Professional Documents
Culture Documents
Wound and Wound Dressing
Wound and Wound Dressing
BY MERCIA KANAI
AHN
DEFINITION
A wound is a break or cut in the continuity of any body
structure , internal or external caused by physical means.
or
CLOSED WOUND -: A type of injury when the skin remain intact and the tissue
that lies underneath is not exposed.
example-: contusion , blister.
PENETRATING WOUND-: Injury that occurs when a foreign objects pierces the
skin and enter the body creating the wound
Example – stab wound, bite marks
PERFORATED WOUND-: Injury in which an object enters the body and passes
through , it is associated with an entrance wound and an exit wound.
Example -; bullet wound.
STAGE 1
INFLAMMATORY PHASE
STAGE 2
DESTRUCTIVE PHASE
STAGE 3
PROLIFERATIVE PHASE
STAGE 4
MATURATION PHASE
INFLAMMATORY PHASE
This stage starts within few seconds after injury, inflammation begin and last for
about 3 days.
Leukocytes reach the wound within few hours, The neutrophil begins to ingest
bacteria and small debris. The neutrophil dies within a few days.
Doing this period the monocytes which transforms into macrophages cells clean
the wound bacteria, dead cells and debris.
This process continuous for about 48 hours. Finally a thin layer of epithelial tissue
forms over the wound, which is later absorbed
DESTRUCTIVE PHASE
This phase begins with the appearance of a new blood vessels and
last from 3-24 days. Fibroblast appear alongside the capillaries .
These two together constitute the granulation tissues.
The wound appear pink owing to the new capillaries in the granulation
tissues and the area is soft and tender.
MATURATION PHASE
DEFINITION
or
Gauze dressings
Non-antiseptic dressings
Antiseptic dressings
Wet dressings
Pressure dressings
To prevent infection.
To promote healing
To prevent haemorrhage.
Any break in the skin and mucus membrane acts as the portal of entry
for the pathogenic organism.
Instruments used for one dressing cannot be used for another until
they have been re-sterilized.
Use mask. Sterile gloves and gown for large dressings to minimize
the wound contamination.