Term
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Definition
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Term
Status of Skin Integrity:
1. Open
2. Closed
3. Acute
4. Chronic |
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Definition
Open: break in the skin
Closed: no break in the skin
Acute: wound goes through normal healing process
Chronic: fails to heal quickly
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Term
Causes:
1. Intentional
2. Unintentional |
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Definition
1. Intentional: Wound resulting from therapy (surgery)
2. Unintentional: Wound occurs unexpectedly |
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Term
Severity of Injury
1. Superficial:
2. Penetrating
3. Perforating |
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Definition
1. Superficial: involves epidermis only
2. Penetrating: involves epidermis, dermis, and deeper tissues or organs
3. Perforating: foreign object enters and exits an internal organ
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Term
Descriptive Qualities:
1. Laceration
2. Abrasion
3. Contusion |
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Definition
1. tearing tissue, irregular edges
2. scrape
3. bruise |
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Term
Types of Wound Healing:
1. Primary Intention
2. Secondary Intention |
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Definition
1. healing, little or no loss tissue
2. tissue lost, wound open to heal, fills with scar tissue |
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Term
| What impairs wound healing? |
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Definition
age
malnutrition
obesity
impaired oxygenation
smoking
drugs
diabetes
radiation
wound stress |
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Term
| Phases of Wound Healing (Full Thickness Wound) |
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Definition
1. Inflammatory Phase-body reacts to wounding, begins within minutes, lasts up to 3 days
2. Proliferative Phase-new blood vessels appear, lasts 3-24 days
3. Remodeling-maturation, scar tissue formation, make take 1 year |
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Term
Complications of Wound Healing:
1. hemorrhage
2. infection
3. dehiscence
4. evisceration
5. fistula |
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Definition
1. Hemorrhage: external or internal
2. Infection: purulent drainage is present (yellow, green, or brown with odor)
3. Dehiscence: partial or total separation of wound layers
4. Evisceration: total separation of wound layers with protrusion of organs possible
5. Fistula: abnormal passage between 2 organs or between an organ and outside body |
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Term
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Definition
| localized tissue destruction caused by the compression of soft tissue over a bony prominence and an external surface for a period of time |
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Term
Stages of Pressure Ulcers
I
II
III
IV |
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Definition
I. intact skin, nonblanchable redness of localized area
II. partial-thickness skin loss involving epidermis, dermis, or both
III.full thickness tissue loss; subcutaneous fat may be visible
IV. full-thickness with exposed bone, tendon, or muscle |
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