Bernard is a 70 year old man who had surgery to remove a connective… Bernard is a 70 year old man who had surgery to remove a connective tissue tumour under the skin of his right wrist. Three days after the operation, the nurse who examined Bernard’s surgical wound observed that his hand, wrist and distal forearm are inflamed and there is a small amount of purulent discharge oozing from the wound. Bernard tells the nurse that the area around his wrist has become increasingly painful (there was general soreness following the operation) and increasingly difficult to gently bend his fingers at the knuckles and then straighten them. A wound swab is collected for a suspected surgical site infection.Explain what has happened during the past three days to cause the signs and symptoms (that are described in the scenario, what you can visually observe in the picture above and what you would expect if you gently touched the area around his right wrist) that Bernard is experiencing.In your answer, you should synthesise information about the structure of the skin, relevant function(s) of the skin that have been impaired due to the surgical incision and the inflammatory response. Be sure to clearly link each of the signs and symptoms of localised inflammation and infection in this scenario to the sequence of events that caused their development. Health Science Science NursingShare
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