Chapter 24

Front 1

Abrasion

Back 1

A partial thickness wound caused by the scraping away or rubbing of skin

Front 2

Arterial ulcer

Back 2

An open wound on the lower legs and feet caused by poor arterial blood flow

Front 3

Bedsore

Back 3

An injury caused by unrelieved pressure

Front 4

Bony prominence

Back 4

An area on the body where the underlying bone seems to stick out

Front 5

Braden scale

Back 5

A scale used to predict the likelihood of a client developing a pressure ulcer

Front 6

Bruise (contusion)

Back 6

A closed wound caused by a blow to the body

Front 7

Chronic wound

Back 7

A wound that does not heal easily in a timely manner

Front 8

Circulatory ulcer

Back 8

An open wound on the lower legs and feet caused by decreased blood flow through arteries or veins

Front 9

Clean-contaminated wound

Back 9

A wound occurring from the surgical portal of entry into the urinary, reproductive or digestive system

Front 10

Clean wound

Back 10

A wound that is not infected. Microbes have not entered the wound

Front 11

Closed wound

Back 11

A wound in which tissues are injured but skin is not broken

Front 12

Contaminated wound

Back 12

A wound with a high risk for infection. Microbes have entered the wound

Front 13

Decubitus ulcer

Back 13

Any injury caused by unrelieved pressure

Front 14

Dehiscence

Back 14

The separation of wound layers along a surgical suture line

Front 15

Dirty wound (infected wound)

Back 15

A wound containing a large amount of bacteria and showing signs of infection

Front 16

Edema

Back 16

Swelling in tissues caused by an accumulation of fluid

Front 17

Evisceration

Back 17

Separation of the wound accompanied by protrusion of abdominal organs

Front 18

Friction

Back 18

Resistance that skin encounters when it rubs against another surface such as clothing, bedding, or another fold of skin

Front 19

Full thickness wound

Back 19

A wound in which the dermis, epidermis, and subcutaneous tissue are penetrated. Muscle and bone may be involved

Front 20

Gangrene

Back 20

A condition in which tissue dies and then decays

Front 21

Hematoma

Back 21

The collection of blood under skin and tissues

Front 22

Hemorrhage

Back 22

The excessive loss of blood within a short period

Front 23

Incision

Back 23

An open wound with clean, straight edges

Front 24

Intentional wound

Back 24

A wound created for treatment

Front 25

Laceration

Back 25

An open wound with torn tissue and jagged edges

Front 26

Necrotic tissue

Back 26

Localized tissue death as a result of disease or injury

Front 27

Open wound

Back 27

A wound in which skin or mucous membrane is broken

Front 28

Partial thickness wound

Back 28

A wound in which the dermis and epidermis of skin are broken

Front 29

Penetrating wound

Back 29

An open wound in which skin and underlying tissues are pierced

Front 30

Peri wash

Back 30

A type of gentle soap for skin. Usually used for the perineal area

Front 31

Picture frame dressing

Back 31

A type of dressing in which tape is applied to all four edges to reduce the likelihood of the dressing wrinkling or falling off

Front 32

Pitting edema

Back 32

A type of edema that is evident by an impression left in the skin upon compressing the fingers into the swollen tissues and then removing the fingers

Front 33

Pressure points

Back 33

Bony prominences that bear the weight of the body in certain positions and may lead to pressure ulcers

Front 34

Pressure ulcer (aka decubitus ulcer, bedsore, or pressure sore)

Back 34

Any injury caused by unrelieved pressure

Front 35

Puncture wound

Back 35

An open wound made by a sharp object

Front 36

Purulent drainage

Back 36

Thick drainage from a wound or body orifice

Front 37

Sanguineous drainage

Back 37

Bloody drainage

Front 38

Serosanguineous drainage

Back 38

Thin, watery drainage that is blood-tinged

Front 39

Serious drainage

Back 39

Drainage that is clear and watery fluid

Front 40

Shearing

Back 40

Tearing of skin tissue caused when the skin sticks to a surface and deeper tissues move downward, exerting pressure on the skin

Front 41

Shock

Back 41

The condition that results when there is not enough blood supply to organs and tissues

Front 42

Skin tear

Back 42

A break or rip in skin

Front 43

Stasis ulcer (venous ulcer)

Back 43

Open wounds on the lower legs and feet caused by poor blood return through the veins

Front 44

Steri-strip

Back 44

A proprietary type of adhesive bandage

Front 45

Trauma

Back 45

An accident or violent act that injuries skin, mucous membranes, bones, or internal organs which often leads to lasting mental and physical effects

Front 46

Unintentional wound

Back 46

A wound resulting from trauma

Front 47

Wound

Back 47

A break in the skin or mucous membrane

Front 48

Types of wounds

Back 48

Abrasion

Contusion

Incision

Laceration

Penetrating wound

Puncture wound

Front 49

Stage 1 of pressure ulcer

Back 49

Skin is redder than surroundings skin

Front 50

Stage 2 or pressure ulcers

Back 50

Skin cracks, blisters, or peels

Front 51

Stage 3 of pressure ulcers

Back 51

Skin is gone and the underlying tissues are exposed and damaged

Front 52

Stage 4 of pressure ulcers

Back 52

Muscle and bone are exposed and damaged

Front 53

Types of wound healing

Back 53

The healing process occurs through primary intention, secondary intentio n, and tertiary intention

Front 54

Primary intention

Back 54

Wound is closed stiches, staples or clips

Front 55

Secondary intention

Back 55

Used in contaminated and infected wounds

Front 56

Tertiary intention

Back 56

Leaving the wound open for a time before closing it

Front 57

Wound observations

Back 57

Location

Appearance

Drainage

Odour

Surrounding skin and tissues