NURSING 2L03 Lecture Notes - Lecture 1: Asepsis, Wound Healing, Dentures

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Inflammatory phase- hemostasis(blood vessels constrict) , fibrin formed, leukocytes, macrophages there: proliferative phase- new blood vessel come collagen provides strength , wound contraction , epithelization ( surface repaired, remodelling- Factors that impair or promote normal wound healing: risk factor for pressure ulcer development. Impaired mobility: alteration in level of consciousness, shear- force exerted parallel to skin and results from gravity pushing down on body and friction between patient and surface, friction, moisture- increases risk (softens skin, nutrition, tissue perfusion. Various types of drains and their purpose: penrose drain- under dressing, pin clip places through drain to prevent from slipping farther into wound. Correct application and removal of sterile surgical gloves. Correct demonstration and documentation of staple removal, suture removal, drain removal, dressing change (dry and wet to dry) and packings using sterile techniques. The psychosocial impact a wound may have on a patient: body image changes and causes stress and changes influence on self-concept sexuality presence.

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