The nurse is providing community instruction on the impact of aging and surgical incisional considerations. Which instructional areas would be included in the presentation? Select all that apply
A) Increase protein in the diet.
B) Instruct on symptoms of wound/incision infection.
C) Cleanse wound/incision with products such as soap and water.
D) Avoid showering until healing has occurred.
E) Wash with half-strength peroxide to prevent infection.
F) Remove any crusted areas from incisional line.
A, B, C
Feedback:
The nurse realizes that there is a thinning of the skin and loss of subcutaneous tissue, which is normal in the aging process. Also, older adults may have a diminished immunological response, making them more susceptible to infection. For this reason, instructional areas would include areas which promote healing and diminish the risk of infection. Increasing protein in the diet promotes wound healing. Instructing on signs and symptoms of wound infection allows for early symptom recognition. Cleansing, as per physician instruction, but with products, such as soap and water, decreases bacteria on the skin. Showering may begin prior to healing with the stream of the water not directly on the incision. Peroxide is not recommended for wound/incisional care. Crusted areas should be allowed to heal and flake off. Removing the areas could open a wound allowing for bacteria to enter.
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