Full-Thickness Wounds Flashcards
How many phases are in the full thickness wound healing?
4 phases
What is the wound often times look like for a full thickness wound
The wound extends into the dermis and then heals by scar formation
-more skin lost, harder/longer to heal
What are the four phases in full thickness wound healing?
- hemostasis
-inflammatory phase
-Proliferative phase
-Maturation
What factors include wound healing
-nutrition
-tissue perfusion
-infection
-age
How does nutrition affect wound healing
-protein, vitamins (esp. A & C), & trace minerals of zinc and copper
-adequate calories
How does tissue perfusion affect wound healing
-oxygen fuels cellular functions
How does infection affect wound healing
It prolongs the inflammation stage, delays collagen synthesis, prevents epithelialization, increases cytokine production.
What are some complications of wound healing
-hemorrhage
-hematoma
-infection
-dishiscence
-evisceration
What is a hemorrhage
Bleeding, normally internal
Do complications delay wound healing? True or False
TRUE
Hematoma
Collection of blood; shown under the skin
Infection
Slows down wound healing
What is an example of Dehiscence be?
Dr. Removing staples to allow the wound to heal, or let it heal on its own
What would an example of evisceration be ?
When a wound was once inside, becomes on the outside (organs falling out)
(seasection, and the uterus pops out on the outside)
What would be included in a wound assessment?
-assessment of the skin on every admission & every shift (TWO TIMES A DAY)
- INCLUDE: location, size, condition of surrounding tissue, and wound base
-Any drainage - consistency, color, odor
-determine if there are factors that could delay healing