Wound Healing key concepts

Question 1

primary intention

Answer 1

Word edges are approximated without/little formation of granulation tissue

Not typically seen by PT, unless preparing for delayed primary closure

Question 2

Secondary intention

Answer 2

wound edges unable to be approximated

granulation tissue fills in wound bed

PT more likely to be involved

Question 3

moist wound healing

Answer 3

enhance and healing and promote new tissue growth

Low moisture levels laid to necrosis hindering epithelialization enclosure

moisture balance of the wound bed is critical for wound healing

Question 4

Healable wounds

Answer 4

Address underlying cause

Move to wound bed preparation or DIME

Debridement
inflammation/infection control
Moisture balance/regulation
Edge effect

Question 5

Maintenance and non-heal palliative wounds

Answer 5

conservative approach

Limited debridement bacterial reduction through antiseptics moisture reduction

Question 6

debridement

Answer 6

What tissues are present safe to debride, type, frequency

Question 7

inflammation/infection control

Answer 7

what stage of healing immunocompromised activity
signs or symptoms of infection
signs or symptoms are out of proportion for phase of healing

Question 8

Moisture balance

Answer 8

tissue type quality
Maceration
Activity level
Infection
Dressing schedule
out of Proportion
Add or absorb moisture

Question 9

edge effect

Answer 9

progressing
Stalled
Calus
Attached
Unattached