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Wounds

Wounds. Skin. Largest Organ of body Protection Sensory Regulatory Self-concept. Protects underlying tissues Control body temperature Radiation Conduction Convection Evaporation. Provide sensory perception Pain Touch Heat Cold Assist in Fluid and Electrolyte balance

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Wounds

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  1. Wounds

  2. Skin • Largest Organ of body • Protection • Sensory • Regulatory • Self-concept

  3. Protects underlying tissues Control body temperature Radiation Conduction Convection Evaporation Provide sensory perception Pain Touch Heat Cold Assist in Fluid and Electrolyte balance Uses sunlight to synthesize vitamin D Skin Functions

  4. Supporting Healing • Ability to heal is influenced by • Extent of the damage • The personal state of health • Proper nutrition • Adequate blood supply • Intact skin and mucous membranes • Free of foreign bodies and bacteria

  5. Wound Healing • Primary • Secondary • Tertiary

  6. Phases of Healing • Inflammatory Phase • Proliferative Phase • Maturation Phase

  7. Wound Drainage • Serous exudate • Sanguineous exudate • Purulent exudate • Serosanguineous exudate • Purosanguineous exudate

  8. Factors affecting wound healing • Developmental considerations • Circulation • Vascular problems • Diabetes • Obesity • Decreased oxygenation • Wound condition • State of wellness

  9. Wound Complications • Infection • Hemorrhage • Dehiscence • Evisceration

  10. Assessment of Wounds • Appearance • Edges • Color • Sutures • Drains & Tubes • Drainage • Pain

  11. Figure 35.09

  12. Methods of wound care • Open to air • Dressings • Dry-sterile • Wet-to-dry • Wet-to-wet

  13. Cleaning agents Betadine Peroxide Sterile Saline Gauze Transparent dressings Tapes Silk Paper Pored Montgomery Straps Dressing Supplies

  14. Dressing Changes • Explain to patient • Wash hands before and after • Use sterile technique (review sheet in clinical packet) • Clean from clean to dirty

  15. Binders and Bandages • Creating pressure • Immobilizing a body part • Supporting a wound • Reducing or preventing edema • Securing a splint • Securing a dressing

  16. Effects of Heat Vasodilation Increased blood flow Increased oxygen and nutrients Decreased venous congestion Promotes relaxation Relieved spasms and stiffness Relieves pain Warms frostbite Reduces edema Effects of cold Vasoconstriction Decreased metabolic needs Decreased capillary permeability Coagulation Reduces muscle spasm Numbness Relieves pain Heat and Cold Therapy

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