Week 1 Wound Healing Part 2

Question 1

what is primary wound closure. and what is it also called

Answer 1

primary intention: this is when the wound edges approximate without or with little formation of granulation tissue. PTs don’t usually see, this is like healing wounds with sutures or surgery

Question 2

what is secondary wound closure, and what is it also called

Answer 2

snedondary intention and this is when wound edges are unable to approximate. so granulation tissues fills the wound bed, and turns into scar tissue

Question 3

what are 3 positive things about moist wound healing

Answer 3

• enhances healing and promotes new growth
• low moisture can lead to necrosis and eschar formation, and will hurt its changes of closing
• need moisture balance

Question 4

what are we assessing after a comprehensive exam

Answer 4

the ability of the wound to heal

Question 5

what is the difference between healable, maintenance, and non-healable

Answer 5

healable: we can address the underlying causes
maintenance: potential to heal but still barriers
non: irreversible causes or illnesses so it is like palliative.

Question 6

how do we treat healable wounds

Answer 6

address the underlying causes and use the DIME method on local wound care

Question 7

how do we treat maintenance and non-healable wounds

Answer 7

you use conservative approaches, and limit debridement, use antiseptics and reduce moisture, all to try and prevent sepsis.

Question 8

what does DIME stand for

Answer 8

• debridement (of what kinds of tissues are present)
• inflammation and infection (what stage of healing are we in, and is there s/s infection that are not expected for this phase)
• moisture balance (type and quality too much = maceration, dressing schedule, and are we using dressing that absorbs)
• edge effect