benchmarking purposes.
Student signature For electronic submissions: By typing your name in the student signature field, you are accepting the above declaration.

Note:

Assessor to attach a photocopy of the completed Marking Guide (Section E) from the Student version of the Assessment Task.

Final result of the subject/unit will be entered on Banner by the teacher/assessor once all assessment tasks have been assessed.