Providing wound care and Treating pressure ulcer

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Providing wound care and Treating pressure ulcer : 

Providing wound care and Treating pressure ulcer By: Yuranis, Gema, Genesis

What is a Wound? : 

What is a Wound? sharp injury which damages the dermis of the skin A wound can have different meanings. a wound can be: Open wound Closed wound Also known as Bedsore Or Decubitus ulcer

Dermis: : 

Dermis: Dermis is a layer of skin between the epidermis and subcutaneous tissues

Open Wounds : 

Open Wounds Injury of the skin in which skin is torn, cut or punctured

Closed wounds : 

Closed wounds -Trauma causes a contusion

Causes : 

Causes Pressure Unrelieved pressure damages underlying tissue Example stroke , alwys on one side Shear Jason part of the body slides across from each other producing a shearing force that twist distorts blood vessels Example pt, skin stick to the bed linen necrosis or esckimia Friction Skin rub against a support surface Example blister

Slide 7: 

Who At risk? How two Heal a Wound Anyone can be at risk elderly because of Immune System. Individuals who are Malnourished or who do not eat right foods and lack vitamins, nutrients or have protein deficiency. chronically ill, or bedridden patients that are diabetics obesity Patients with stroke or had Strokes peripheral vascular disease The body undertakes a series of actions collectively known as the Wound Healing process. (1) hemostasis (2) inflammatory (3) proliferative (4) remodeling

Healing Process : 

Healing Process I. Inflammatory 2-5 days Hemostasis Vasoconstriction Platelet aggregation Thromboplastin makes clot Inflammation Vasodilation Phagocytosis II. Proliferative Phase 2 days to 3 weeks Granulation Fibroblasts lay bed of collagen Fills defect and produces new capillaries Contraction Wound edges pull together to reduce defect Epithelialization Crosses moist surface Cell travel about 3 cm from point of origin in all directions III. Remodeling Phase A) 3 weeks to 2 years B) New collagen forms which increases tensile strength to wounds C) Scar tissue is only 80 percent as strong as original tissue

Treating Pressure Ulcer : 

Treating Pressure Ulcer Relieve the pressure on that area. Use pillows & sheepskin to reduce the pressure. Treat the sore based on the stage of the ulcer. Avoid further trauma or friction. Powder the sheets lightly to decrease friction in bed Improve nutrition It is very important to do this properly to prevent infection. Keep the area clean and free of dead tissue. Generally, pressure ulcers are rinsed with a salt-water rinse to remove loose, dead tissue. The sore should be covered with special gauze dressing made for pressure ulcers. New medicines that promote skin healing are now available and may be prescribed by your doctor.

NEVER!!! : 

NEVER!!! NEVER massage the area of the ulcer. It can damage tissue under the skin. NEVER Donut-shaped or ring-shaped cushions They interfere with blood flow and cause complications.

Always Contact A Medical Professional if: : 

Always Contact A Medical Professional if: Skin blisters or open sore. Any signs of an infection. Signs of an infected ulcer include: A foul odor from the ulcer Redness and tenderness around the ulcer Skin close to the ulcer is warm and swollen Fever, weakness, and confusion are signs that the infection may have spread to the blood or elsewhere in the body.

Prevention : 

Prevention Change position at least every two hours to relieve pressure. Use items that can help reduce pressure – pillows, sheepskin, foam padding, and powders from medical supply stores. Eat healthy, contain enough calories to keep you healthy. Drink plenty of water (8 to 10 cups) every day. Exercise daily, including range-of-motion exercises for immobile patients. Keep skin clean and dry. After urinating or having a bowel movement, clean the area and dry it well. A doctor can recommend creams to help protect the skin.

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