Nursing Strategy

Wound

objective

At the end of this presentation we will be able to gain knowledge and understanding about:

  1. To define the wound.

  2. Types of wound.

  3. Management nursing (involvement to improve) wound healing.

Mean

An injury done to the body or feeling.

definition

    ❖ “Our skin the body’s largest organs, skin layers (epidermis so dermis) subcutaneous tissues muscles & bones involved in any injury is called wound.”

Pamela Brown, Quick Reference to Wound Care

types of Wound

There are two types of wound.

  1. Partial Wound

  2. Full wound.

Partial Wound

In partial thickness our skin layer epidermis is involve in it for example taps burns sunburn and blisters not involved blood vessels & deeper tissues some types of skin tears (only epidermis) 2nd stage of pressures ulcer.

full wound

Full thickness involve a subcutaneous layers or extend into muscle to bone. Example deep layers ulcer deep buns and stage II or stage I/v pressure.

healing process

Wound healing is a complex process involving many factors before treatment causative agent knowledge is essential.

causative factor

Primary Causative

  1. Pressure

  2. Friction

  3. Shear

  4. Circulatory impairment

  5. Neuro-pathy

  6. Moisture

Secondary Causative

  1. Delay healing

  2. Diabetes

  3. Steroid administration

  4. Immunosupperssion

  5. Aging

  6. Obesity

  7. Nutrition

The normal mechanism process of wound healing in four stages this is continue process with one phase into other.

dressing

  1. Moist a pad of clear gauze solution in the clear container.

  2. Place the catch basin under the wound edge to collect the fluid.

  3. Work in a circular pattern starting at the center of the wound.

  4. Remove any pus or loose tissues with the gauze pad.

  5. Not press hard and scrub because this tissue damage & slow healing.

  6. Not return back to center... [continues]

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