Question

Case Scenario: Your 45-year-old patient was readmitted after very long abdominal surgery two weeks prior. She went home and stated she followed the discharge instructions. Yet, upon your initial assessment you find redness at the wound site and around the site, little bleeding but a discharge with a foul odor, and the patient has a temperature of 100 degrees.

Question: Apply the concept of inflammation and analyze treatment for this patient. Include in your response specific data, facts, examples, key terminology, and other information from at least one other supplemental source.

Answer 1

Surgical site inflammation.

From this patient we can diagnose it as (ssi) surgical site inflammation.cardinal signs shows that she have pain, redness at the wound site and around the wound ,littile bleeding and discharge bwith foul odor.(visual observation signs.)

According to this signs shows it can be a deep incisional Surgical site inflammation. Incisional SSI it can reopen its own and there can be discharges from the site.infection can affected in muscles and mucosa of inner parts of the site.

*Causes of the this inflammation

• Common cause of these inflammation by staphylococcus, streptococcus, pseudomonas bacterias.
• It can be get through a touch of contaminated care giver
• .may through contaminated surgical instruments .
• Through germs in the air.
• Or through germs that are already on or in her body then spread in to the wound.

*Risk factors of SSI.

• surgery last more than 2hours.
• Other medical problems or diseases
• Over weight
• Smoking
• Weak immune system
• Diabetes
• Emergency surgery
• Having abdominal surgery.

*Treatment of SSI.

1. Can be treated with antibiotics.
2. Some times additional surgery or procedures.
3. After bsurgery ensure that friends ,oyher professionals and relatives, using hand wash techniques before enter her room.

*Examples

Abdominal surgery is the most common site of SSI. Examples are laprotomy , umbilical hernia surgery.,caesarian section .etc....

*Can prevent this inflammation through

• Wash hands with soap water
• Wash with antiseptic agent
• Remove some hair from the surgery site before surgery.
• Wear personal protective equipments
• Starts antibiotic before surgery starts.
• Clean surgery site with antiseptic solution before surgery.

Most of the these infection is caused by the germs present own nofy of the patient. From the cutting for the surgery there is high chance of infection from the skin to inside body.it just need few of bacteria yo cause infection. Also closing the wound with suture or clips is a foreign object can also cause SSI.should treat any medical issues are present.patient should follow the instructions given by professionals even after discharged from hospital .

Surgical site inflammation with organs affected or become high degree of infection is a main cause of mortality. Taking care of infection and get out of that is challenging one.Evidence based care is very effective in this case.work together and stay away from the SSI.