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:
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
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
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
Patients with stroke or had Strokes
peripheral vascular disease The body undertakes a series of actions collectively known as the Wound Healing process.
(4) remodeling Healing Process : Healing Process I. Inflammatory 2-5 days
Thromboplastin makes clot
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
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.
contain enough calories to keep you healthy.
Drink plenty of water
(8 to 10 cups) every day.
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.