TERMS Flashcards
wound is clean and edges are re approximated surgically
primary intention wound healing
wound edges are not reapproximated surgically and the body must heal the wound by wound contraction and filling in the depth of the wound
secondary intention wound healing
dirty wound is left open, cleansed and then closed surgically
delayed primary intention wound healing
phase of healing:
lasts 3-7 days
provide hemostasis of the wound and breakdown to clean the wound
growth factors, cytokines chemokines
inflammatory phase
phase of healing:
days 3-5 and continues 3 weeks
fills in wound defects with new tissue
3 processes in achieving goals?
15% tensile strength regained
proliferative phase
angiogenesis
collagen synthesis
wound contraction
phase of healing:
3 weeks up to 2 yrs
scar tissue is rebuilt and tensile strength increases
type III collagen replaced with type I collagen
decreased vascularity
remodeling phase
phase of healing:
may be considered a phase of healing involves the resurfacing of wood
keratinocytes
migrates across from wound edges
epithelialization
non proliferating bacterial on the wound surface with no injury or visible immune response
contamination
proliferating bacteria on the surface of the wound with no injury or visible immune response
colonization
proliferating bacteria in stalled wounds causing localized infection but classic signs/symptoms of the inflammation may be absent
critical colonization
proliferating bacteria within viable tissues that cause injury and immune response occur?
infection
matrix of polysaccharides, proteins and DNA synthesized by multiple bacterial species
bacteria and fungi
biofilm
this type of cast is different than normal cast?
less padding and specifically covers anterior tibial crest, malleoli, achilles area and digits
patient can walk on it with a cast shoe/boot
total contact cast
involve the epidermis and the uppermost layers of the dermis?
partial thickness wound
extends through the epidermis, dermis, into the subq layer and deeper structures
full thickness wound