Wound

Question 0

Primary intention

Answer 0

Sutures
Fine scar
Most rapid healing

Question 1

Wound Repair

Answer 1

Hemostasis (fibrin)
Inflammatory phase
Proliferative phase (epithelialization)
Remodeling

Question 2

Secondary intention

Answer 2

Epithelial cells and scar tissue
Scar
Formation of granulation tissue to fill in the gap
A longer period of time needed to heal

Question 3

Tertiary intention

Answer 3

Wound healing is delayed and occurs when previously open wound is now closed. This process is usually associated with large infected and contaminated wounds

Question 4

Complications of wound healing

Answer 4

Hemorrhage
Hematoma
Infection 
Dehiscence 
Evisceration

Question 5

Wound healing factors

Answer 5

Nutrition 
Tissue perfusion 
Infection 
Age
Psychosocial impact of wounds

Question 6

Individual risk factors

Answer 6

Health conditions 
-poor peripheral perfusion 
-malnutrition or obesity 
-dehydration or edema 
-impaired mobility 
-immunosuppression
Exposure to irritants 
-radiation, temp extremes, chemical or mechanical trauma, med treatments 
Tissue Trauma
- friction, shearing, moisture pressure

Question 7

PUP implementation

Answer 7

Health Promotion

• topical skin care and incontinence management
• protect bony prominences, skin barriers for incontinence

Positioning
-turn every 1-2hrs

Support Surfaces
-decrease amount of pressure exerted over bony prominences

Question 8

Dietary Concerns

Answer 8

• Albumin of 3 or less
• Pre-albumin of 10 or less
• Decreased PO intake
• NPO >72 hours
• Eating less than 50% of food
• Wound present, in any stage of wound healing
• Diabetics

Question 9

Acute Care Measures

Answer 9

• Management of PU
• Adequate measures of nutrition
• protein
• vitamin a,c
• 1500cals a day
• hemoglobin
• debridement (removal of nonviable, necrotic tissue)
• -mechanical
• -autolytic
• -chemical
• -sharp/surgical

Question 10

3 phases of wound healing

Answer 10

Inflammatory phase
Granulation phase
Maturation phase

Question 11

Inflammatory Phase

Answer 11

Lasts 3-5days

Homeostasis develops; macrophages remove debris

Question 12

Granulation Phase

Answer 12

Lasts 5-21days

New blood vessels and tissues are formed

Question 13

Maturation

Answer 13

Lasts for months

Collagen fiber is remodeled; scar formation and contraction occur

Question 14

Wound irrigation

Answer 14

Common method of delivering a wound cleansing solution to the wound