Wound Healing Principles

the 5 principles of wound healing?

remove cause

tissue temp

moisture balance/keep wound bed moist

control bacteria

adequate nutrition

principle 1: remove the cause

pressure

repetitive trauma

Wbing

edema

arterial compromise

avoid changes in wound bed temp!! How? how often change dressings?*

dec number of dressing changes

every 3-7 days**

reapply loose or removed dressing immediately

dry cells BLANK

die

how to manage tissue temp (principle 2) wet and dry..

keep wound covered

add moisture to wound bed

too wet??

manage drainage with absorptive dressings

increase dressing change frequency

Principle 3: Moisture Balance. Bacteria?

bacteria moves in with a break in the skin

bacteria competes with nutrients and O2 in wound bed

How to control bacteria in a wound?

- cleanse wound properly at each dressing change

- debridement of necrotic tissue (necrotic tissue harbors bacteria)

- high bacteria levels should always be addressed first (antimicrobials)

- pack dead space

(leads to infection if not)