Tissue Integrity and Wound Care

These flashcards cover essential vocabulary related to tissue integrity and wound care, based on the lecture notes provided.

Tissue Integrity

The ability of body tissues to maintain structure and function, often used in the context of skin health and wound healing.

Braden Scale

A tool used to assess a patient's risk for developing pressure ulcers, with a score of 23 total points where a score of <18 indicates risk.

Pressure Injury Stage 1

Intact skin with non-blanchable redness, indicating pressure injury at the earliest stage.

Stage 2 Pressure Injury

Partial-thickness skin loss with a shallow open ulcer, characterized by a red wound without slough.

Stage 3 Pressure Injury

Full-thickness tissue loss, where subcutaneous fat may be visible but bone, tendon, or muscle is not exposed.

Stage 4 Pressure Injury

Full-thickness tissue loss with exposed bone, tendon, or muscle, indicating severe injury.

Secondary Intention Wound Healing

Healing that occurs with significant tissue loss and open wound edges, requiring more time for healing.

Sanguineous Exudate

Bright red blood that indicates active bleeding in a wound.

Purosanguineous Exudate

A mixture of pus and blood found in newly infected wounds.

Complications of Wound Healing

Infection, hemorrhage, dehiscence, and evisceration that may complicate the healing process.

Malnutrition

A factor that can impair wound healing by lacking essential nutrients necessary for tissue repair.