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41 Cards in this Set

  • Front
  • Back
2 types healing
Regeneration
repair
regeneration
replace lost cells with same type of cells
repair
most common form of healing result in scar
parts of repair
primary - neatly approximated
2- result from trauma ulder injury irr border drain heals from bottom up
3- delayed suture of wound 2 layers of granulation tissue together
initial phase
phase of primary intention

edges come together
blood clots form and release growth factor
wound debri removed make room capillary growth
granulation phase
phase of primary intention
-wound pink and vascular
-most risk dehescense and inf
-fibroblasts - cells migrate into healing site and secrete collagen
scar contracture
last phase of primary intention
-fibroblasts disappear
-remodel collagen
-strengthen scar
what do you do with
red
yellow
black wounds?
red cover
yellow cleanse
black debride
purpose of wound care
-clean wound to remove dirt
-treat infection prepare healing
-protect clean wound from trauma
when deficient affects wound healing how
vitamin c
protein
zinc
vitamin c- delay collagen fibers and capillary growth
protein- decrease supply amino acids for tissue repair
zinc - impair epithelialization
LPN wounds delegation
-sterile dressing acute and chronic wounds
-apply topical meds
-prescribed dressing/meds to prepare for debridement
-collect/record data about appearance
-reinforce teaching
NAP wounds delegation
-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O
-report change in wound appearance
pressure ulcers
stage 1- nonblanching red
S2- partial thickness loss
S3 full thickness loss not thru fascia
S4 full thickness loss thru fascia
adhesion
band scar tissue form btwn or around organs
contracture
normal but if excessive can cause deformity
evisceration
wound exits
dehiscense
edges seperate
LPN wounds delegation
-sterile dressing acute and chronic wounds
-apply topical meds
-prescribed dressing/meds to prepare for debridement
-collect/record data about appearance
-reinforce teaching
excess granulation
protrude above surface of healing wound
fistula
abnormal passage btwn organ and skin
NAP wounds delegation
-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O
-report change in wound appearance
hypertrophic
overabundance of collagen makes raised red and hard scar
pressure ulcers
stage 1- nonblanching red
S2- partial thickness loss
S3 full thickness loss not thru fascia
S4 full thickness loss thru fascia
adhesion
band scar tissue form btwn or around organs
contracture
normal but if excessive can cause deformity
evisceration
wound exits
dehiscense
edges seperate
LPN wounds delegation
-sterile dressing acute and chronic wounds
-apply topical meds
-prescribed dressing/meds to prepare for debridement
-collect/record data about appearance
-reinforce teaching
excess granulation
protrude above surface of healing wound
NAP wounds delegation
-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O
-report change in wound appearance
fistula
abnormal passage btwn organ and skin
hypertrophic
overabundance of collagen makes raised red and hard scar
pressure ulcers
stage 1- nonblanching red
S2- partial thickness loss
S3 full thickness loss not thru fascia
S4 full thickness loss thru fascia
adhesion
band scar tissue form btwn or around organs
contracture
normal but if excessive can cause deformity
evisceration
wound exits
dehiscense
edges seperate
excess granulation
protrude above surface of healing wound
fistula
abnormal passage btwn organ and skin
hypertrophic
overabundance of collagen makes raised red and hard scar
keloid
scar tissue that extends beyond wound edges