Tissue Integrity Flashcards
What are the consequences/ effects of injury in tissue integrity?
thermoregulation
elimination
fluid and electrolyte balance
protection from infection
safety
comfort/pain
body image
Describe the stages of wound healing
Step 1
hemostasis (coagulation):
bleeding into wound bc of damage to capillaries and blood vessels
Describe the stages of wound healing
Step 2
Inflammation:
increase blood flow to the wound and bring needed cells and proteins to the area of injury.
Describe the stages of wound healing
Step 3
Proliferation:
debris is cleared, and healthy granulation tissue grows
(new tissues formation)
Describe the stages of wound healing
Step 4
Maturation:
healed wound is remodeled
cellular activity decreases & the blood vessels regress
Continuation of cellular differentiation, scar tissue formation, scar
remodeling
Describe 1st degree burns
Epidermis only
Local pain, red and erythema
no treatment required normally
Describe 2nd degree burns
(superficial partial thickness)
→ epidermis and superficial dermis
skin is pink, moist, and soft, thin-walled blisters
Describe 2nd degree burns
(deep partial thickness)
epidermis and deep dermis
skin is red and blanched white with thick-walled blisters
look waxy white and take weeks to heal
Describe 3rd degree burns
Full thickness burn
Destruction of Epidermis, Dermis, and Some of Subcutaneous
dry, leathery appearance from loss of dermal elasticity
Full-thickness burns are painless because all nerve endings have been destroyed by the injury
Describe 4th degree burns
Destruction of Epidermis, Dermis, SubQ, Tendons, Muscles and Bones
The wound is dry and insensate
require skin grafting or reconstructive surgery
requires hospital admission
Medical term for itching
Pruritus
How is varicella transmitted, so what type of precautions are used?
Direct contact, droplet, from a person with shingles (airborne precautions)
Quicker in temperate and tropical climates
N95
gloves
gown
eye protection
Scalp Infection
Tinea capitis
skin areas, excluding scalp, face, hands, feet, groin Infections
Tinea corporis
groin, also known as “jock itch” infection
Tinea cruris