Wound Care and Management

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the main function of a dressing in wound care?

To remove debris from the wound

To cause further irritation to the wound

To promote infection

To prevent infection and promote wound healing (correct)

What is the primary cause of pressure injury?

Moist heat and humidity

Tension and stress on the skin

Pressure between a bony prominence and an external surface (correct)

Friction and shearing forces

What is the characteristic of serosanguineous drainage?

Mixture of serum and RBC (correct)

Clear and watery

Thick and yellow

Dark yellow or green

What is the purpose of heat therapy in wound care?

To reduce muscle tension and promote relaxation Signup and view all the answers

What type of wound is characterized by a foreign object entering the skin or mucous membrane?

Puncture wound Signup and view all the answers

What is the primary characteristic of eschar?

Dry, black, and leathery tissue Signup and view all the answers

What is the purpose of irrigating wounds from top to bottom?

To clean the wound and remove debris Signup and view all the answers

What is the main difference between serous and purulent drainage?

Color and consistency Signup and view all the answers

What is the most serious complication of dehiscence?

Evisceration Signup and view all the answers

What does yellow indicate in wound healing?

Drainage Signup and view all the answers

What is the main purpose of repositioning in wound care?

To reduce pressure on the wound Signup and view all the answers

What is the range of hemoglobin levels in a healthy individual?

12-18 Signup and view all the answers

What is the primary intention of wound healing?

Surgical closure of the wound Signup and view all the answers

What is the term for the partial or total separation of a wound?

Dehiscence Signup and view all the answers

Moist heat helps remove debris from a wound.

True Signup and view all the answers

Pressure injury develops in bone tissue.

False Signup and view all the answers

Dehiscence is the most serious complication of evisceration.

False Signup and view all the answers

A wound dressing prevents infection.

True Signup and view all the answers

Fever is not a sign of infection in a wound.

False Signup and view all the answers

Wound healing by secondary intention takes less time to heal.

False Signup and view all the answers

NERDS is an acronym used to describe a certain type of wound.

True Signup and view all the answers

Red dressing is used to protect the wound.

True Signup and view all the answers

Cold therapy is used to reduce muscle tension.

True Signup and view all the answers

Yellow dressing indicates the need for wound healing.

False Signup and view all the answers

Black dressing indicates eschar and requires removal.

True Signup and view all the answers

Serosanguineous drainage is a mixture of serum and white blood cells.

False Signup and view all the answers

The normal range of hemoglobin level is between 10-16.

False Signup and view all the answers

A penetrating wound is caused by a blunt instrument.

False Signup and view all the answers

Moist heat helps soften and remove ______ from a wound.

crust Signup and view all the answers

Pressure injury develops in ______ tissue.

soft Signup and view all the answers

A function of a dressing is to prevent ______.

infection Signup and view all the answers

Signs and symptoms of infection include ______.

fever Signup and view all the answers

NERDS is an acronym used to describe a ______ wound.

non-healing Signup and view all the answers

STONEES is an acronym used to describe ______ in wound care.

signs Signup and view all the answers

Heat therapy reduces ______ tension.

muscle Signup and view all the answers

Purulent drainage is characterized by a ______ odor.

foul Signup and view all the answers

Evisceration is a complication of _______________

dehiscence Signup and view all the answers

Wound healing by _______________ intention takes longer to heal

secondary Signup and view all the answers

Skin redness is also known as _______________

erythema Signup and view all the answers

Interventions for skin breakdown include _______________ and reposition

wool barriers Signup and view all the answers

Factors that affect healing include _______________ and nutritional status

circulation Signup and view all the answers

The normal range of hemoglobin levels is between _______________

12-18 Signup and view all the answers

What helps soften and remove crust in wound care?

Moist heat Signup and view all the answers

What type of wound develops in soft tissue?

Pressure injury Signup and view all the answers

What is a function of a dressing in wound care?

Protecting the wound Signup and view all the answers

What are signs and symptoms of infection in a wound?

All of the above Signup and view all the answers

What does NERDS stand for in wound care?

Non-healing, Exudative, Red, Debris, Smell Signup and view all the answers

What is the purpose of heat therapy in wound care?

Reducing muscle tension Signup and view all the answers

What is the characteristic of purulent drainage?

Thick and foul-smelling Signup and view all the answers

What is eschar?

Dead, necrotic tissue Signup and view all the answers

What is the result of dehiscence?

Wound completely separates Signup and view all the answers

What is the purpose of yellow dressings in wound healing?

To indicate drainage Signup and view all the answers

What is a factor that affects wound healing?

All of the above Signup and view all the answers

What is the term for wound healing that occurs naturally, without surgical intervention?

Secondary intention Signup and view all the answers

What is the term for skin redness?

Erythema Signup and view all the answers

What is an intervention for skin breakdown?

All of the above Signup and view all the answers

Study Notes

Wound Care and Healing

Moist heat helps soften and remove crust from wounds.
Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

Infection prevention
Wound healing promotion
Protection of the wound

Signs and Symptoms of Infection

Fever
Redness
Swelling
Odor
Malaise
Increased pain
Elevated pulse
Elevated blood pressure

Wound Classification

NERDS

N: Non-healing wound
E: Exudative wound (leaking)
R: Red and bleeding wound
D: Debris from wound
S: Smell from wound

STONEES

S: Size is bigger
T: Temp increased
O: Exposed Bone
N: New areas of breakdown
E: Exudate (fluid that leaks)
E: Erythema, edema
S: Smell

Wound Irrigation and Heat Therapy

Irrigate wounds from top to bottom
Heat therapy:
- Reduces muscle tension
- Treats infections
- Used for surgical wounds
- Inflamed tissue
- Arthritis
- Joint pain

Cold Therapy

Reduces inflammation
Reduces muscle spasm
Produces numbness

Wound Drainage

Serous drainage: clear, watery
Sanguineous drainage: large number of RBC, looks like blood
Serosanguineous drainage: mixture of serum and RBC, light pink in color
Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
Puncture wound: blunt or sharp instrument punctures skin
Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

Erythema: skin redness
Dehiscence: partial or total separation of wound, result of stress
Wound healing by secondary intention:
- Takes longer to heal
- Left open
- Heals by itself
- Fills in and closes naturally
Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

Reposition
Wool barriers
Antiseptic sprays
Lotions
Emollient
Fluid status
Nutritional status
Assessments
Pressure mattress
Mobilization
Maintain HOB

Factors that Affect Healing

Age
Medication
Comorbidities
Nutritional status
Circulation
Wound care
Immunosuppression

Wound Closure

Primary intention: superficial, surgical, burns
Secondary intention: wounds that are infected
Tertiary intension: delayed primary closure

Hemoglobin Range

12-18

Wound Care and Healing

Moist heat helps soften and remove crust from wounds.
Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

Infection prevention
Wound healing promotion
Protection of the wound

Signs and Symptoms of Infection

Fever
Redness
Swelling
Odor
Malaise
Increased pain
Elevated pulse
Elevated blood pressure

Wound Classification

NERDS

N: Non-healing wound
E: Exudative wound (leaking)
R: Red and bleeding wound
D: Debris from wound
S: Smell from wound

STONEES

S: Size is bigger
T: Temp increased
O: Exposed Bone
N: New areas of breakdown
E: Exudate (fluid that leaks)
E: Erythema, edema
S: Smell

Wound Irrigation and Heat Therapy

Irrigate wounds from top to bottom
Heat therapy:
- Reduces muscle tension
- Treats infections
- Used for surgical wounds
- Inflamed tissue
- Arthritis
- Joint pain

Cold Therapy

Reduces inflammation
Reduces muscle spasm
Produces numbness

Wound Drainage

Serous drainage: clear, watery
Sanguineous drainage: large number of RBC, looks like blood
Serosanguineous drainage: mixture of serum and RBC, light pink in color
Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
Puncture wound: blunt or sharp instrument punctures skin
Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

Erythema: skin redness
Dehiscence: partial or total separation of wound, result of stress
Wound healing by secondary intention:
- Takes longer to heal
- Left open
- Heals by itself
- Fills in and closes naturally
Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

Reposition
Wool barriers
Antiseptic sprays
Lotions
Emollient
Fluid status
Nutritional status
Assessments
Pressure mattress
Mobilization
Maintain HOB

Factors that Affect Healing

Age
Medication
Comorbidities
Nutritional status
Circulation
Wound care
Immunosuppression

Wound Closure

Primary intention: superficial, surgical, burns
Secondary intention: wounds that are infected
Tertiary intension: delayed primary closure

Hemoglobin Range

12-18

Wound Care and Healing

Moist heat helps soften and remove crust from wounds.
Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

Infection prevention
Wound healing promotion
Protection of the wound

Signs and Symptoms of Infection

Fever
Redness
Swelling
Odor
Malaise
Increased pain
Elevated pulse
Elevated blood pressure

Wound Classification

NERDS

N: Non-healing wound
E: Exudative wound (leaking)
R: Red and bleeding wound
D: Debris from wound
S: Smell from wound

STONEES

S: Size is bigger
T: Temp increased
O: Exposed Bone
N: New areas of breakdown
E: Exudate (fluid that leaks)
E: Erythema, edema
S: Smell

Wound Irrigation and Heat Therapy

Irrigate wounds from top to bottom
Heat therapy:
- Reduces muscle tension
- Treats infections
- Used for surgical wounds
- Inflamed tissue
- Arthritis
- Joint pain

Cold Therapy

Reduces inflammation
Reduces muscle spasm
Produces numbness

Wound Drainage

Serous drainage: clear, watery
Sanguineous drainage: large number of RBC, looks like blood
Serosanguineous drainage: mixture of serum and RBC, light pink in color
Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
Puncture wound: blunt or sharp instrument punctures skin
Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

Erythema: skin redness
Dehiscence: partial or total separation of wound, result of stress
Wound healing by secondary intention:
- Takes longer to heal
- Left open
- Heals by itself
- Fills in and closes naturally
Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

Reposition
Wool barriers
Antiseptic sprays
Lotions
Emollient
Fluid status
Nutritional status
Assessments
Pressure mattress
Mobilization
Maintain HOB

Factors that Affect Healing

Age
Medication
Comorbidities
Nutritional status
Circulation
Wound care
Immunosuppression

Wound Closure

Primary intention: superficial, surgical, burns
Secondary intention: wounds that are infected
Tertiary intension: delayed primary closure

Hemoglobin Range

12-18

Wound Care and Healing

Moist heat helps soften and remove crust from wounds.
Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

Infection prevention
Wound healing promotion
Protection of the wound

Signs and Symptoms of Infection

Fever
Redness
Swelling
Odor
Malaise
Increased pain
Elevated pulse
Elevated blood pressure

Wound Classification

NERDS

N: Non-healing wound
E: Exudative wound (leaking)
R: Red and bleeding wound
D: Debris from wound
S: Smell from wound

STONEES

S: Size is bigger
T: Temp increased
O: Exposed Bone
N: New areas of breakdown
E: Exudate (fluid that leaks)
E: Erythema, edema
S: Smell

Wound Irrigation and Heat Therapy

Irrigate wounds from top to bottom
Heat therapy:
- Reduces muscle tension
- Treats infections
- Used for surgical wounds
- Inflamed tissue
- Arthritis
- Joint pain

Cold Therapy

Reduces inflammation
Reduces muscle spasm
Produces numbness

Wound Drainage

Serous drainage: clear, watery
Sanguineous drainage: large number of RBC, looks like blood
Serosanguineous drainage: mixture of serum and RBC, light pink in color
Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
Puncture wound: blunt or sharp instrument punctures skin
Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

Erythema: skin redness
Dehiscence: partial or total separation of wound, result of stress
Wound healing by secondary intention:
- Takes longer to heal
- Left open
- Heals by itself
- Fills in and closes naturally
Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

Reposition
Wool barriers
Antiseptic sprays
Lotions
Emollient
Fluid status
Nutritional status
Assessments
Pressure mattress
Mobilization
Maintain HOB

Factors that Affect Healing

Age
Medication
Comorbidities
Nutritional status
Circulation
Wound care
Immunosuppression

Wound Closure

Primary intention: superficial, surgical, burns
Secondary intention: wounds that are infected
Tertiary intension: delayed primary closure

Hemoglobin Range

12-18

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers various aspects of wound care, including the role of moist heat, pressure injury, function of dressings, and signs and symptoms of infection.