Wound care

Question 1

Proficiencies that are related to ANTT

Answer 1

1. Acting as a role model in providing evidence based, person centred care to meet the needs of people
2. Use aseptic non touch techniques effectively
3. use of aseptic technizuess when managing wound and undertaking wound care

Question 2

Functions of the skin

Answer 2

Protection- from injury and microorganisms which could cause infection
Sensation- nerves in skin allow is to feel pain and touch and pick up temp
Temperature- Helps regulate body temp

Question 3

How do wounds occur

Answer 3

• Intentional- during operation
• Trauma- mechanical or chemical injury
• Circulatory problems- loss of O2 in tissues cause skin breakdown ( Ischemia)
• Moisture from bodily fluids left on skin can cause skin breakdown/ pain
• Pressure - causes by lying in the same position for long time

Question 4

Types of wounds you may come across in practice

Answer 4

nappy dermititis
surgical wounds
congenittal abnormalities (epidermolysis bullosa)
dog bites, cuts, burns/scalds
pressure sores

Question 5

Processes of wound healing

Answer 5

1. Heamostasis( stop bleed via platelets)
2. Inflammation- redness, swelling, pain
3. Proliferation (new cells made)
4. Remodelling- starts three weeks after injury

Question 6

Duration of each healing process

Answer 6

haemostasis= minutes
Inflammation- Days
Proliferation- weeks
Remodelling- Months to years

Question 7

What can wound healing be affected by

Answer 7

• poor nutrition
• lack of sleep
• Pain
• Anxiety
• infection
• Diabetes
• Anaemia

Question 8

Acute and chronic wound

Answer 8

Acute- recent wound

When acute doesn’t heal –> chronic

Question 9

Infected wounds cause/ signs of infected wound

Answer 9

• Redness
• Swelling
• Pain
• Discharge
• Bad odour
• Heat- high temp

Wound swabs must be taken adn sent to lab if infection suspected

Question 10

Things to consider when assessings wound

Answer 10

Serous
Sanguineous
Serousanguineous
Purulent

Question 11

Serous

Answer 11

Normal drainage
Clear watery fluid
Tinge brown due to old blood

Question 12

Sanguineous

Answer 12

Bloody drainage=fresh bleeding
Normal in fresh wounds

Question 13

Serousanguineous

Answer 13

Normal drainage
Combination of serous and sanguineous
Thin, red and watery

Question 14

Purulent

Answer 14

Abnormal drainage
Indicates infection (AKA Pus)
thick milky drainage

Question 15

Different types of Skin tissue wound

Answer 15

Necrotic- mass of dead cells
Eschar- type of necrotic tissue. White or black
Slough- Moist necrotic tissue
Granulation- New connective tissue
Scab-Protects the wound by tapping pathogens
Callus- Thick hard skin