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Wound Care Nurse’s Guide to Wound Care

In case you don’t know, wound care nurses are certified and specialized entities that especially take care of wounds. They further work closely with doctors or care teams to create efficacious care plans for current and future needs.

These nurses also create in-home or nursing care plans for the medical teams/caregivers to follow. They work closely with the care team as well to determine the best course of treatment for complex wounds. They also ensure the nursing care plan they developed is being followed carefully.

They are the best potential entities specialized in wound care, thereby no one knows better than them about this aspect. Following is the efficacious guide on how to treat wounds with the help of an RN in the absence of a wound care nurse; in case of emergencies.

Types of Wounds they Care for:

The wound care nurses are specialized ones that assess and treat complex wounds that typically include:

Burns

Animal bites

Skin tears

Ulcer

Ostomies

Pressure injuries

Lacerations

Steps to follow for Wound Care:

Wound Assessment and Observation:

Locate the wound to know its relevant information and cause.

Determine which and how many tissues are damaged. This is necessary to know if the wound is of partial thickness or full thickness. This will help to know the healing time and the type of care required.

Determine the size of the wound by assessing its width and length. Also, measure the deepness by measuring it from the deepest part to the skin’s surface.

Assess if there is any sinus tract. Also, keep an eye on and pain level wound edge. This will help you to determine the cause and time since it has occurred.

Look for infection. There are signs that show the presence of infection such as redness, wound odor, or swelling.

Follow the “8 Objectives”:

The first step is to combat the infection. Consider running wound culture which is a test to find germs.

The next step is to remove damaged tissues from the wounds, especially look for necrotic tissues.

Make sure that there is moisture present in the wound and in the environment too. This is to promote wound healing and lower infection possibilities.

There are usually dead spaces around the wound, specifically when they are sometimes old and deep. Clear the dead spaces. Normal packing agents like hydrogel-impregnated gauze and saline can be used.

Ascertain the wound cleaning protocol by consulting with a physician. Also, ensure the frequency of dressing change to manage odor.

In order to limit the pain, first thing is to assess the wound carefully. Secondly, the potential infection should be assessed and treated immediately.

Lastly, ensure to safeguard peri-wound skin and use adequately moist dressing.

Care Plan:

There are varied factors that need to be observed and taken care of to promote wound healing.

It should be ensured that pressure at the wounded area is minimal. This is necessary to ensure the treatment will work as required.

If the patient has skin tears then it is also important to protect skin from tearing further.

Ensure to use compression in the treatment, and in-home or nursing care plan.

It is also important to crease the risk of more injuries for neuropathic ulcers.

Nutrition holds great importance. It should be ensured that the patient is getting the required nutrients and is staying hydrated all the time.

The health condition, history, and relevant factors should b kept in check. Alterations should be made if necessary. Several health conditions can create difficulties in wound healing, like diabetes.

Lastly, ensure that the documentation is complete and thorough.

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NDIS Therapeutic Support Services:

The therapeutic support is provided by individuals or groups of individuals to the ones that are in need of support due to certain conditions. The therapeutic interventions, however, are applied for the individuals who specifically need help but refuse to get it. These are two separate terms that involve different treatments but people tend to confuse them.

Moreover, respect for the patient has to be maintained in the forefront by the professionals in such therapies. Thereby, whenever providing support or implementing interventions, the patient’s beliefs, and values should be respected and supported without any exception. The patient should be kept at the center of attention despite the change in values, opinions, and biases. 

Therapeutic Support for Adults:

The therapeutic support can be accessed for the NDIS participant that is 18 or above. They are assessed and provided with tailored treatments by the specialists to ensure they reach their goals. The therapeutic supports they can access are:

Psychology:

The NDIS participants can get help from psychology professionals for their mental health. These psychology professionals offer individual as well as supportive therapies to the adult participants. These therapies typically include assessments, report writing, and recommendations.   

These services assist the individuals to get a better comprehension of diagnosis and thereby develop greater insight. These therapies provide psychoeducation, support with enhanced communication, emotional regulation, and also self-esteem enhancement.

Mental Health Occupational Therapy:

These are for people struggling with diverse life circumstances. The “Mental Health Occupational therapy” services typically involve functional assessments as well as sensory profiling. The NDIS registered occupational therapist and NDIS nurses help the individuals by assisting them in daily living skills, social skills, interpersonal relations, and mental capacity development.

The individual gains enhanced social skills which are specifically crucial to love a better life. The support provided by these individuals helps the individuals to perform activities like exploring their interests, setting goals, and gaining motivation to achieve these goals. This all happens while they develop and maintain their weekly activities stream.

Physical Occupational Therapy:

The basic difference that can be found between physical and occupational therapies is that physical therapists mainly focus on enhancing the individual’s ability to move their body. On the contrary, the occupational therapist mainly focuses on enhancing the individual ability to perform ADL (activities of daily life)

The occupational and physical therapy services typically include functional assessments, and also home and environmental assessments. The NDIS therapy professionals and NDIS nurses support the individuals to develop their abilities and skills so that they can live life their way, the way they want it to be.

The occupational therapy professionals specifically utilize different strategies to assist the individuals to be more independent. They not only offer recommendations but also provide access to assistive technology to support their independent lifestyle.

Physiotherapy:

Another term utilized for Physiotherapy is Physical Therapy and as the name shows, this therapy attempts to treat the aspects that limit individual abilities to move or perform ADL. This is the type of therapy that treats the diseases, deformities, disabilities, or injuries of individuals to enhance their quality of life.

The registered physiotherapist supports the individuals by accessing or treating any muscle or joint injuries, helping them with balance and mobility. They assist with suitable exercises and offer treatment and advice to enhance wellbeing and health. They also help with the complex and chronic concerns from aspects like pain management for improving fitness and strength

Individual Counseling:

Individual counseling is also typically known as psychotherapy. This treatment assists the individuals to work with professional mental health clinicians. These therapies are focused more on the immediate or near future individual concerns.

This type of therapeutic support also typically involves social work along with counseling. These supports typically include psychosocial assessments, development of disability and limitation comprehension, problem-solving, individual counseling, ad capacity/skills development.

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Receiving funding for the NDIS therapeutic support is quite common. The NDIS providers like Crescent Community Care support the individuals in this matter. There is a wide range of therapeutic support available for the individuals and every support has to be provided by a qualified provider.

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The National Disability Insurance Scheme is supporting individuals with permanent/significant disabilities that affect their way of living. This insurance scheme is working with individuals and families by providing them with the support they require to live normally and participate in different aspects of life.

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An Insight on National Disability Insurance Scheme and NDIS Service Providers

The National Disability Insurance Scheme is supporting individuals with permanent/significant disabilities that affect their way of living. This insurance scheme is working with individuals and families by providing them with the support they require to live normally and participate in different aspects of life. 

This is done by offering various types of support that cover areas like learning and development, health and wellbeing, autonomy, independence and accessing the community, etc.  National Disability Insurance Scheme is one of the most crucial social reforms in the history of Australia that delivers control and choices for the people with disabilities and is also driving economic enhancements as it is developing various opportunities by establishing new businesses.

Priorities:

NDIS is specifically organized under 4 major priorities. The first 2 of these priorities are mainly focused on the NDIS service providers and the other 2 priorities are focused on the development and growth of a capable and able workforce.

The insurance scheme is being introduced gradually all over Australia which ensures a smooth and seamless transition for individuals with disabilities as well as NDIS service providers. It is said to eventually and gradually replace various types of disability programs funded by the Commonwealth.

Objectives and Principles of NDIS:

This scheme was established under the National Disability Insurance Scheme Act 2013. The operational details of NDIS have been set out under the NDIS Rules which are legislative instruments developed under NDIS Act. This Act further establishes the National Disability Insurance Agency which is an independent statutory agency, mainly responsible for NDIS administration.

The main objectives are:

Offering reasonable support to individuals with disabilities, that also includes early intervention support

Promoting the independence and autonomy as well as economic and social participation of the individuals with disabilities

Facilitation of the national consistent approach development to make it easier for the individuals to access planning, funding, and reliable support provision

Promotion of innovation high-quality support

Supporting individuals to exercise their control and choices

This scheme is promoted by an insurance-based approach that is informed and supported by actuarial analysis for providing funding/support to individuals with disabilities

What does this Scheme do?

National Disability Insurance Scheme works with families and individuals by supporting them to identify the support they require for achieving goals in their life. It offers a wide range of support along with greater choice as well as control over when, where, and how the individuals can receive the required support and also makes sure that adequate support is being provided over the required time period.

How can you access this scheme?

There are certain requirements that have been set up to access this insurance scheme. The requirements are as follow:

The individual should have a significant disability that has been affecting their ability to participate in everyday activities

The individuals should be 65 or less

They should be a permanent Australian resident or a New Zealand resident that holds Protected Special Category Visa can also access this scheme

The scheme should be available in the NDIS is available.

The scheme is currently available in various areas across all territories and states except Western Australia

NDIS Service Providers:

A service provider can be any business organization, institution, or entity that offers funded services. The NDIS service providers possess various experiences and expertise areas.

However, it is crucial that the individuals research and find the service providers that actually meet their needs and exigencies. These providers can involve various organizations, charities, not-for-profit and various other contexts of businesses. It must be assured that the NDIS service provider is a registered one by the scheme.