Wound Care

Question 1

Who deals with complicated wounds?

Answer 1

Tissue viability nurse team

Question 2

What kind of wounds does breast cancer form?

Answer 2

Fungcating wounds

Question 3

First type of wound closure

Answer 3

Primary intention wound closure - closing of wounds by bringing the edges together

Delayed PI - left open to allow infection to subside before closing

Secondary intention wound closure - granulation tissue?

Question 4

Factors affecting wound care

Answer 4

Bleeding
Eating drinking sleeping
Movement

Question 5

What to look out for on a wound

Answer 5

Pain 
Exudate 
Wound bed - infected red it 
Infection
Size 
Depth 
Is there a fistula / sinus formation

Question 6

Wound tissue types

Answer 6

Granulation tissue - red healing tissue

Epithelial donor tissue - like donor kebab, thin, fragile, needs steristrips

Slough - dead white blood cells that need to be removed - comes off with dressing, yellow, the surrounding tissue is not red suggesting no infection

Necrotic tissue - needs to be
Infected - angry, surrounding tissue needs to be cleaned

Question 7

Name a type of biological debridgement

Answer 7

Maggots - leave them for three days under the wound to eat away the infection

Question 8

What to ask when dressing the wound

Answer 8

What caused the wound
We are going to cover it
Allergic to anything
Pain - prescribe paracetamol

Any bleeding disorders
Tetanus injection - if not then we’ll make sure you get your jab

Question 9

Process

Answer 9

Check rate of saline

Ask pt to lift arm to put paper underneath
Pass a wet swab from clean hand to dirty hand then swipe through ONCE each

Messages to go

Don’t get it wet
If you do, here are some dressings
Come back if painful, fever or unwell
Make an apt 7 days later with GP