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Flashcards in Skin Integrity & Wound Care Deck (10)
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1
Q

wound

A

a wound is a break or disruption in the normal integrity of the skin and tissues

2
Q

wound types (can be labeled by underlying issue)

A

-closed (skin closed, deep wound)/open
-clean/dirty
-pressure injury
-venous ulcers
-arterial ulcers
-diabetic ulcers
-incision
-contusion (bruise)
-abrasion
-puncture (goes into skin, iv)
-laceration (not clean (like incision) cut)

3
Q

wound classifications

A

-partial thickness (dermis/epidermis)
-full thickness (down to subq, musculature, bones, tendons)
-acute or chronic (how long to take to heal)
-intentional (surgical) or unintentional (trauma, accidents)
-specialty classifications such as PI staging

4
Q

principles of wound healing review from hygiene chapter

A

-intact skin is the first line of defense
-normal healing requires:
-circulation
-clean environment (moist & clean)
-nutrition
-hydration
-ability to heal depends on the extent of the wound & person’s general health

5
Q

types of wound healing

A

-primary intention
-secondary intention
-tertiary intention

6
Q

primary intention

A

wound edges well approximated; leave alone and will heal

6
Q

secondary intention

A

-edges cannot be approximated
-extensive tissue loss (burns, leave open until heals, let heal from bottom up)
-repair time longer
-scarring is greater
-susceptibility to infection is greater

7
Q

tertiary intention

A

-combo of primary/secondary
-wounds that are left open for 3-5 days then closed with sutures

8
Q

look at slide 7 for wound healing stages

A
9
Q

phases of wound healing

A

-hemostasis (clotting; happens right away)
-inflammatory phase (white cells; macrophages; cleans out wounds; will have red/swelling)
-proliferation phase (cells are growing; renewal)
-maturation or remodeling phase (wound is stabilized; more scar tissue)