Standards of Wound Healing and Treatment Options

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´╗┐Standards of Wound Healing and Treatment Options By Jacquelyn M. Sullivan, MSN, GNP, RN

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Principles of Wound Healing Inflammatory Stage Characterized by redness, warmth, torment and swelling Last roughly 4 to 5 days Initiates the recuperating procedure by balancing out the injury through platelet movement that quits draining & triggers the invulnerable reaction

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Principles of Wound Healing Inflammatory Stage Within 24 hours of the underlying damage, neutrophils, monocytes and macrophages are on the scene to control bacterial development and expel dead tissue Characteristic red shading and warmth is brought on by the hairlike blood framework expanding course & establishing framework for epithelial development

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Principles of Wound Healing Proliferation Stage Begins inside 24 hours of the underlying harm and may proceed for up to 21 days It is described by three occasions: Epithelialization Granulation Collagen union

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Principles of Wound Healing Granulation Formation of new vessels that produce and nourish new tissue Granulation tissue is the burly red tissue that drains effortlessly

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Principles of Wound Healing Epitheliazation Formation of an epithelial layer that seals and shields the injury from microscopic organisms and liquid misfortune It is crucial to have a clammy situation to encourage development of this layer It is an exceptionally delicate layer that can be effectively pulverized with forceful injury water system or purifying of the included zone

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Principles of Wound Healing Collagen Synthesis Creates a bolster grid for the new tissue that gives it its quality Oxygen, press, vitamin C, zinc, magnesium & protein are key for collagen amalgamation This stage is the real modifying and is impacted by the general patient state of the injury bed

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Principles of Wound Healing Differentiation or Maturation Final phase of wound mending Begins around day 21 and may proceed for up to 2 years Collagen union proceeds with inevitable conclusion of the injury and increment in rigidity Tensile quality achieves just around 80% of pre-harm quality

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Principles of Wound Healing Normal Age Changes Decreased epidermal cell turnover Increased slender delicacy and diminished vascularization Reduced oxygen stream to the region Altered sustenance and liquid admission Impaired safe reaction Reduced dermal and subcutaneous mass

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Pressure Ulcer Management Eliminate or minimize inherent and outward elements of weight ulcer improvement Provide dietary support and screen healthful status Create and keep up a perfect, sodden injury environment with satisfactory flow and oxygenation

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Clean Moist Wound Environment Soap and water Removal of dead tissue and eschar on open injuries Sharp debridement Enzymatic debridement Chemical debridement Mechanical debridement Hydrotherapy Autolysis

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Clean Moist Wound Environment Too much dampness Desitin/zinc oxide Copolymer starch dressings Alginates Wound VAC treatment

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Clean Moist Wound Environment Too little dampness Hydrogel dressing Hydrocolloid dressing Semi porous dressing

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Evaluation of Chronic Wounds Nutrition Treatment If no outcomes following two weeks, change treatment Infection All injuries are colonized with numerous microorganisms following 24 hours

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Additional Treatment Options Electrical incitement Whirlpool Ultrasound VAC wound treatment

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