Reconstructive Plastic Surgical Nursing

, by Jill E. Storch (Univ. of Melbourne Unit, Australia); Jan Rice (Victorian College of Pharmacy/Monash Univ., Melbourne, Australia)

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ISBN: 9781405101653 | 1405101652
Cover: Hardcover
Copyright: 10/1/2005

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Reconstructive Plastic Surgical Nursing is a practical manual for all nurses involved in plastic surgical care. Plastic or reconstructive surgery serves to restore form and function following trauma (accidents, injuries and burns), congenital defects, or illness (cancer and neoplasms, pressure sores, and degenerative illness). Nursing these patients requires specialist training in complex clinical management and specialist wound care. This book is a unique definitive and comprehensive text for nurses providing a practical, highly illustrated guide to plastic surgical care. Definitive, comprehensive text on plastic surgical care A unique, practical handbook Provides evidence-based guidelines for all aspects of patient care Explores reconstructive plastic surgical care from head to toe Illustrated in full colour throughout

Foreword

xii

Preface

xiv

Applying this book to clinical practice

Abbreviations used in this book

xvi

Section I Reconstructive plastic surgery nursing practice -- foundation and practice framework

(34)

Reconstructive plastic surgery nursing practice

(11)

Origins and definitions

(1)

The legacy of the early reconstructive plastic surgical masters

(1)

Establishing specialist surgical treatment units

(9)

A clinical practice framework for modern reconstructive plastic surgical nursing

(15)

Reconstructive plastic surgery nursing roles and responsibilities

(1)

Developing a reconstructive surgery nursing practice pathway

(2)

Nursing morbidity, co-morbidity, nursing risk management, evidence-based practice, setting clinical nursing goals and healthcare outcomes

(8)

General ethical and legal issues for nurses

(5)

Body image issues and reconstructive plastic surgery

(6)

Body image

(6)

Section II Wound management -- reconstructive plastic surgical nursing

(168)

Introduction to wound management within reconstructive plastic surgery nursing practice

(7)

Primary clinical management definitions

(1)

Introduction to wound management within reconstructive plastic surgery nursing practice

(1)

Addressing wounds across a spectrum of care

(3)

General principles required for a wound to heal

(3)

The functional anatomy of the skin and its appendages

(14)

Background

(8)

Skin mobility -- independence and wound repair

(2)

Sub-atmospheric (negative) pressure in the tissues

(4)

Physiology of the ageing of the skin incorporating an overview of common skin lesions

(13)

Physiology of ageing skin

(1)

Background

(2)

Skin lesions

(1)

Background

(8)

Benign skin lesions

(3)

Wound bed repair

(16)

Introduction

(1)

Physiological definitions

(1)

Options and practice principles for wound bed repair

(4)

Hyperbaric oxygen therapy

(1)

Clinical nursing risk management issues

(1)

Setting clinical and patient needs outcomes

(1)

Wound bed repair - pathophysiology

(1)

The biological process of wound repair

(4)

Examples of special problems in wound bed repair

(1)

Psychosocial issues and wound bed repair

(1)

Auditing outcomes of wound bed repair

(2)

Clinical issues in the causes of wound breakdown and the failure of wounds to repair

(31)

Principal clinical issues in the causes of wound breakdown and the failure of wounds to repair

(1)

Background

(1)

Pathophysiology 1 - wound infection

(9)

Pathophysiology 2 - oedema, dead space, haematoma, wound serum and seroma

(13)

Nutritional risk management for reconstructive plastic surgical patients

109

(1)

Protein and wound repair

109

(5)

Smoking and wound healing issues

114

(1)

Audit of preferred wound and patient outcomes

115

(3)

Wound bed assessment

118

(11)

Background

118

(1)

Wound bed assessment - basic principles

118

(1)

Addressing the process of wound bed assessment

118

(11)

Wound bed preparation incorporating wound dressing and bandage management

129

(16)

Wound bed preparation - principles

129

(1)

Background

129

(2)

Wound dressings - a basic approach to selection in reconstructive plastic surgery nursing

131

(1)

The principles of applying moist wound healing to wound bed preparation

131

(1)

Selecting a wound care product

132

(2)

Classification of wound products

134

(1)

Risk management in the selection of dressing/retention tapes

134

(1)

Bandaging, compression and dressing retention

135

(7)

Preferred outcomes of wound bed repair through wound bed preparation

142

(1)

Guidelines for the current principles of best practice

142

(3)

Pain associated with wounds and dressing changes - principles of patient care

145

(15)

Background

145

(1)

Significant pain management issues identified in wound care

145

(1)

Contemporary studies of pain

146

(2)

Addressing the issues of pain management at an international level

148

(1)

Risk management in addressing patient pain in wound management

148

(1)

Adverse effects of inadequately treated pain - legal issues

149

(1)

Applied pharmacological interventions

150

(1)

Focusing on pain in plastic surgery wound dressing management

151

(2)

Removal of fixation/retention wound dressings

153

(2)

Dressing changes in clinical practice

155

(2)

Auditing clinical nursing outcomes in pain management for wounds and dressing changes

157

(3)

Wound bed maintenance

160

(24)

Background

160

(1)

Splinting

160

(1)

Dynamic splints

161

(1)

External splints 1

161

(1)

External splints 2

162

(1)

Invasive/internal splints

162

(1)

Special splinting needs

163

(1)

Splinting - risk management issues

163

(4)

External pin site wounds

167

(2)

Suture line care

169

(1)

Surgical sutures and staples

169

(2)

Audit of preferred patient and clinical outcomes

171

(1)

Wound scar management

172

(1)

Special healing problems

172

(1)

Scar development - the principles

172

(4)

Hypertrophic and keloid scarring

176

(3)

Skin maintenance and massage therapy

179

(1)

Oedema and lymphoedema

179

(1)

Manual lymphatic drainage

180

(4)

Palliative wound bed management - malignancy and non-malignancy

184

(6)

Modern palliative care

184

(1)

Chronic or palliative management?

184

(1)

Advances in the use of a palliative model

185

(1)

Advances in plastic surgical applications to provide palliative wound bed management

186

(1)

Applying modern reconstructive surgical techniques to an old problem

186

(1)

Potential for establishing a palliative wound bed management model for non-malignant wounds

187

(3)

Principles of nursing discharge management and community healthcare following reconstructive plastic surgery

190

(13)

Principles of discharge and ambulatory care following reconstructive plastic surgery

190

(1)

Background

190

(1)

Discharge plans in the presence of changing circumstances

190

(3)

Audit of discharge practices and measurement of discharge

193

(1)

Wound management in the home and community healthcare facility following reconstructive surgery

194

(9)

Section III Perioperative theatre management - general principles of care

203

(32)

Patient management in the operating theatre

205

(20)

Background

205

(1)

Fitness for anaesthesia

205

(1)

Anaesthesia in reconstructive plastic surgery

206

(1)

Monitoring techniques

207

(1)

Pre- and perioperative nursing care for reconstructive plastic surgery patients

207

(1)

Physiological risk management

208

(5)

Pain management strategies

213

(2)

Development of haematoma

215

(1)

Deep vein thrombosis and venous thrombosis in wounds

215

(4)

Important issues related to venous thrombosis at the surgical site

219

(1)

Postoperative nausea and vomiting

219

(1)

Malignant hyperthermia

219

(1)

Preventing intraoperative adverse events - the use of tourniquets

220

(1)

Patient handover responsibilities

221

(1)

Preferred patient and clinical outcomes

222

(3)

Perioperative paediatric care in reconstructive plastic surgical nursing

225

(10)

Background

225

(1)

Psychosocial development

225

(1)

Range of paediatric reconstructive plastic surgical procedures

225

(2)

Anaesthetic risk management issues

227

(1)

Preoperative assessment of the child - elective surgery

227

(1)

Addressing nursing co-morbidity, clinical nursing risk management and nursing outcomes

228

(3)

Risk management issues in intraoperative paediatric management

231

(1)

Special issues relating to children in the postoperative phase

231

(1)

Anaesthesia and primary postoperative dressings in children

232

(3)

Section IV Applied reconstructive plastic surgical nursing 1

235

(110)

Skin grafts

237

(44)

Terminology

237

(2)

Skin grafting as a wound closure option

239

(1)

Selecting temporary or permanent split thickness skin grafts

239

(6)

Skin grafts - donor site selection

245

(1)

STSG harvesting techniques

246

(6)

Risk management and the skin graft donor site

252

(2)

Wound bed repair in the STSG donor site

254

(1)

Pathophysiology - STSG graft `take' in the recipient site

255

(5)

Skin graft failure to take

260

(1)

Methods of managing skin grafts 1 - closed

261

(6)

Methods of managing skin grafts 2 - delayed application

267

(5)

Discharge information and education

272

(1)

Full thickness skin grafts

273

(3)

Composite grafts

276

(1)

Engineering skin tissue for wound bed repair

277

(4)

Microsurgery

281

(3)

Background

281

(1)

Microsurgery - clinical applications

281

(2)

General principles of microsurgery and microvascular surgery

283

(1)

Reconstructive skin and soft tissue flaps

284

(27)

Background

284

(1)

Flap definitions

284

(10)

Surgical selection of reconstructive procedures

294

(1)

Clinical nursing risk management and setting clinical nursing outcomes

295

(1)

Clinical nursing management - the surgical unit

296

(1)

Monitoring and observing flaps

297

(5)

Free vascularised flap transfer

302

(3)

Comfort

305

(6)

The hand

311

(20)

Introduction

311

(1)

Structural anatomy of the hand

311

(6)

Wound repair and closure - risk management issues in the hand

317

(4)

Endoscopic hand procedures

321

(1)

Wound bed management - securing the wound

322

(1)

Postoperative nursing management

323

(5)

Primary dressing management - clinical application

328

(3)

Replant surgery

331

(7)

Background

331

(1)

Patient selection for replant surgery

331

(2)

Postoperative nursing management

333

(5)

Tissue expansion

338

(7)

Background

338

(1)

Surgical technique

338

(7)

Section V Applied reconstructive plastic surgical nursing 2

345

(54)

Craniofacial reconstruction

347

(27)

Background

347

(1)

Congenital malformations

347

(1)

Common presentations

348

(1)

Principal patient and medical risk issues

349

(1)

History of craniofacial reconstructive surgery

349

(3)

Craniofacial surgery - preferred outcomes of reconstruction

352

(1)

Paediatric craniofacial surgical approaches - examples

353

(1)

Developments in treating congenital malformations of the mandible

354

(1)

Fixation materials utilised in craniofacial surgery

355

(1)

Congenital malformation of the upper lip and/or palate

355

(5)

Cleft lip/palate - postoperative nursing management

360

(2)

Craniofacial soft tissue and bony trauma

362

(3)

Postoperative patient management following craniofacial reconstruction

365

(1)

Craniofacial tumours

365

(1)

Facial and oral tumour presentation

366

(1)

Postoperative nursing management following craniofacial reconstruction

367

(3)

Craniofacial vascular anomalies

370

(4)

Ear reconstruction

374

(8)

Background

374

(1)

Reconstructing the external ear

374

(4)

Postoperative nursing care - risk management issues

378

(4)

Camouflage prostheses

382

(11)

Camouflage prostheses - anaplastology

382

(1)

Background

382

(2)

Osseointegration as a reconstructive process

384

(3)

The surgical application process

387

(6)

Urogenital reconstruction (hypospadias)

393

(6)

Background

393

(1)

The surgical pathway

393

(6)

Section VI Applied reconstructive plastic surgical nursing 3

399

(61)

Breast surgery

401

(21)

Blood and nerve supply to the breast

401

(3)

Augmentation mammoplasty

404

(1)

Background

404

(3)

Postoperative nursing management - special issues

407

(1)

Reduction mammoplasty

407

(1)

Background

407

(3)

Postoperative nursing management

410

(2)

Mastopexy

412

(1)

Subcutaneous mastectomy (female)

413

(1)

Gynaecomastia (male)

413

(1)

Breast reconstruction postmastectomy

414

(1)

Background

414

(3)

Transverse rectus abdominis muscle flap breast reconstruction

417

(5)

Body contouring

422

(12)

Background

422

(1)

Abdominoplasty

422

(1)

Background

422

(5)

Postoperative clinical nursing management

427

(2)

Thigh lift

429

(1)

Liposuction

430

(1)

Background

430

(4)

Aesthetic/reconstructive surgery of the face

434

(15)

Background

434

(1)

Facial rejuvenation

434

(2)

Superficial facial rejuvenation - facial resurfacing

436

(2)

Laser application

438

(3)

Dermabrasion

441

(1)

Botox treatment

441

(1)

Facelift (rhytidectomy)

441

(3)

Postoperative nursing management

444

(1)

Reconstructive surgery to the eyelids

445

(4)

Nasal surgery

449

(11)

Background

449

(1)

Rhinoplasty - septo-rhinoplasty

449

(8)

Post traumatic reconstruction - forehead rhinoplasty

457

(1)

Post tumour excision reconstruction

457

(3)

Index

460

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Reconstructive Plastic Surgical Nursing

Summary

Author Biography

Table of Contents

Supplemental Materials

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Reconstructive Plastic Surgical Nursing

Summary

Author Biography

Table of Contents

Supplemental Materials

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