Practical Wound Management for Equine Veterinary Nurses and Technicians 1st Edition

Contents:
Table of Contents
Title Page
Copyright Page
Dedication Page
List of Contributors
Foreword by Tim Greet
Foreword by Deborah Reeder
Preface
Acknowledgments
1 The Wound Healing Process
Wound Healing Physiology
Phases of Wound Healing
The Optimal Wound Healing Environment
In Summary
References
2 Understanding Wound Types
Graze/Abrasion/Erosion
Bruise
Haematoma
Contusion
Puncture Wound
Incised Wound
Laceration
Degloving Injuries
Complicated Wound
Burns
3 Factors That Delay Wound Healing
Congenital/Genetic Disorders
Infection
Foreign Body
Necrotic Tissue
Movement at the Wound Site
Tissue Deficits
Impaired or Reduced Blood Supply
Continued Trauma/Self‐Inflicted or Recurrent Trauma to the Wound Site
General Health Status of the Horse
Iatrogenic Factors
Local Factors
Tumour Transformation of the Wound
Idiopathic Inhibition of Wound Healing
References and Further Reading
4 First Aid for Wounds and Emergency Veterinary Treatment
Advising Horse Owners
Receiving the Call
Providing First Aid Before Veterinary Assistance Arrives
First Aid Kit for Clients and Horse Owners
When the Vet Team Arrives
Wound Assessment
Referral Considerations
References
5 Wound Assessment, Investigation and Diagnosis
Initial Assessment of the Situation
History
Informed Consent
Clinical Examination
Wound Documentation and Description
Wound Preparation
Wound Exploration
Synoviocentesis
Diagnostic Imaging
Planning Treatment
Continuing Assessment
References
6 Surgical Management and Treatment Methods
Wound Classification
When Is Surgery Necessary for Traumatic Wounds?
Pre‐surgical Planning
Surgery
Managing Dead Space
Tension‐Relief and Skin Mobilisation
Dehiscence
Second Intension Healing
Manufacturers
References
7 Dressings and Wound Preparations
Principles
Primary Dressing Categories
Antimicrobial and Biological Products
Skin Protection
Dressing Changes
Alternatives to Using Dressings and Bandages
References
8 Bandaging Techniques and Materials
Principles of Bandaging
Patient Restraint
Bandaging Techniques
Adapting Bandages
Advanced Bandage Techniques
Further Considerations
References
9 Nutrition for Optimal Wound Healing
A Balanced Diet
Hydration
Supplements
Practical Feeding
Conclusion
References
10 Pain Management in Equine Wound Care
Assessment of Pain
Clinical Examination
Physiological Parameters
Behavioural Changes
Pain Scoring
Pain Relief Strategies
Systemic Pain Relief Strategies
Additional Pain Relief Strategies
References
11 Equine Nursing Care Plans and Wound Care Bundles
The Nursing Process
Care Plans
The Orpet and Jeffery Ability Model (OJAM)
The Wound Care Bundle
Case Report: Nursing Management of a Penetrating Pectoral Wound in an 18‐Year‐Old Gelding
Summary
Introduction
Case Presentation
Initial Management
Referral and Hospital Admission
Surgical Management
Pain Management and Monitoring
Nursing Care and Physiotherapy
Discharge from the Hospital
Discharge Instructions
Follow‐Up and Rehabilitation
Conclusion and Reflection
References
12 Ethical Wound Management and Animal Welfare
Theory of Veterinary Ethics and Animal Welfare
Treatment Options
Financial Considerations
Patient (and Client) Compliance
Euthanasia
Religion and Personal Beliefs
Ethical Wound Care in a Charity Setting
Ethical Wound Care in Countries Without Enforced Animal Welfare Laws
Case Examples of Ethics and Animal Welfare Considerations in Wound Care
References
13 Wound Management for Underserved Equid Populations in the Resource‐Limited Setting
Introduction
Working Equidae
Why Do These Animals Need Veterinary Care?
Treating a Working Equid
Conditions and Complications Resulting from Wounds
Conditions That Mimic Traumatic Wounds
Burns
Conclusion
References
Index
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