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    Wound Care

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    Janica Pauline Dayday

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    © All Rights Reserved
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    Wound Care

    Uploaded by

    Janica Pauline Dayday
    6 views2 pages

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    Wound-Care

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    6 views2 pages

    Wound Care

    Uploaded by

    Janica Pauline Dayday

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Wound Care

    INTRODUCTION
    Wound care is very important part of Nursing procedure in any health care setting. Wound come in all
    sizes and forms, and each one offers unique challenges to infection prevention.
    Wound is a type of injury in which a skin is torn, cut or punctured (open wound) or where blunt force
    trauma causes contusion (closed wound).

    Dressing is an adjunct used by a person for application to a wound to promote healing and/or prevent
    further harm. A dressing is designed to be in direct contact with wound, which makes it different from a
    bandage, which is primarily used to hold a dressing in place.

    CORE PURPOSES OF A DRESSING:


    A dressing can have a number of purposes, depending on the type, severity and position of the wound,
    although all purposes are focused towards promoting recovery and preventing further harm from the
    wound.

    KEY PURPOSES OF DRESSING ARE:


    1. Stem Bleeding – helps seal the wound to expedite the clotting process.
    2. Absorb exudates – soak up blood, plasma and other fluids exuded from the wound, containing it in
    one place.
    3. Ease pain – some dressing may have a pain-relieving effect, and others may have placebo effect.
    4. Debride the wound – removal of slough and foreign objects from the wound
    5. Protection from infection and mechanical damage
    6. Promote healing – through granulation and epithelialization.

    Classification of a Wound
    Size of the Wound
    • Large wounds – are more serious than small ones, they usually involve more severe bleeding, more
    damage to the underlying organs or tissues, and greater degree of shock.
    • Small wounds – are sometimes more dangerous than large ones; they may become infected more
    readily due to neglect
    Location of the Wound – since the wound may involve serious damage to the deeper structures, as well
    as to the skin and the tissue immediately below it, the location of the wound is important.

    Types of wounds:
     Abrasions – made when skin is rubbed or scraped off. Rope burns, floor burns and skinned knees
    or elbows are common examples of abrasions. It can be infected easily because dirt and germs
    may be embedded in the tissues.
     Incisions – commonly called CUTS, are wounds made by sharp cutting instruments such as
    knives, razors and broken glass. It tends to bleed freely because the blood vessels are cut cleanly
    and without ragged edges.
     Lacerations – wounds are torn rather than cut. They have ragged, irregular edges and masses of
    torn tissue underneath. Usually made by blunt, rather than sharp objects.
     Punctures – caused by objects that penetrates into the tissues while leaving a small surface
    opening. Wounds made by nails, needles, wire and bullets are usually punctures.
     Avulsions – is the tearing away of tissue from a body part. Bleeding usually heavy. In certain
    situations, the torn tissue may be surgically reattached.
     Amputations – is a nonsurgical removal of the limb from the body. Bleeding is heavy and
    requires a tourniquet to stop the flow. Shock is certain to develop in these cases.
    NOTE:
    • Before proceeding to wound care, you must first prepare and establish a sterile field.

    See checklist for the procedure

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