Wound Management & Dressing Selection

These flashcards cover essential vocabulary related to wound management and dressing selection to prepare for the exam.

What are the three layers of the skin?

Epidermis (top layer), Dermis (middle layer), Hypodermis (subcutaneous/fatty layer).

ist at least three functions of the skin.

ontrols body temperature, keeps out infection, produces Vitamin D, acts as a waterproof barrier,

communicates sensations, protects delicate organs, and self-repairs.

Define a wound.

A breakdown in the skin's protective function, resulting in loss of continuity of epithelium, with or

without loss of underlying tissue, due to injury, disease, or external factors.

What are the two classifications of wounds based on healing time?

Acute (traumatic or surgical) and Chronic (fail to heal within 4 to 12 weeks).

Name the three types of wound healing.

A: Primary intention, Secondary intention, Tertiary intention.

four phases of wound healing?

Hemostasis, Inflammation, Proliferation, Maturation/Remodelling.

What does the T.I.M.E.S framework stand for in wound assessment?

T - Tissue, I - Infection/Inflammation, M - Moisture imbalance, E - Edge of wound, S - Social and

patient factors.

Q: What does necrotic tissue look like?

Black or brown, eschar or soft, indicating dead, ischemic tissue.

Describe slough tissue.

Non-viable, yellow/green or white, made of dead cells accumulated in exudate, often found in

patches.

What are the signs of wound infection or inflammation?

Redness, heat, pain, swelling, pus, increased exudate, odour, and non-healing.

Why is moisture balance important in wound care?

Too much moisture can macerate surrounding skin; too little can dry out the wound and delay

healing.

What does the 'Edge' refer to in wound assessment?

Whether the wound edges are advancing (healing) or static, often measured for undermining or

tracking.

hy should wound measurements be taken?

To assess healing progress and guide treatment decisions accurately.

goal of wound debridement?

remove devitalized tissue and promote a healthy wound bed for healing.

three dressing types suitable for granulating wounds.

Non-adherent dressings (e.g., Adaptic Touch), Hydrocolloid dressings, Foam dressings.

function of silver dressings?

antimicrobial and disrupt biofilm, suitable for infected wounds with medium to high

exudate.

When should you reassess a wound?

every dressing change, or if the wound's condition changes.