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41 Cards in this Set
- Front
- Back
2 types healing
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Regeneration
repair |
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regeneration
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replace lost cells with same type of cells
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repair
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most common form of healing result in scar
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parts of repair
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primary - neatly approximated
2- result from trauma ulder injury irr border drain heals from bottom up 3- delayed suture of wound 2 layers of granulation tissue together |
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initial phase
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phase of primary intention
edges come together blood clots form and release growth factor wound debri removed make room capillary growth |
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granulation phase
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phase of primary intention
-wound pink and vascular -most risk dehescense and inf -fibroblasts - cells migrate into healing site and secrete collagen |
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scar contracture
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last phase of primary intention
-fibroblasts disappear -remodel collagen -strengthen scar |
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what do you do with
red yellow black wounds? |
red cover
yellow cleanse black debride |
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purpose of wound care
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-clean wound to remove dirt
-treat infection prepare healing -protect clean wound from trauma |
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when deficient affects wound healing how
vitamin c protein zinc |
vitamin c- delay collagen fibers and capillary growth
protein- decrease supply amino acids for tissue repair zinc - impair epithelialization |
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LPN wounds delegation
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-sterile dressing acute and chronic wounds
-apply topical meds -prescribed dressing/meds to prepare for debridement -collect/record data about appearance -reinforce teaching |
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NAP wounds delegation
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-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O -report change in wound appearance |
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pressure ulcers
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stage 1- nonblanching red
S2- partial thickness loss S3 full thickness loss not thru fascia S4 full thickness loss thru fascia |
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adhesion
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band scar tissue form btwn or around organs
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contracture
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normal but if excessive can cause deformity
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evisceration
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wound exits
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dehiscense
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edges seperate
|
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LPN wounds delegation
|
-sterile dressing acute and chronic wounds
-apply topical meds -prescribed dressing/meds to prepare for debridement -collect/record data about appearance -reinforce teaching |
|
excess granulation
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protrude above surface of healing wound
|
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fistula
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abnormal passage btwn organ and skin
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NAP wounds delegation
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-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O -report change in wound appearance |
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hypertrophic
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overabundance of collagen makes raised red and hard scar
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pressure ulcers
|
stage 1- nonblanching red
S2- partial thickness loss S3 full thickness loss not thru fascia S4 full thickness loss thru fascia |
|
adhesion
|
band scar tissue form btwn or around organs
|
|
contracture
|
normal but if excessive can cause deformity
|
|
evisceration
|
wound exits
|
|
dehiscense
|
edges seperate
|
|
LPN wounds delegation
|
-sterile dressing acute and chronic wounds
-apply topical meds -prescribed dressing/meds to prepare for debridement -collect/record data about appearance -reinforce teaching |
|
excess granulation
|
protrude above surface of healing wound
|
|
NAP wounds delegation
|
-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O -report change in wound appearance |
|
fistula
|
abnormal passage btwn organ and skin
|
|
hypertrophic
|
overabundance of collagen makes raised red and hard scar
|
|
pressure ulcers
|
stage 1- nonblanching red
S2- partial thickness loss S3 full thickness loss not thru fascia S4 full thickness loss thru fascia |
|
adhesion
|
band scar tissue form btwn or around organs
|
|
contracture
|
normal but if excessive can cause deformity
|
|
evisceration
|
wound exits
|
|
dehiscense
|
edges seperate
|
|
excess granulation
|
protrude above surface of healing wound
|
|
fistula
|
abnormal passage btwn organ and skin
|
|
hypertrophic
|
overabundance of collagen makes raised red and hard scar
|
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keloid
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scar tissue that extends beyond wound edges
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