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11
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Suppression of the immune system by disease, medication, or age can delay wound healing. Radiation therapy can cause ulceration or change in the skin; either immediately after a treatment or after all treatment has ended.
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13
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contraindicated in patients with compromised immunity or if a wound has a large amount of necrotic tissue, is infected, or is a large pressure ulcer with undermining.
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14
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The epidermis layer of the skin is
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16
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Ongoing nutritional assessment is necessary because the visual appearance of the patient or the wound is not a reliable indicator of whether the patient is receiving the proper amount of nutrients. Albumin and prealbumin levels, total lymphocyte coun
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17
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If an infection is present, as evidenced by purulent drainage or exudate, induration, erythema, or fever, a wound culture should be obtained to identify the offending bacteria and guide antibiotic therapy.When a pressure ulcer or full-thickness wound
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19
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the fastest method of debridement
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21
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excess deposition of collagen fibers in a healing wound
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23
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a collagenase enzyme applied to necrotic tissue areas
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24
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Various wounds or ulcers-such as arterial, diabetic, pressure, and venous ulcers-can affect the lower extremities. Decreased blood supply is a common cause of these ulcers.
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28
|
migrate into the wound and begin removing debris
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1
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impedes the transformation of monocytes into macrophages
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2
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Wounds heal slowly-and may not heal at all-in an environment in which they are repeatedly traumatized or deprived of local blood supply by oedema.
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3
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pull the edges of the wound toward one another
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4
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Coronary artery disease, peripheral vascular disease, cancer, and diabetes mellitus are a few of the chronic diseases that can compromise wound healing. Patients with chronic diseases should be followed closely through their course of care to provide
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5
|
decubitus ulcers or bedsores
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6
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Nutritional markers are not the only laboratory values that must be considered when evaluating healing. Measuring the hemoglobin level helps assess the oxygen-carrying capacity of the blood; however, it may also be necessary to assess hepatic, renal,
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7
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removing debris and dead tissue
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8
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A moist environment allows wounds to heal faster and less painfully than a dry environment, in which cells typically dehydrate and die. This causes a scab or crust to form over the wound site, which impedes healing. If the wound is kept hydrated with
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9
|
Body type may also affect wound healing. An obese patient, for example, may experience a compromise in wound healing due to poor blood supply to adipose tissue. In addition, some obese patients have protein malnutrition, which further impedes the hea
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10
|
uses sterile maggots applied to the wound bed.
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12
|
peripheral artery disease
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15
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Wounds in older patients may heal more slowly than those in younger patients, mainly because of comorbidities that occur as a person ages. Older patients may have inadequate nutritional intake, altered hormonal responses, poor hydration, and compromi
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18
|
causes vascular constriction, which decreases circulation and leads to chronic wounds.
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20
|
Dead, devitalized (necrotic) tissue can delay healing. Slough and eschar are the 2 types of necrotic tissue that may appear in a wound. Slough is moist, loose, stringy necrotic tissue that is typically yellow. Eschar, which appears as dry, thick, lea
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22
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these decrease the strength of the scar and increase the risk of developing a hematoma.
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25
|
compression wounds
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26
|
impairs blood clotting
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27
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Urinary and fecal incontinence can alter the skin's integrity. Educating caregivers about proper skin care is essential for successful skin and wound management.
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28
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The first white blood cells on the scene after injury
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29
|
Lacerations
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30
|
spontaneous reopening of a closed wound
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31
|
When excessive scars form tight ridges along the skin and permanently interfere with normal movement
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32
|
When pressure at the wound site is excessive or sustained, the blood supply to the capillary network may be disrupted. This impedes blood flow to the surrounding tissue and delays healing.
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33
|
scrapes
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|
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