Questions and Answers
What is a key parameter to consider when performing a wound assessment?
Wound exudate
In wound assessment, what does the extent of tissue involvement refer to?
The depth of the wound
When assessing a wound, what should be noted in terms of wound size?
Wound dimensions like width, length, and depth
What should be considered when identifying the type of wound during assessment?
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How does medication impact wound healing?
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What is the primary focus during the Planning stage of patient care according to Dr. Ide Costa's lecture?
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In the Implementation stage of patient care, what is emphasized in terms of topical care?
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What is crucial to assess during the Evaluation stage of patient care related to skin integrity and wound healing?
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During the maturation phase of wound healing, what happens to the tensile strength of the healed tissue?
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When documenting wound appearance, what should be noted regarding granulation tissue?
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In primary intention wound healing, what is a characteristic of the wound edges?
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What characterizes wound healing through tertiary intention?
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In secondary intention wound healing, what fills in the area of tissue loss?
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How long does the healing process typically last in wounds that are closed but will continue to heal?
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What is the primary purpose of the hemostasis phase in wound healing?
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Which type of cells are essential for cleaning the wound and defending it against bacteria during the inflammatory phase?
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What is the main function of fibroblasts during the proliferative phase of wound healing?
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During which phase of wound healing does angiogenesis occur?
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Which cellular events take place to achieve resurfacing, reconstitution, and restoration of tensile strength in injured tissue during wound healing processes?
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Which of the following is NOT one of the key principals included in the acronym TIME for wound bed preparation?
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What is the main focus of selecting a dressing for a wound?
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Which phase of wound healing involves vasodilation, edema, exudate formation and macrophage/ leucocyte presences?
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How does infection impact the wound healing process?
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What is the purpose of wound packing in wound care management?
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In wound care, what type of gauze is typically used for filling narrow areas?
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During an episode of acute bleeding, what is the priority in applying a pressure bandage?
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What is the primary use of an abdominal binder in post-operative care?
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Which nursing diagnosis is related to insufficient knowledge regarding pressure injury prevention?
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What is a key principle of patient-centered wound care highlighted in the lecture?
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Which of the following is NOT a step emphasized in Principles of wound management lecture?
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What type of dressing is known to keep the wound moist for increased wound healing?
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What is the significance of assessing a patient's or caregiver's knowledge of wound care?
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Why is it important to identify the cause and type of wound in wound management?
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What action can help prevent accidental dislocation of wound drainage tubes when changing the dressing?
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Which type of dressing is particularly good at managing wounds with high levels of exudate?
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What is a key reason for emphasizing hand hygiene before and after dressing changes?
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Pressure ulcer prevention strategies often focus on:
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How can medication impact wound healing?
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Match all below.
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A deep tissue injury is not gradable due variation in skin integrity. Can be intact or not intact skin with blanch-able deep red or maroon discolouration revealing blood filled blisters.
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An unstageable pressure injury is a full thickness skin and/or tissue loss where the loss cannot be determined due to obscure slough and eschar.
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What does the numonic for evidence-based practice or pressure injury prevention stand for? (ADSD)
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An acute wound progresses through the normal stages of wound healing and show clear signs of healing within four weeks. (ex. abrasion, lacerations, surgical incisions)
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A chronic wound doesn't progress normally through the four stages of healing often getting stalled at one of the phases. They also show no evidence of healing within four weeks. (venous, arterial or diabetic ulcers)
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MATCH the stages of healing
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match the types of wounds
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What is not a factor affecting healing processes?
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Study Notes
Wound Assessment
- A key parameter to consider when performing a wound assessment is the extent of tissue involvement.
- When assessing a wound, the wound size should be noted in terms of length, width, and depth.
- The type of wound should be identified, considering factors such as wound edges, granulation tissue, and tissue loss.
Wound Healing
- Medication can impact wound healing by affecting the healing process.
- The primary focus during the Planning stage of patient care is to identify the type of wound and develop a plan for wound management.
- During the Implementation stage, topical care is emphasized, including dressing selection and wound cleaning.
- During the Evaluation stage, skin integrity and wound healing should be assessed.
- During the maturation phase of wound healing, the tensile strength of the healed tissue increases.
- In primary intention wound healing, the wound edges are well-approximated, and the wound is closed.
- In secondary intention wound healing, granulation tissue fills in the area of tissue loss.
- In tertiary intention wound healing, the wound is left open and then closed at a later time.
- The healing process typically lasts several weeks in wounds that are closed but will continue to heal.
Wound Healing Phases
- The primary purpose of the hemostasis phase is to stop bleeding.
- During the inflammatory phase, neutrophils and macrophages clean the wound and defend it against bacteria.
- During the proliferative phase, fibroblasts produce collagen to strengthen the wound.
- Angiogenesis occurs during the proliferative phase, allowing for new blood vessel formation.
- During the remodeling phase, cellular events take place to achieve resurfacing, reconstitution, and restoration of tensile strength in injured tissue.
Wound Care Management
- The primary purpose of wound packing is to remove dead tissue and debris.
- In wound care, gauze is typically used for filling narrow areas.
- During an episode of acute bleeding, the priority is to apply a pressure bandage to stop the bleeding.
- An abdominal binder is used in post-operative care to provide support and stability.
- Insufficient knowledge regarding pressure injury prevention is a key nursing diagnosis.
- A key principle of patient-centered wound care is to emphasize education and involvement in wound management.
Wound Types and Prevention
- An acute wound progresses through the normal stages of wound healing and shows clear signs of healing within four weeks.
- A chronic wound doesn't progress normally through the four stages of healing and often gets stalled at one of the phases.
- Pressure ulcer prevention strategies often focus on reducing pressure and ensuring proper wound care.
- The mnemonic ADSD stands for evidence-based practice or pressure injury prevention.
- A deep tissue injury is not gradable due to variation in skin integrity.
- An unstageable pressure injury is a full-thickness skin and/or tissue loss where the loss cannot be determined due to obscure slough and eschar.