Faster healing, capacity for autolysis, decreased rates of infection, decreased pain, fewer dressing changes, cost effect.

This wound is associated with the following:
Atrophy / wasting of subcutaneous tissue
Shiny, taut (tight) epidermis
Pale, cool to touch
Hairless legs
Thickened toenails
Atrophic (thin) skin

This wound is described as:
Location different from that of common chronic wound
Appearances vary from that of chronic wounds
Does not respond to conventional therapy
May require urgent intervention
May be non-healing after 3-6 mo of treatment
EXAMP

The wound bed of this wound is covered with slough or eschar

This type of burn involves only the epidermis or outer layer of the skin

The symptoms you may see include
• Skin is usually red and dry.
• Often there is swelling.
• Pain sometimes is present

When a wound occurs the following processes occur:
1.Coagulation/Clotting phase: 0-24 hrs
2.Inflammatory phase: 1-4 days
3.Proliferative/Migratory phase: 5 days – 10 months
4.Remodeling / Maturation phase 10- 24 months

You are seeing a patient in a nursing home who is completely dependent in ADLs and is bedbound. She has a large, hard black leathery covering over her sacrum. There is no drainage from this wound

This wound is
•Usually associated with some systemic disease: RA, Lupus, polyarteritis nodosa, Sjogren’s, scleraderma, dermatomyositis
•Immune system attacks blood vessels, causing inflammation.
•Inflammation damages blood vessels

This wound is described as partial thickness or loss of the upper dermis presenting as a shallow open ulcer with a red pink wound bed, without slough

This wound is usually caused by an inflammatory reaction to generally associated with Staphylococcus aureus, but they may be caused by other bacteria or fungi found on the skin's surface. This may also be seen following a surgical incision

Acute wounds move through phases of wound healing to heal EXAMPLE: Surgical Wounds

Chronic wounds stall in the inflammatory phase and do not heal/ take longer to heal EXAMPLE: Venous Ulcers

This wound is described as a shallow irregularly shaped ulcer occurring in the gator area of the lower extremity. The lower extremity may be edematous, have hemosiderin staining.

This wound has the following associated symptoms:
Burning, itching, tingling, or extreme sensitivity on the skin (usually limited to an area on one side of the body)
Typically present for one to three days, sometimes more, before a red rash appear

FRICTION Occurs when the patient's body - usually the elbows or heels - rub against a rough surface, such as the sheet
SHEAR Occurs when the head of the bed is raised. Although the skin and tissue remain stationary, the body's skeleton is forced downward

In this scenario a 98 yo woman fell last night scraping her forearm on the rug. The skin over the wound has been pulled off the sub ccutaneous tissure revealing red raw tissue which is bleeding or draining serous exudate.The wound appears below

•Redness/Erythema
•Incr exudate w/ color
•Slow or no healing
•Odor
•Incr WBC
•Incr Pain
•Swelling/ Induration

This wound is usually seen
Over phalangeal heads
Around heels and ankles
Medial, lateral and plantar surface of the foot

The wound usually has a punched out appearance and usually has minimal to scant drainage.

This wound is described
•A cancerous lesion involving the skin which is open and may by draining
•May present as nodule or lesion with a cauliflower like appearance
•Has a tendency to bleed when disturbed.
•Often become infected w/ aerobic and anaer

This type of wound may be described as a purple or maroon localized area of discolored intact skin or blood-filled blister and is caused by damage to underlying soft tissue from pressure and/or shear.
It may evolve into a STAGE III or STAGE IV ulcer OR

This is a 2-3 foot area surrounding the patient and his wound. When moving away from this area (e.g., turning around on swivel stool to get supplies), you need to remove gloves and sanitize hands

•Protein intake
•Caloric intake
•Well balanced diet/ vitamin supplements

This wound is described as full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed.

Slough may be present but does not obscure the depth of tissue loss.

May include undermining and tunneling.

You use the following technique when obtaining a culture. If wound is dry, moisten swab w/ NSS then
rotate a swabbover 1 cm of clean, viable tissue
For 5 seconds with enough pressure to extract fluid from the tissue,