GP - wound care

Question 1

What is a primary intention in a wound?

Answer 1

edges opposed, no tissue loss

Question 2

What is a secondary intention in a wound?

Answer 2

edges not opposed, wound granulates, broader scar

Question 3

What is tertiary intention in wounds?

Answer 3

wound intentionally left open, surgically closed later

Question 4

What are th 4 phases of wound healing?

Answer 4

vascular response
inflammatory response
proliferative stage
maturation

Question 5

What are 2 general barriers to wound healing?

Answer 5

elderly 
DM
malnutrition 
drugs
cancer

Question 6

What are 2 local barriers to wound healing?

Answer 6

site
infection
oedema
previous radiotherapy

Question 7

What are 3 aims of good wound dressing?

Answer 7

remove exudate and toxins 
allow thermal insulation and gaseous exchange 
impermeable to bacteria 
allow change without trauma 
moist wound environment