James Moorland, a 22-year-old
James Moorland, a 22-year-old fellow has suffered an accident 3 weeks ago and bearing a compound fracture on his right femur. The patient was admitted in the orthopedic department soon after the accident and 2 surgical operations were conducted on his legs. The first operation was conducted for the internal fixation, i.e. using plates and screws and the second one to scrub the wound by the method of delayed closure.
After two weeks the closure and bandages of the patients were removed but now the wound has started to dissever and is oozing with foul-smelling pus from the stitched area. After conducting the tests on the sample of the pus, it was confirmed that there is a presence of pathogen which is methicillin-resistant Staphylococcus aureus. The patient was moved to isolation and the matter was informed to the infection control department. The patient is not going through other condition or comorbidities, and there is no previous record of surgery conducted. The body mass index of the patient is only 18 and he comes in the category of underweight. The history of the patient depicts the significant case of malnourishment, chain-smoking, and heavy intake of alcohol on a continuous basis. It is the third consecutive case from last month that a patient has developed this condition of MRSA.
- . Find out what may be the reasons which caused the spread of MRSA in the ward of the hospital. Provide the preventive measures which should be taken by the management and health team to avoid this sort of condition from now on.
- Evaluate the aspects which caused the patient to end up with the present nosocomial infection?
- What preventive measures should be taken by the health team and the management to stop further cases of nosocomial infection?
- In the case of nosocomial infection, describe what is the process for documenting and reporting, keeping workplace policies and procedures in mind?
- Keeping in mind that the patient is malnourished and need dietary supplements, what strategies should be adopted by the nursing team to enhance the nutritional status of the patient?