wound assessments Flashcards
list 4 factors affecting healing
diabetes
excess alchohol
nutrition
older age
why are patients that are on cytotoxic agents more likely to have reduced wound healing
affects replicating cells which results in reduced tensile strength of scar tissue
why are patients that are on corticosteroids more likely to have reduced wound healing
supress macrophages, collagen production, impair angiogenesis and epithelialisation, lower immune response
list 5 psychosocial factors to consider when treating a patient with a wound
mental health
PPOP
life crisis
iso
social stigma
compare intrisinct vs extrinsic factors of wound healing
intrisict impact wound itself extrisic impact enovironment would heals in
TIMES
tissue
infection / inflamm
moisture
edges
surrounding skin
ABCDE
ascess, bring in MDT, control, decide, evaluate
what does pink tissue indicate
epithelialisation with viable tissue with blood flow
what does red tissue indicate
granulation - viable with blood flow
what does yellow tissue indicate
non viable - no blood flow
signs of a localised infection
exudate
erythema
pain
odour
pyrexia
elevated WCC
list the 5 steps of biofilm production
- attachment
- cell adhersion
- prolifferation
- maturation
- dispersion
describe serous exudate
clear, watery
describe purulent exudate
thick yellow or green
why are level edges ideal
allows epithelial tissue migration and promotes healing
