Professional Documents
Culture Documents
PROCESS OF WOUND
HEALING
FOUR PHASES OF WOUND HEALING
1.Hemostasis
2.Inflammation
3.Repair
4.Remodelling
SQUENCE OF MOLECULAR
AND CELLULAR EVENTS IN
SKIN WOUND HEALING
PATIENTS PERCEPTION
NORMAL WOUND HEALING
Inflammatory phase
Induration
Heat
Discomfort
Redness
Swelling
Wound or Pain?
ulcer? Induration
Odor? Color
Ulcer category? Tunneling?
Necrotic Undermining?
tissue? Redness?
Dimension? Edge of Skin?
WOUND INFECTION
CLINICAL SIGNS AND SYMPTOMPS
Superficial wound infection (NERDS)
Non healing wound
Exudate wound
Red and bleeding wound surface granulation tissue
Debris on the wound surface
Smell on unpleasant odor
WOUND INFECTION
CLINICAL SIGNS AND SYMPTOMS
Deep Infection (STONES)
Size bigger
Temperature increase
Os = prone to or exposed bone
New on satellite areas of breakdown
Exudate, evythemia, edema
Smell
MANAGING WOUND
BIOBURDEN
Wound cleaning
Cleaning agents?
Skin cleaners ? no!
Antiseptic ? no!
Cleaning devices?
Wound irrigation?
Optimum pressure for wound cleaning? (5-15 psi)
MANAGING WOUND BIOBURDEN
Antimicrobial therapy
After removal of necrotic tissue
Topical elemental antimicrobial therapy with silver based creams
be limited to 2 weeks
The effectiveness of systemic antibiotics is dependent on an
adequate blood supply to the wound
WOUND TREATMENT OPTIONS