Wound Care Lecture-7-
Definition of wounds, wound dressing purposes, wound assessment criteria, types of exudates, dressing techniques, equipment needed for dressing, and surgical complications related to wound care presented by M.Sc. Hassanain Mohammed Kadhim.
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Wound Care Lecture-7- Hassanain Mohammed kadhim
Definition of the wound Wound ; Is a break in the normal integrity of the skin and tissue Purpose of wound Dressing 1- TO protect the wound from infection 2- TO protect the wound from mechanical injury 3- TO provide proper temp 4- TO provide proper humidity 5- Proper body image 6- Enhance wound healing 7- Wound assessment 8- TO absorb exudates M.Sc Hassanain Mohammed Kadhim
Wound Assessment 1- Location 2- Color ;- pink ----normal -Red -----inflammation -Cyanosis or black ------abnormal necrosis or damage in the tissue 3- Size ;length , deep, width 4- Cleanliness ; - clean dry wound dirty dry wound - 5- Exudates according to COLDSPA 6- Pain Assessment - - M.Sc Hassanain Mohammed Kadhim
Exudates Exudates assessment (( amount , color , Odor ,consistency )) 1- Serous ((plasma )) it is a type of exudates yellow in color clear watery with out odor . 2- Sanguineous (( blood )) (( Frank & bright)) it is a type of exudates consist a large number of red blood cells red in color 3- Purulent (( pus )); it is a type of exudates yellow to green in color thick , bad in Odor consist of WBC & dead tissue & BOTH dead & live cells There are 4 type :
Exudates 4- Serosanguineous : it is a type of exudates is a mixture of serum and red blood cells , light pink in color Type of Dressing 1- Dry to Dry 2- Dry to Wet 3- Wet to Wet M.Sc Hassanain Mohammed Kadhim
Equipment for dressing 1- water proof drape ----- TO maintain the bed & clothes of the patient clean 2- clean gloves -----TO remove the old dressing 3- sterile gloves ---- TO performed the dressing 4- normal saline 5- Iodine M.Sc Hassanain Mohammed Kadhim
Surgical Complications 1- Wound Dehiscence and Evisceration Wounddehiscence (disruption of surgical incision or wound). Wound evisceration (protrusion of wound contents) . 2- Infection 3-Hematoma Bleeding occurs under the skin at the surgical site M.Sc Hassanain Mohammed Kadhim
. Phases of Wound Healing : 1. Inflammatory phase. 2. Proliferative phase ( connective tissue ) . 3. Maturation phase . M.Sc Hassanain Mohammed Kadhim