Preventing and managing risk related to infection control and wound complications in dermal therapy

Topic: Preventing and managing risk related to infection control and wound complications in dermal therapy Order Description Presentation of a clinical scenario whereby the student will demonstrate an understanding of wound healing that is both normal and abnormal related to dermal therapy practice as well as risk assessment, prevention and management strategies to ensure optimal outcomes for clients and prevent complications. Assignment Outcomes On completion of research, investigation and discussion on the students chosen procedure the student will be able to: - Describe the procedure and the wound that is created in appropriate terminology - Assess and analyse the risks with regard to infection control, infectious processes, wound repair and management. - Propose management strategies that promote best practice and are guided by current evidence and scientific literature students will identify a scenario that will incorporate a procedure that is relevant in their practice as a clinician and potential complication. Hurdle task 1 (Formative Assessment): Students will develop a PICO question and search strategy based on scenario for assignment. Examples of scenarios: 1. A client has come in for assessment after receiving an aggressive laser treatment for sun damage. The client comes in 24 hours after treatment for the post treatment check and overall the skin is swollen and red all over with scant amounts of serous exudate and brown crusting forming uniformly over the area. However one portion just underneath the eye, the skin is white and rubbery. The client is concerned about this and reports that the therapist explained that the skin blanched a little in the area but wasn’t too concerned and told her just not to pick the scab that would form, nothing else was done at the time. She can’t really feel the area but the rest of the skin is very hot and uncomfortable. 2. A client receives a skin needling treatment to the face, 3-4 days later the client reports that an area of above the lip and cheek has become tender, itchy and experiences nerve irritation (tingly). The area appears to have increased inflammatory response with more exudate and some yellow/brown crusting compared to other areas. 3. A client comes to see you after receiving an aggressive microdermabrasion treatment for a scar on her back. The wound was taken down to pinpoint bleeding; however upon consultation it was found that a particulate machine was used. The area assessed has a well demarcated area with extreme oedema and erythema, deep scratch like grazing with exudate and crusting is present. Assignment Tasks (Summative/Graded Assessment): Students will consider the points in guideline below for discussion. Word limits and headings are a guide only Introduction (150 words) Background . The procedure (200-300 words) o Indications o Contraindications o Mechanism The wound and potential for complications: o Assessment, classification, clinical presentation (200 words) o what would be expected during wound repair and how may this deviated into atypical or abnormal repair and why might this happen (300 words) Infection control and potential for complications o Discuss risks identified and how these may contribute to complications occurring. (200 words) o This discussion should refer to your assessment and audit of clinical practice (appendix) Analysis and Discussion o Literature Review and Benchmarking: What do the guidelines and literature reviewed state the requirements are to perform the treatment in a manner to prevent identified risks (350-400 words) o Barriers to best practice: Are these complied with? Why/Why not? How can this be overcome What are your proposed evidence based management strategies and how would you promote best practice in your workplace? (300-400 words) Conclusion (150 words) . Risk assessment and audit of clinical practices (Appendix) o Utilsing the tool kit provided conduct a risk assessment for the procedure looking at . infectious processes and control . and wound healing and possible complications o If possible after proposing management strategies perform an audit of clinical practices discuss if this has addressed and minimised the risk analysis.