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woundcare-180620143347.pptx

  1. JOHNY WILBERT, M.Sc[N] LECTURER, APOLLO INSTITUTE OF HOSPITAL MANAGEMENT AND ALLIED SCIENCE
  2. ⦁ Wound It is a break in the continuity of the skin, mucous membranes, bone, or any body organ
  3. ⦁ TYPES OF WOUNDS ⦁ INCISION ⦁ It is cause by sharp instrument. Ex knife or scalpel. ⦁ CONTUSION ⦁ Cause by blowFrom a blunt Object. ⦁ Closed woundSkin appears ecchymotic ⦁ ABRASION ⦁ Surface scrape, either Unintentional or Intentional It is an open wound Involving the skin, Painful
  4. ⦁ PUNCTURE ⦁ Penetration of the Skin and often, the Underlying tissues From a sharp Instrument. ⦁ LACERATION ⦁ Tissues torn apart Often from accidents ⦁ PENETRATING WOUND ⦁ Penetration of the Skin and the Underlying tissues. (eg.gun short )
  5. ⦁ THE RYB COLOR CODE ⦁ This concept is based on the color of an open wound - Red, Yellow, Black ⦁ Red wound - are usually in the late regeneration phase of tissue repair and are clean and uniformly pink in appearance ⦁this type of wound needs to be protected Protect the Red wound ⦁ a. gentle cleansing ⦁ b. avoiding the use of dry gauze or wet to dry saline dressings ⦁ c. applying a topical antimicrobial agent ⦁ d. changing the dressing as infrequent as possible.
  6. ⦁ YELLOW WOUNDS ⦁ Characterized by primarily by liquid to semiliquid “slough” that is often accompanied by purulent discharges. ⦁ CLEANSETHEYELLOWWOUNDS ⦁ Yellow wounds should be Cleanse to absorb drainage and remove nonviable tissue. ⦁ Apply wet to wet dressing. ⦁ Hydrogel dressings ⦁ Exudate absorbent dressings
  7. ⦁ BLACK WOUNDS ⦁ This type of wound is covered with necrotic tissue. ⦁BLACK WOUNDS requires debridement ( removal of infected and necrotic material)
  8.  Red wound  Black wound  Yellow wound
  9. ⦁ GUIDELINES IN WOUND CLEANING ⦁ Use Isotonic saline or lactated ringers solution to clean or irrigate the wound. ⦁ Warm the solution to body temperature before use. ⦁ If wound is grossly contaminated by foreign material, bacteria, or necrotic tissue, clean the wound at every dressing change.
  10. ⦁ If wound is clean, has little exudate, and reveals healthy tissue avoid repeated cleaning ⦁ Use gauze squares.Avoid using cotton balls and other products that shed fibers onto the wound surface. The fibers become embedded in the granulation tissue and act as a foci for infection ⦁ Consider cleaning superficial noninfected wounds by irrigating them rather than by mechanical means ⦁ Purpose of wound Dressings ⦁ To protect the wound from mechanical injury
  11. ⦁ To protect the wound from microbial contamination ⦁ To provide or maintain high humidity of the wound ⦁ To provide thermal insulation ⦁ To absorb drainage or debride the wound ⦁ To prevent haemorrhage ⦁ To splint or immobilize the wound site and prevent further injury