9a

Question 1

Wound Bed

Answer 1

Granulating:
Epithelialising
Sloughy
Necrotic
Hypergranulating
Eschar

Question 2

Granulating:

Answer 2

healthy red tissue which is deposited during the
repair process, presents as pinkish/red coloured moist tissue
and comprises of newly formed collagen, elastin and capillary
networks. The tissue is well vascularised and bleeds easily.

Question 3

Epithelialising

Answer 3

process by which the wound surface is covered
by new epithelium, this begins when the wound has filled with
granulation tissue. The tissue is pink, almost white, and only
occurs on top of healthy granulation tissue

Question 4

Sloughy

Answer 4

the presence of devitalized yellowish tissue. Is formed

by an accumulation of dead cells. Must not be confused with pus

Question 5

Necrotic

Answer 5

wound containing dead tissue. It may appear hard dry
and black. Dead connective tissue may appear grey. The
presence of dead tissue in a wound prevents healing

Question 6

Hypergranulating

Answer 6

granulation tissue grows above the wound
margin. This occurs when the proliferative phase of healing is
prolonged usually as a result of bacterial imbalance or irritant
forces

Question 7

Eschar

Answer 7

burned skin

Question 8

Wound Measurement

Answer 8

Assessment and evaluation of the healing rate and
treatment modalities are important components of wound
care.

Question 9

Two-dimensional measures-

Answer 9

use a paper tape to measure
the length and width in millimetres. The circumference of
the wound is traced if the wound edges are not even -
often required for chronic wounds.

Question 10

Three -dimensional measures

Answer 10

the wound depth is

measured using a dampened cotton tip applicator

Question 11

WOUND EDGES

Answer 11

Healthy wound edges present as advancing pink epithelium growing
over mature granulated tissue.

Question 12

WOUND EDGES colour

Answer 12

pink edges indicate growth of new tissue; dusky edges
indicate hypoxia; and erythema indicates physiological inflammatory
response or cellulitis

Question 13

RaisedWOUND EDGES

Answer 13

wound edges (where the wound margin is elevated above the
surrounding tissue) may indicate pressure, trauma or malignant
changes

Question 14

Rolled -wound edges

Answer 14

(rolled down towards the wound bed) may

indicate wound stagnation or wound chronicity

Question 15

Contraction wound edges

Answer 15

wound edges are coming together, signs of healing

Question 16

Sensation eound edges

Answer 16

increased pain or the absence of sensation should be

noted