Wound Remodeling and Impairments
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Questions and Answers

The remodeling phase of wound healing occurs prior to the proliferation phase.

False (B)

Wound contracture, where the wound edges pull together, occurs during the remodeling phase.

True (A)

A wound that achieves 100% of the tensile strength of non-wounded tissue is considered fully healed.

False (B)

Increased age usually improves the rate of wound healing due to accumulated immunity.

<p>False (B)</p> Signup and view all the answers

Adequate hydration accelerates the wound healing process.

<p>True (A)</p> Signup and view all the answers

Infection boosts the wound healing rate by attracting more immune cells.

<p>False (B)</p> Signup and view all the answers

Uncontrolled bleeding from a wound promotes faster clot formation.

<p>False (B)</p> Signup and view all the answers

Immunosuppression enhances wound healing by reducing inflammation.

<p>False (B)</p> Signup and view all the answers

In primary intention wound healing, wound edges are gently approximated.

<p>True (A)</p> Signup and view all the answers

Secondary intention wound healing usually results in reduced scar tissue compared to primary intention.

<p>False (B)</p> Signup and view all the answers

Flashcards

Remodeling/Maturation

Final phase; wound is reorganized and strengthened, lasting months to years.

Wound Strength

Wounded areas regain only up to 80% of the original strength of non-wounded tissue.

Impairments to Wound Healing

Advanced age, poor nutrition, dehydration, infection, excessive bleeding, medical conditions, medications, or immunosuppression.

Primary Wound Healing

Wound edges closely opposed with very little scar tissue.

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Secondary Wound Healing

Heals with more scar tissue, wound edges are not opposed.

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Tertiary Wound Healing

Wound initially heals by secondary intention and is later closed.

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Study Notes

  • Remodeling / Maturation starts during proliferation
  • Remodeling / Maturation lasts for months to years
  • During Remodeling / Maturation the repaired wound is reorganized and strengthened
  • Wounded areas in general will only get to 80% of the strength of non-wounded tissue

Impairment of Wound Healing:

  • Increased age can impair wound healing
  • Poor nutrition can impair wound healing
  • Poor hydration can impair wound healing
  • Wound type can impair wound healing
  • Infection can impair wound healing
  • Excessive bleeding can impair wound healing
  • Underlying medical conditions can impair wound healing
  • Medications (anti-inflammatory) can impair wound healing
  • Immunosuppression can impair wound healing

1° + 2° Wound Healing

  • Primary wound healing occurs when wound edges are closely opposed
  • Very little scar tissue forms during primary wound healing
  • Secondary wound healing heals with more scar tissue
  • Wound edges are not opposed during secondary wound healing
  • Tertiary wound healing is secondary wound healing that will be closed later

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Description

Wound remodeling involves tissue reorganization and strengthening, often lasting months to years. However, repaired tissues typically only regain 80% of their original strength. Factors such as age, nutrition, wound type, and medical conditions can significantly impair this healing process.

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