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15 Cards in this Set

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WHAT ARE FACTORS AFFECTING WOUND HEALING
*AGE-HEALTHY KIDS AND ADULTS HEAL QUICKER THAN OLDER PEOPLE
*NUTRITIONAL STATUS-MALNOURISHED CLIENTS REQUIRE MORE TIME
*LIFESTYLE-PEOPLE WHO EXCERCISE REGURALLY HAVE GOOD CIRCULATION
*MEDICATION=ANTIINFLAMMATORY DRUGS AND ANTINEOPLACTIC AGENTS INTERFERE WITH HEALING AND PROLONG USE OF ANTIBIOTICS
RISK FACTORS CONTRIBUTING TO THE FORMATION OF PRESSURE ULCERS
IMMOBILITY-REDUCTION IN THE AMOUNT AND CONTROL OF MOVEMENT A PERSON HAS\
INADEQUATE NUTRITION-CAN CAUSE WEIGHTLOSS MUSCLE ATROPHY AND LOSS OF SUB Q TISSUE
FECAL AND URINARY INCONTINENCE
DECREASED MENTAL STATUS
DIMINSHED SENSATION-STROKE, PARALYSIS
EXCESSIVE BODY HEAT
ADVANCED AGE
CHRONIC MEDICAL CONDITIONS-DIABETES CARDIO etC
STAGES OF PRESSURE ULCER FORMATION
STAGE 1=NONBLANCHABLE INTACT SKIN RED
STAGE 2=PARTIAL THICKNESS SKIN LOSS, ABASION, BLISTER, CRATER
STAGE 3-FULL SKIN LOSS INVOLVING DAMAGE OR NECROSIS OF SUB Q TISSUE EXTENDED DOWN BUT NOT THROUGH
STAGE 4-FULL THICKNESS SKIN LOSS WITH TISSUE NECROSIS OR DAMAGE TO MUSCLE BONE OR SUPPORTING STRUCTURES, LIKE A TENDON OR JOINT CAPSULE
COMPLICATIONS OF WOUND HEALING
HEMMORAGE-MASSIVE BLEEDING
INFECTION-WHEN MICROORGANISMS COLONIZING THE WOUND MULTIPLY EXCESSIVELY OR INVADE TISSUES, INFECTIONS OCCUR
DEHISCENSE-PARTIAL OR TOTAL RUPTURE OF A SUTURED WOUND
EVISCERATION-PROTRUSION OF THE INTERNAL VISCERA THROUGH AN INCISION
IMPAIRED SKIN INTEGRITY IS A THREAT TO WHT TYPE OF PEOPLE
*CIENTS WITH RESTRICTED MOBILITY
*CHRONIC ILLNESS OR TRAUMA
INVASIVE HEALTH CARE PROCEDURES
WHAT ARE PRESSURE ULCERS
BEDSORES, DECUBITUS ULCERS OVER BONY PROMINENCES
A PRESSURE ULCER IS ONLY A LESION CAUSED BY UNRELIEVED PRESSURE THAT RESLUT IN DAMAGE TO THE UNDERLYING TISSUE
ETIOLOGY OF PRESSURE ULCERS
ISCHEMIA(LOCALIZED)-DEFICIENCY IN BLOOD SUPPLY TO TISSUE CELLS ARE DEPRIVED OF O2 AND NUTRIENTS TISSUE MAY DIE BECAUSE OF ANOXIA
REACTIVE HYPEREMIA-WHEN PRESSURE IS RELIEVED AND SKIN TURNS BRIGHT RED FLUSH
FRICTION-A FORCE ACTING PARALLEL TO SKIN SURFACE , SHEETS RUBBING
SHEARING FORCE-A COMBO OF FRICTION AND PRESSURE OCCURS COMMONLY IN FOWLERS POSITION
INTACT SKIN IS
PRESENCE OF NORMAL SKIN LAYERS UNINTERRUPTED BY WOUNDS
APPEARANCE OF SKIN AND SKIN INTEGRITY ARE INFLUENCED BY WHAT EXTERNAL FACTORS
GENETICS
AGE
UNDERLYING HEALTH OF INDIVIDUAL AS WELL AS EXTERNAL FACTORS LIKE ACTIVITY
WHAT IS REGENERATION
RENEWAL OF TISSUES
WHAT ARE 2 TYPES OF WOUND HEALING
PRIMARY INTENTION HEALING-OCCURS WHERE THE TISSUE SURFACES HAVE BEEN APPROXIMATED(CLOSED) AND THERE IS MINIMAL OR NO TISSUE LOSS(SURGICAL INCISION)
SECONDARY INTENTION HEALING=A WOUND THAT IS EXTENSIVE AND INVOLVES CONSIDERABLE TISSUE LOSS, EDGES CANNOT BE APPROXIMATED (PRESSURE ULCERS
NAME THE 3 PHASES OF WOUND HEALING
INFLAMMATORY
PROLIFERATIVE
MATURATION/REMODELING
DESCRIBE THE INFLAMMATORY PHASE OF WOUND HEALING
INFLAMMATORY PHASE IS INITIATED IMMEDIATELY ATER INJURY AND LAST 3-6 DAYS 2 MAJOR PROCESSES OCCUR
HEMOSTASIS-CESSATION OF BLEEDING
PHAGOCYTOSIS-MACROPHAGES ENGULF MICROORGANISMS AND CELLULAR DEBRIS
DESCRIBE THE PROLIFERATIVE PHASE OF WOUND HEALING
THE SECOND PHASE IN HEALING EXTENDS FROM DAY 3 OR 4 TO ABOUT DAY 21 POST INJURY
DESCRIBE THE MATURATION PHASE OF WOUND HEALING
BEGINS ABOUT DAY 21 AND CAN EXTEND 1 OR 2 YEARS AFTER INJURY FIBRBLAST CONTINUE TO SYNTHESES COLLAGEN DURING THIS STAGE THE WOUND IS REMODELED AND CONTRACTERD