This document discusses the management of wounds and drains. It begins with definitions of wounds and their various causes such as surgery, trauma, pressure, and friction. It then discusses factors that affect wound healing like age, nutrition, and disease processes. Various types of wounds are classified as incisional, contusion, abrasion, laceration, and more. Wound assessment and management techniques are outlined, including cleaning, debridement, and different types of dressings. The document also covers different types of drains that may be inserted into wounds like Jackson Pratt, Hemovac, Penrose, and chest drains. It notes drains can be open or closed systems and discusses assessing drains for placement, ongoing

1. Management of wounds and drains
s.Sindhiya rajakumari
msc ii year

2. Introduction
• Wound is a break or disruption in the normal integrity of
the skin and tissue. That disruption may range from a
small cut of a finger to a third degree burn covering
almost all of the body.

3. Definition
• A break in the skin or mucous membrane: An alternation
in the integrity of the skin and underlying tissues.

4. Causes
• Surgical incision
• Trauma
• Pressure
• Shearing force
• Friction
• Poor circulation

5. Risk factors
• Broken skin
• Age
• Nutritional status
• Stress
• Hereditary
• Disease process
• Medical therapies

6. Classification
Intentional and open & closed acute & chronic
• unintentional

7. Types of wound
• Incision
• Contusion
• Abrasion
• Laceration
• Puncture
• Penetrating
• Aulsion
• Microbial
• Chemical
• Thermal
• Irradiation

9. Factors affecting wound
healing
• Local factors systemic factors

10. Pressure ulcer
•Stage - 1
•Stage - 2
•Stage - 3

11. Wound management
• Assessment
• Time – wound preparation
• Wound cleaning
• Type of debridement
• Types of dressing

12. Wound assessment
• Wound etiology
• Size
• Wound edges
• Wound appearance
Red – granulation
Yellow- slough
Pink – epitheliazation
Black – necrotic

13. TIME
T- Tissue viability
I- inflammation, infection
M-moisture imbalance
E- epidermal margin

14. Wound cleansing
• Routine cleansing
• Debridement
• Method of debridement
surgical
mechanical
autolytic
enzymatic
biological

15. Types of dressing
• Transparent films
• Hydrocolloid dressing
• Hydrogel
• Alignates
• Foams
• Silver dressing
• collagens

16. DRAINAGE

17. cont
• A variety of drains, catheters, or
tubes may be inserted into or near
a wound when it is anticipated that
a collection of fluid in a closed area
wound delay healing.

18. Classification
• Open & closed system
• Active & passive

19. Types of drain

20. Jackson pratt drain

21. Hemovac drain

24. Penrose drain

25. Ttube

26. Chest tube

27. NG tube

28. Urinary catheter

29. Assessment
• Initial
• Ongoing
• Drain dislodgement
• Removal of drain
• Post removal