Lecture 8

Dehiscence: surgical incision separates

Promoting healthy skin

• Self assessment

• Bathing

• Nutrition

• Oral hydration

• Sunscreen

• Skin moisturizing

• Perfusion

• Mobility

Wound drainage

Purulent: yellow, foul odor

Serous: clear

Serousanguneios: light pink

Sanguious: bright red, new wound

Collect culture after cleaning wound

Clean from least contaminated to most

Dehiscene

Evisceration

Phases of normal wound healing

1. Inflammatory 1-5 days Cleaning and controlling initial bleeding

2. Proliferative 6-21 days “Rebuilding phase”

3. Remodeling 3 weeks - 24 months

Different types of skin integrity

Wound assessment

Wound classifications

• Acute

• Chronic

• Partial thickness

• Full thickness

Primary intention: healing that occurs when a laceration or surgical incision is closed primarily with sutures

Secondary intention: when a great deal loss of tissue or is extensive and the edges can’t be brought together (pressure ulcer)

Tertiary intention: healing is delayed by primary closure occurs when there is a need to delay the wound closing process