WOUND CARE CASE STUDY: OPEN ABDOMEN WOUND – TOM WILLIAMS

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WOUND CARE CASE STUDY: OPEN ABDOMEN WOUND – TOM WILLIAMS

Using the Wound Care Record document a full assessment of Tom’s abdominal wound from the video footage provided.

 

WOUND CARE CASE STUDY: OPEN ABDOMEN WOUND – TOM WILLIAMS
General information:
(fictitious information has been added below for the purpose of this assessment)
Family Name:  Williams
Given Name: Tom
UR number:  29275
Date of Birth:  01/10/1962
Initial operation date:  01/08/2019
Date of wound:  03/08/2019
Wound Swabs taken:  15/11/2019
History: Due to complications of diverticulitis Tom had to have part of his bowel removed and a temporary stoma was created.

Post-operatively Tom became very sick and due to intra-abdominal sepsis he was taken back for further surgery. He was then left with an ‘open abdomen’ and was in an induced coma for a month in ICU.  He was also on dialysis during this time.
Due to his stoma and abdominal compartment syndrome closure of the open abdomen was complex.  As a result of late closure of his abdominal wall reconstruction and skin grafting was required for wound closure.

A VAC abdominal dressing system is being used to promote wound healing and closure.
The home health nurse performs wound care to replace the VAC therapy system every Monday Wednesday and Friday

Tom has been readmitted to hospital for a wound evaluation and possible debridement.

QUESTION 1

Using the Wound Care Record document a full assessment of Tom’s abdominal wound from the video footage provided.