Module 5- How to describe a wound Flashcards
what are chronic wounds
those wounds that fail to progress through a normal, orderly and timely sequence of repair or wounds that pass through the repair process without restoring anatomic and functional results
How do you diagnose a wound?
by tissue involvement (to determine local care) and etiology (to determine systemic care)
What are the types of tissue involvement
superficial/erosion
partial thickness
full thickness
what are some etiologies of wounds
arterial
venous insufficiency
neuropathic
pressure
atypical
what is the purpose of a history and subjective in wound care
obtain info to determine etiology
determine examination items needed for definitive diagnosis
determine and guide treatment
examples of questions to ask about the wound
when and how did the wound begin
can any precipitating events be associated with the onset of the wound
what other signs and symptoms are present? fever itching?
what alleviates the pain? what makes the pain worse?
What treatment have you tried already?
is the wound improving or regressing?
What is involved in the wound examination- objective measures?
dimension/extensions
tissue type
staging
wound bed color
drainage
wound edges
what are the methods to determining wound dimension-size?
perpendicular
clock
volumetric
tracing
photography
How are dimensions typically documented/
length (cm) x width (cm) x depth (cm)
tunneling/sinus tract
narrow passage of tissue destruction within the wound
Undermining
destruction of the connective tissue between the dermis and subcutaneous tissue
-extends under the intact skin along the periphery of a wound
Fistula
tunneling that connects with a body cavity
Abrasion
skin is rubbed/scraped
usually not much bleeding
example: road rash
Avulsion
partial or complete tearing away of skin/tissue
bleeds heavily
MOI: violent accidents, crush accidents, explosions, gunshots
Puncture
small hole caused by pointy object
may not bleed much can damage organs
MOI: nail, bullet, needle
