Module 5 Flashcards
Acute wounds
Heals within expected time frame
Chronic wound
On going or recurring
Braden scale
Pressure sore risk
Skin break down RODS
Redness, odour, discharge, skin breakdown
Primary intention
Easily stitched, low infection risk
Secondary intention
Unable to stitch, large scar tissue, high infection risk
Tertiary intention
Wound left open due to risk of contamination
Inflammatory phase of healing
Up to 2 days
Proliferative phase of healing
3 to 14/21 days. White and translucent
Maturation phase of healing
2-3 weeks to 6 weeks - raised scar
REEDA
Redness, edema, ecchymosis, drainage, approximation
TACO (drainage)
Type, amount (%), colour/consistency, odour
Serous
Clear- watery
Purulent
Thick yellow, green, tan, or brown
Serosanguineous
Pale, red, watery
Sanguineous
Bright red, active bleeding, clots
Granulation
Red, moist tissue, wound healing
Slough
Soft yellow, need to be removed to heal
Eschar
Dead tissue, dark and crusty
Dehiscence
Separation of wound layers
-obesity
-infection
-poor nutrition
-straining
Evisceration
Protrusion of organs
Fistula
Abnormal passage between two organs or outside the body
