TIME CDST

Question 1

Intrinsic Factors

Answer 1

1. General health status
2. Immune function - risk of infection, delayed/aberrant healing and chronic wounds.
3. Co-morbidities
4. Age-related skin changes - reduced circulation, loss of subcutaneous tissue and elasticity, dryness/thinning.
5. Nutrition - balanced intake of proteins, carbohydrates, fats, micronutrients and fluids.
6. Self-care abilities

Question 2

Extrinsic Factors

Answer 2

1. Mechanical stress - pressure, friction, shear.
2. Debris - slough, necrotic tissue, eschar, dressing residue.
3. Moisture imbalance - desiccation, maceration.
4. Temperature - optimal 37degrees.
5. Chemical stress/infection
6. Psychosocial factors - living environment, employment/income, access to health services.

Question 3

Goals

Answer 3

UNCOMPLICATED WOUND HEALING IN A TIMELY MANNER.
1. Maintain moist environment for wound healing
2. Manage exudate and odour
3. Debride non-viable tissue
4. Manage pain
5. Advancing wound edges
6. Treat or prevent infection
7. Protect surrounding skin from injury
8. Patient education and self-care