10a wound

Question 1

PAIN chronic wound

Answer 1

The pain associated with chronic wounds can be underestimated.

Question 2

It is important that wound pain scores are captured accurately and regularly
to

Answer 2

 ensure patients have a more active role in dealing with their pain
 effective pain relief can be provided
 documented evidence of pain patterns are captured

Question 3

FACTORS DELAYING WOUND HEALING

Answer 3

Malnutrition-
 Reduced Blood supply -
 Medication - 
 Chemotherapy - 
 Radiotherapy - i
 Psychological stress and lack of sleep- i
 Obesity - d
 Infection -
 Reduced wound temperature - 
 Underlying Disease - Diabetes Mellitis and 
 Maceration - excess wound exudates or contact with bodily fluids reduces wound tensile strength
 Inappropriate wound management
 Patient compliance
 Unrelieved pressure
 Immobility
 Substance abuse including alcohol and cigarette smoke

Question 4

PHASES OF HEALING

Answer 4

 Phase 1 - INFLAMMATORY PHASE(0-3 Days)
 Phase 2 - PROLIFERATIVE PHASE (24-365 Days)
 Phase 3 - MATURATION PHASE (24-365 Days) t

Question 5

Phase 1 - INFLAMMATORY PHASE

Answer 5

(0-3 Days) the body’s normal response to
injury. This phase activates vasodilatation leading to increased blood flow
causing HEAT, REDNESS, PAIN, SWELLING, LOSS OF FUNCTION (e.g. arm swells
and cannot bend). Wound ooze may be present and this is also a normal body

Question 6

 Phase 2 - PROLIFERATIVE PHASE

Answer 6

(3-24 Days) the time when the wound is
healing. The body makes new blood vessels, which cover the surface of the
wound. This phase includes reconstruction and epithelialisation. The wound
will become smaller as it heals.

Question 7

 Phase 3 - MATURATION PHASE

Answer 7

(24-365 Days) the final phase of healing,
when scar tissue is formed. The wound at this stage is still at risk and should
be protected where possible.

Question 8

Mechanisms of wound healing

Answer 8

 Primary Intention; 
 Delayed Primary Intention; 
 Secondary intention; 
 Skin Graft;
 Flap; is a surgical relocation of skin and underlying structures to repair a
wound

Question 9

 Primary Intention;

Answer 9

most clean surgical wounds and recent traumatic
injuries are managed by primary closure. The edges of the wounds are
approximated with steri strips, glue, sutures and/or staples. Minimal loss of
tissue and scarring results.

Question 10

 Delayed Primary Intention

Answer 10

; is defined as the surgical closure of a wound 3
-5 days after the thorough cleansing or debridement of the wound bed.
Used for 1. Traumatic wounds, 2. Contaminated surgical wounds.

Question 11

 Secondary intention;

Answer 11

occurs slowly by granulation, contraction and reepithelialisation
and results in scar formation. Commonly used for 1.
Pressure Injuries 2. Leg ulcers 3. Dehisced wounds

Question 12

 Skin Graft;

Answer 12

removal of partial or full thickness segment of epidermis and
dermis from its blood supply and transplanting it to another site to speed
up healing and reduce the risk of infection.

Question 13

 Flap;

Answer 13

is a surgical relocation of skin and underlying structures to repair a
wound

Question 14

Documentation

wound

Answer 14

 It is an expectation that all aspects of care, including assessment,
treatment and management plans, implementation and evaluation are
documented clearly and comprehensively.
 All wounds should be assessed regularly and outcomes of the
assessment documented.

Question 15

Wound Cleansing

Answer 15

 Requires the application of fluid to clean the wound and optimise the
healing environment.

Question 16

The goal of wound cleansing is to:

Answer 16

 Remove visible debris and devitalised tissue
 Remove dressing residue
 Remove excessive or dry crusting exudates