Research Paper on:
Case Study/ICU Wound Mgmt

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and rejoining the bowel to form an anastomosis") (Cardozo, 2003, p. S35). While Jack seemed to be recovering initially, his condition began to decline rapidly as he presented with a  "tender, rigid abdomen and pyrexia" (Cardozo, 2003, p. S35). Laparatomy exploration revealed that the anastomosis had "broken down," which required a "temporary ileostromy" (Cardozo, 2003, p. S35). Jack was then  admitted to the intensive care unit (ICU) and baseline observations were made and recorded. Pathophysiological issues : Prior to being hospitalized, Jack had undergone a recent weight loss and, also,  he had become frail, with his mobility severely limited. It was noted on admission that Jack was dehydrated and he was given replacement fluids prior to surgery. He was able  to walk only a short distance with the aid of a cane. Jack lives with his wife Sarah, who is an invalid and the couple are aided by their daughter,  who lives close by and shops and cooks and for the couple. Initial treatment : In the ICU, due to his difficulty with breathing and the prolonged nature of  his surgery, Jack as intubated and ventilated, as "providing adequate oxygenation to the tissues" in such cases is a nursing priority, as low levels of oxygen may impair wound healing  (Cardozo, 2003, p. S35). Within a few hours of being admitted to the ICU, Jacks condition was evaluated using the Waterlow risk assessment tool. This tool is helpful in predicting  which patients may be at increased risk for tissue damage that is related to pressure (Cardozo, 2003). As Jack was assessed to have a high risk score, i.e. 26, his  nursing care plan incorporated the use of a pressure-relieving mattress. This is standard practice for critically ill patients who are likely to develop pressure damage due to the risk of