This article is reprinted from The Veterinary Nurse Vol 7 No 2 • March 2016 T he treatment of small animal wounds will commonly require a staged approach. Definitive treatment will often be delayed while emergency treatment of the patient and its wound, and initial stabilisation is performed. Analgesia and effective restraint is often required, until the animal is stable enough for sedation or a general anaesthetic (GA). Wounds can be classified by their cause and the type of tissue damage caused: incisional, abrasion, avulsion (or degloving), shearing, puncture or perforated, and burns. Regardless of the aetiology of the wound, the factor which has the single biggest impact on future healing is the presence of contamination and necrotic tissue. Once the patient is stable a more thorough evaluation may be carried out. Appropriate chemical restraint may be required for examination. Diagnostic imaging may be used to check for foreign material, penetrating injuries, associated fractures, dislocations and tendon or ligament damage. A management plan should take into account the wound's location, size, damage to local structures and the amount of tissue loss. Wound healing phases There are three phases in wound healing l l The inflammatory phase (immediate) l l The proliferative (repair) phase (days 3 to 7 post injury) Effective wound care-the use of Pioneer's dressings to optimise healing
To cite this article: Louise O'Dwyer (2008) Translating observation into practice: how has infant observation helped a primary care mental health worker understand families' experiences of loss?, This paper explores how psychoanalytic infant observation helped a primary care mental worker (PCMHW) work with two children and their parents, who presented with anxiety related to loss. Three areas of focus are identified from the infant observation as being useful for understanding loss, which include early defence mechanisms, parental experiences of loss, and containment. These three areas are then explored in relation to clinical work with a 5-year-old boy and a 10-year-old boy. When discussing each area of focus, the paper draws upon vignettes from infant observation to illustrate how the observation informed the PCMHW's practice. The paper concludes that a psychoanalytic infant observation is useful for a PCMHW who offers brief work to children and their parents who are experiencing anxiety related to loss.
Infection control and prevention is a vital aspect of veterinary care for the whole team. Sadly, many aspects are often overlooked, or not considered, and these can be very simple areas such as hand hygiene, cleaning and disinfection, isolation of infectious patients and antimicrobial stewardship. This article will look at the importance of taking the individual patient's clinical condition into consideration, and the important aspects of infection control strategies, which should be considered when designing an infection control strategy.
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