Compartmentalized Control of Skin Immunity

Question: Discuss about the Compartmentalized Control of Skin Immunity. Answer: Introduction: After investigating, the anterior part of the right leg of Zhi Mei Huang it is found that the skin is free from blisters, comprises of both red and waxy white appearances and the red area becomes white if pressure is applied. The wound is leaking pus and exerting filthy smell when pressure is applied. From the initial assessment, it is identified that Zhi Mei Huang is suffering from 4% deep-partial thickness burns and as effective care is not applied in early stage, swelling, decrease in blood flow and infection is apparent which progresses the wound. Moreover, after death of her husband, Zhi Mai Huang was experiencing a rapid declination in health status and suffering from massive weight loss, which generally delays the wound healing process due to the absence of adequate protein and other nutritional supplements (Shimura et al. 2016). Additionally she was living alone in a flat at 3rd floor which hampered the preliminary care of the burn area and also contribute to wound progressio n due to physical stress like cooking and riding upstairs. Goals: Main objectives of providing proper nursing care is To dress the wound properly by removing pus that is generated within the wound. To provide proper medication and vaccination to reduce the chances of infection and ensure quick healing To ensure that Zhi Mei Huang give proper rest to her legs. To investigate the link between health issues and massive weight loss and its consequences on wound healing process Expected outcomes: Medicines and ointments can heal the wound and effectively reduce the chances of infection. Frequent dressings with suitable equipments can ensure quick healing of the wound. Moreover, proper rest of the leg can reduce the chances of external exposures and therefore provide quick recovery from burn injury. Deep-partial thickness burns is usually occurs when steams or hot liquids a pills over the body parts (Singer et al. 2013). When effect of burns extend through the epidermis and uppermost layer of dermis (Papillary region) it damages the structures of the reticular region of dermis which is rich in connective tissues, hair follicles, cutaneous sensory receptors sweat glands and profuse number of blood vessels (Mikesh et al. 2013). Reticular region also contains numerous nerve endings, which acts as pain sensors (Mikesh et al. 2013). Dermis layer of skin is provide first level of defense against invading pathogens and damage to this layer causes increased risk of infection and inflammation (Naik et al. 2012). Participation of immune system at the infection site leads to production of dead cell debris, which is called Pus (Schmauss et al. 2015). Nursing intervention: Providing pain relief, antibacterial medication and Tetanus Prophylaxis to reduce pain and infection Providing adequate nutritional elements via enteral feeding which is necessary for quick healing process and decreases the health issues Zhi Mei Huang is facing Ensuring her complete rest, providing physical assistance and accessory equipments like tripods, walking sticks and quadrupeds for walking Providing moist environment around the wound for quick healing. The wound should be dressed with hydrocolloids, silicones or polyurethane instead of paraffin gauze and silver sulfadiazine as it help to keep moisture around the wound (Aziz, Abu and Chong 2012) (Wasiak et al. 2013). Post wound care can also be taken by managing the itching issues during recovery and instructing the patient to avoid direct sunlight over the wound. References: Aziz, Z., Abu, S.F. and Chong, N.J., 2012. 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