The document provides information on wound care and dressing. It discusses the skin and its functions, defines different types of wounds including incisions, abrasions, and lacerations. It covers the three phases of wound healing - inflammatory, proliferative, and remodeling. It also describes how to assess and classify wounds, lists intrinsic and extrinsic risk factors, signs of infection, types of exudate, potential complications, and the red/yellow/black wound classification system. Guidelines are provided on wound dressing selection and techniques for cleaning wounds.
This contains wound and wound dressing,classification of wound,
signs and symptoms of wound
Diagnostic evaluation od wound
Wound healing process,
Factors affecting wound healing
Complication of wound
Wound Dressing
Types of dressing
Articles need in wound dreassing
This contains wound and wound dressing,classification of wound,
signs and symptoms of wound
Diagnostic evaluation od wound
Wound healing process,
Factors affecting wound healing
Complication of wound
Wound Dressing
Types of dressing
Articles need in wound dreassing
this is presentation talks about basic & updated advanced wounds care,,,,,,,2nd presentation in my internship..i hope you will get benefit from it ......Dr/ Wadie Madi
this a basic presentation which I got inspired to do after seeing some presentations made on slideshare. It basically covers types of wounds,wound healing process,factors affecting wound healing and wound care.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
this is presentation talks about basic & updated advanced wounds care,,,,,,,2nd presentation in my internship..i hope you will get benefit from it ......Dr/ Wadie Madi
this a basic presentation which I got inspired to do after seeing some presentations made on slideshare. It basically covers types of wounds,wound healing process,factors affecting wound healing and wound care.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
3. Regulates body temperature.
Prevents loss of essential body fluids, and penetration of toxic
substances.
Protection of the body from harmful effects of the sun and
radiation.
Excretes toxic substances with sweat ( waste removal).
Mechanical support.
Immunological function mediated by Langerhans cells.
Sensory organ for touch, heat, cold, socio-sexual and emotional
sensations.
Vitamin D synthesis from its precursors under the effect of
sunlight and introversion of steroids.
3
4. - A loss of continuity of the skin or mucous
membrane which may involve soft tissues,
muscles, bone and other anatomical structures.
4
- Any disruption to layers of the skin and underlying
tissues due to multiple causes including trauma,
surgery, or a specific disease state.
5. Classification of wound healing
(According to the amount of tissue loss)
Primary intention healing (e.g closed surgical
incision)
Secondary intention healing (e.g pressure ulcer)
Tertiary intention healing (wounds left open for
3-5 days & then closed with sutures, staples, etc…)
5
6. Healing is a quality of living tissue; it is also referred to as
regeneration (renewal) of tissue.
A. The inflammatory phase: initiated immediately after
injury & lasts 3-6 days.
B. The regenerative (Proliferative) phase (day 4-day21)
C. The maturation (Remodeling) phase (day 21- 1 or 2 yrs)
(Manley, Bellman, 2000)
6
7. Two major processes occur during the
inflammatory phase:
1. Hemostasis (cessation of bleeding) which is
achieved by a. vasoconstriction of the blood
vessels in the affected area, b. deposition of
fibrin, c. formation of the blood clot from the
platelets.
2. Phagocytosis: Macrophages which arise from the
blood monocytes engulf microorganisms and
cellular debris.
7
8. 1. Fibroblasts (connective tissue cells) begin to
synthesize collagen which is a protein
substance that adds strength to the wound.
2. Granulation tissue & neovascularization.
3. Contraction: wound edges pull together to
reduce defect .
8
9. Begins about day 21 and can extend up to 6
months up to one or two years after the injury.
Fibroblasts continue to synthesize collagen
The collagen fibers recognized into a more
orderly structure
The scar become a thin ,less elastic, white line
9
11. Description and
Characteristics
Cause
Type
Open wound; painful
Sharp instrument eg. Knife
Incision
Close wound, skin
appears ecchymotic
(bruised) because of
damaged blood vessels
Blow from a blunt instrument
Contusion
Open wound; involving
the skin ; painful
Surface scrape, either unintentional
(eg, scraped knee from fall) or
intentional (eg, dermal abrasion to
remove pockmarks)
Abrasion
Open wound; can be
intentional or
unintentional
Penetration of the skin and, often the
underlying tissues from a sharp
instrument
Puncture
Open wound; edges are
often jagged
Tissues torn apart, often from
accidents (eg, machinery)
Laceration
Open wound; usually
accidental ( bullet or
metal fragments)
Penetration of the skin and the
underlying tissues
Penetrating
wound
11
12. Clean wounds: Operations in which a viscus
is not opened. This category includes non-
traumatic, uninfected wounds where is no
inflammation encountered and no break in
technique has occurred.
Clean-contaminated: A viscus is entered but
without spillage of contents. This category
included non- traumatic wounds where a
minor break in technique has occurred but no
evidence of infection.
12
13. Contaminated: Gross spillage has occurred
or a major break in the sterile technique has
occurred. Contaminated wounds shows
evidence of inflammation.
Dirty or infected : Old traumatic wounds
from a dirty source, with delayed treatment,
devitalised tissue, clinical infection, fecal
contamination or a foreign body.
13
14. I. Partial-thickness: Confined to the skin, the
dermis and epidermis.
II. Full-thickness : Involve the dermis,
epidermis, subcutaneous tissue, and possibly
muscle and bone.
14
Partial Thickness Full Thickness
15. A complex process.
Involve examination of the entire wound.
Nurses visually assess wounds and
document their findings to monitor and
evaluate the progress of wound healing.
15
18. A- Intrinsic risk factors:
1. Extremes age: Defined as “ Children aged 1 year
and under, and people aged 65 years and over’.
2. Underling Conditions/Disorders
A.Diabetes
B. Respiratory disorders
C. Blood disorders
3. Smoking
4. Nutrition and build
18
19. B- Extrinsic risk factors:
1. Drug therapy as a risk factor: e.g. Cytotoxic
drugs
2. Break in the integrity of the skin
3. Items such as foreign bodies
4. Bypassing of defense mechanisms through
devices e.g. Intubations
19
20. Wound is swollen.
Wound is deep red in color.
Wound feels hot on palpation.
Drainage is increased and possibly purulent.
Foul odor may be noted.
Wound edges may be separated with
dehiscence present.
Fever
High WBC count
20
21. Exudate is material, such as fluid and cells, that has
escaped from blood vessels during the
inflammatory process and deposited in or on tissue
surfaces. The Nature and amount of exudate vary
according to: Tissue involved, Intensity and duration of the
inflammation, and the presence of microorganisms.
1. Serous Exudate
Mostly serum
Watery, clear of cells
E.g., fluid in a blister
21
22. 2. A purulent Exudate
Is thicker than serous exudate because of the
presence of pus.
It consists of leukocytes, liquefied dead tissue
debris, dead and living bacteria.
The Process of pus formation is referred to as
suppuration, and the bacteria that produce pus are
called pyrogenic bacteria.
Purulent exudate vary in color, some acquiring
tinges of blue, green, or yellow. The color may
depend on the causative organism.
22
23. 3. A sanguineous (hemorrhagic) Exudate
It consists of large amount of blood cells, indicating
damage to capillaries that is very severe enough to
allow the escape of RBCs from plasma
This type of exudate is frequently seen in open
wounds.
Nurses often need to distinguish whether the
exudate is dark or bright. Bright indicate fresh blood,
whereas dark exudate denotes older bleeding.
23
24. Infection
Hemorrhage
Dehiscence and possible evisceration
Fistula formation (opening between an organ
and the skin).
24
25. This concept is based on the color of the open
wound rather than the depth or size of the
wound.
On this scheme, the goal of wound care is to protect
( cover) the red, cleanse the yellow, & debride black.
The RYB code can be applied to any wound allowed
to heal by secondary intention.
25
R=Red Y=Yellow B= Black
26. Usually in the late regeneration phase of tissue
repair (ie, developing granulation tissue) and are
clean and uniformly pink in appearance
They need to be protected to avoid disturbance to
regenerating tissue. Examples are superficial
wounds, skin donor sites, and partial- thickness or
second – degree burns.
26
27. Gentle cleansing
Avoid the use of dry gauze or wet- to-dry saline
dressings.
Applying a topical antimicrobial agent.
Appling a transparent film or hydrocolloid dressing.
Changing the dressing as infrequently as possible.
27
28. Characterized primarily by liquid to semi-liquid
”slough” that is often accompanied by purulent
drainage.
The nurse cleanses yellow wounds to absorb
drainage and remove nonviable tissue. Methods used
may include .
Applying wet-to-dry dressing; irrigating the wound; using
absorbent dressing material such as impregnated non-
adherent, hydrogel dressing, or other exudate absorbers;
and consulting with the physician about the need for a
topical antimicrobial agent to minimize bacterial growth.
28
29. Covered with thick necrotic tissue or
Eschar.
e.g.. third degree burns and gangrenous
ulcer.
Required debridement .
When the eschar is removed, the wound is
treated as yellow, then red.
29
30. 1. To protect the wound from mechanical
injuries.
2. To protect the wound from microbial
contamination.
3. To provide or maintain high humidity of the
wound.
4. To provide thermal insulation.
5. To absorb drainage and /or debride a wound.
30
31. 6. To prevent hemorrhage (when applied as a
pressure dressing or with elastic
bandages).
7. To splint or immobilize the wound site and
thereby facilitate healing and prevent
injury.
8. To provide psychological (aesthetic) comfort.
31
32. The aim:
Guarantee the safety of the equipment used
(cleaning/disinfection/sterilization).
Reduce the level of microbial contamination of
the site requiring manipulation (antisepsis).
Ensure that no microorganisms are introduced
(asepsis).
32
33. Cleaning : Is the removal of dirt, debris and organic material.
Disinfection: Removes or destroys harmful microorganisms
but not bacterial spores or slow viruses.
Sterilization: is the complete destruction or removal of all
living microorganisms including bacterial spores.
Antisepsis: is the reduction of the number of microorganisms
already present on the body site prior to a procedure.
Asepsis: Procedure designed to prevent any introduction of
microorganisms to the site achieved by a non-touching
technique and use of sterile gloves.
33
34. 1. Use physiologic solution, such as isotonic Normal
saline or lactated ringer solution.
2. When possible , warm the solution to body
temperature before use.
3. If the wound is grossly contaminated by foreign
material , bacteria, slough, or necrotic tissue clean
the wound at every dressing change.
4. If a wound is clean , has little exudate , and
reveals healthy granulation tissue , avoid repeated
cleaning.
34
35. 5. Use gauze squares .
6. Consider cleaning superficial non-infected
wound by irrigating them with normal saline
rather than using mechanical means.
7. To retain wound moisture , avoid drying a
wound after cleaning it.
35