Scribd Logo
Upload

Welcome to Scribd!

  • 90 views

    Wound Management

    Uploaded by

    Meagan Ristevski
    This document provides education on wound care management and dressing selection for hospital staff. It discusses the principles of wound healing, including that successful healing depends on patient factors like blood supply and controlling adverse influences. It also outlines the anatomy and physiology of skin, types of wound healing, wound care products, and wound assessment and management.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd

    Wound Management

    Uploaded by

    Meagan Ristevski
    90 views23 pages
    This document provides education on wound care management and dressing selection for hospital staff. It discusses the principles of wound healing, including that successful healing depends on patient factors like blood supply and controlling adverse influences. It also outlines the anatomy and physiology of skin, types of wound healing, wound care products, and wound assessment and management.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides education on wound care management and dressing selection for hospital staff. It discusses the principles of wound healing, including that successful healing depends on patient factors like blood supply and controlling adverse influences. It also outlines the anatomy and physiology of skin, types of wound healing, wound care products, and wound assessment and management.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    90 views23 pages

    Wound Management

    Uploaded by

    Meagan Ristevski
    This document provides education on wound care management and dressing selection for hospital staff. It discusses the principles of wound healing, including that successful healing depends on patient factors like blood supply and controlling adverse influences. It also outlines the anatomy and physiology of skin, types of wound healing, wound care products, and wound assessment and management.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    Wound Management

    Presented by Meagan Simmonds

    Objectives
     Provide

    education to all staff of 3east on wound care management  Provide education to all staff on appropriate dressing selection

    Wound Management Principles


    

    Successful wound healing is largely dependent on the patient. Expensive dressings will do little to improve healing if the patient does not also have:
    

    A good blood supply to deliver essential wound repair components to the wound site e.g oxygen, nutrients (such as protein, vitamins and minerals) and essential wound repair cells (such as monocytes/macrophages, neutrophils, fibroblasts, monocytes/macrophages, neutrophils, myofibroblasts and growth factors) Adverse influences impeding wound healing being controlled odema, odema, infection, disease, malnourishment etc.

    Principles of Management
            

    Understand the clinical significance of our actions in promoting or hindering wound healing i.e. the need to be knowledgeable about normal wound healing physiology. Systematically determine the cause of a wound by history taking and requesting relevant clinical investigations. Medical management of the cause of the wound is complimenting topical management Acknowledge patient variables with potential to delay healing. Systematically determine the objective of management Routinely use non-irritating, pH friendly, cleansing solutions nonUse effective cleansing/debriding techniques dependent on cleansing/debriding wound/patient type. Always promote prevention of wounds Objectively evaluate wound progress/deterioration

    ANATOMY & PHYSIOLOGY OF THE SKIN

    Functions of the Skin


     Thermoregulation  Protection  Sensation  Cosmesis  Metabolic

    synthesis

    Structure of the Skin


     The
      

    skin comprises three layers:

    Epidermis Dermis Subcutaneous

    Epidermis
    Does not have a blood supply  Contains 4 distinct cell types
    
    

    Keratinocytes (produces keratin which helps waterproof the skin) Melanocytes (produces melanin which is a skin pigment) Langerhans & Granstein cells (involved in immunity)

    Contains four or five cell layers. High friction areas (palms & soles) have five layers

     Stratum

    basale  Stratum spinosum  Stratum granulosum  Stratum lucidum  Stratum cerneum

    Dermis
     Is

    composed of connective tissue containing many nerve endings, hair follicles, glands and blood vessels.  Is thick on the soles of feet and on the palms of the hand, but is thin on the eyelids, penis & scrotum.

    Subcutaneous Layer
     Main

    constituent is adipose tissue, nerve fibres, arteries, veins and sweat glands.

    TYPES OF WOUND HEALING

    Primary Intention Healing


     Full

    thickness wound edges are approximated (brought together) shortly after the primary wound has been created e.g. Clean surgical wounds with no tissue loss.

    Delayed Primary Closure


     This

    is when closure of grossly contaminated wounds e.g. Animal bites is delayed (4-5 days) to allow time for host (4inflammatory and immune responses (neutrophils & macrophages) to reduce the risk of infection.

    Superficial Wound Healing

    Wound care products


    

    Moist Wound Healing Products


       

    Lightly exudating superficial wounds Moderately exudating superficial wounds Heavily exudating superficial wounds Very heavily exudating superficial wounds

    Dry Necrotic Wounds Excoriated Skin Treatment Cavity wound- moderately exudating woundCavity wound- Heavily exudating woundCavity Wound- Very heavily exudating Wound Fragile Skin  Critically Colonised wounds
        

    Physiology of wound healing


     Inflammation

    Phase

    Modes of wound healing

    Factors affecting healing

    Wound Assessment

    Wound Management

    Acute wound Management

    Chronic wound management

    You might also like