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19 Cards in this Set
- Front
- Back
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what is the primary function of the skin?
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protection
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what are the layers of the skin
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1. epidermis
2. dermis 3. subcutaneous tissue |
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how do you classify wounds?
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by cause and description, open or closed, severity and risk for infection
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name the 3 phases of wound healing
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1. inflammatory phase
2. proliferative or reconstrucitve phase 3. maturation or remodeling phase |
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when does the inflammatory phase start?
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begins at the time of injury ans lasts 3-4 days
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When does the proliferative phase start?
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4-21 days after accident
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how long does the maturation phase last
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3 weeks to 1 year
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what are some complications of wound healing?
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hemorrhage, or infection
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define pressure ulcer
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any lesion caused by unrelieved pressure that leads to damage of underlying tissues
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describe stage I of a pressure ulcer
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nonblanchable erythema of intact skin
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describe stage II of a pressure ulcer
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partical-thickness skin loss involving the epidermis, dermis or both
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describe stage III of a pressure ulcer
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full-thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend to, but not through, the underlying fascia
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describe stage IV of a pressue ulcer
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full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures
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what are some factors affecting skin and wound healing?
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lifestyls, developmental, physiological, and environmental
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what are some ND for skin integrity?
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*Risk for impaired skin integrity
* impaired skin integrity *Impaired tissue integrity |
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what are the physiologic effects of heat?
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*vasodilation, *Increases cap permeability, * increases cellular metabolism, *increases inflammation, *sedative effect
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what are the physiologic effects of cold?
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*vasoconstriction, *decreases cap permeability, *decreases cellular metabolism, * slows bacterial growth, *decreases inflammation, *local anesthetic effect
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what are some things that would contraindicate heat?
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*1st 24 hrs after injury, *active hemorrhage, *localized malignant tumor, *skin disorders that caus redness or blisters
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What are some things that could contrindicate cold?
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open wounds, impaired circultaion, allery or hypersensitivity to cold
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