NURS 205 Lecture 12: Week 10 Wound Care
4 Dec 2016
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Document Summary
Wound: creates an alteration & disruption of the skin: can be created: intentionally (surgical), accidental trauma (mva), chronic forces (pressure ulcer) Physiological functions of skin: protections, perception, temperature regulation, absorption and excretion, prod vit. Methods of wound closure: primary: first intention, closing the wound by mechanical means (sutures, staples, tape, skin glue) 1: tertiary: third intention, delayed primary intention: wound left open for short period of time (days) to allow edema and infected exudate (pus) to resolve, then closed by primary or secondary intention. Wound is contaminated treat w absorptive dressing: black: eschar or necrotic tissue. Factors that affect wound healing: oxygenation: poor tissue perfusion, vascular disease, nutrition, may need booster or supplement. Inter-professional collaboration: diabetes: how to manage, medications: corticoids can affect healing process, obesity: adipose tissue affects healing process, blood chemistry: coagulation, moisture, antibiotics & infections: allergy, bacteria.
