HNN122 Lecture Notes - Lecture 3: Anand L. Rai, Exudate, Collagen
WOUNDS
INFLAMATORY PROCESS (pathway)
1. Inflammatory- swelling
2. Collagen starts healing
3.
SYMPTOMS
White blood cells increase
Pain
Swelling
Temperature is increased
Increase in heat at sight
Exudate- process of puss,
Odour
Discharge from wound
Intervention
Assess wound
Perform hand hygiene
Phases of tissue repair
Primary-
Secondary -
Tertiary-
Complications of wound healing
1. Infection- 3-7 days
2. Haemorrhage- first 24 hours - until they start mobilising
3. Dehiscence- popping open and things coming out
Prevent complications
Adequate water
Adequate oxygen
Delaying removal of staples (healing process is affected and slow)
Wound assessment
Observe-
1. Stage of wound
2. Colour- Yellow- slough
Black – nitrotic
3. Odour
4. Size
5. Shape
