What are the steps for wound care?
2. Gather supplies and prepare a clean work area
3. Perform hand hygiene and don gloves
4. Inspect wound for signs of infection
5. Cleanse wound from center outward using NSS
6. Apply prescribed medication
7. Apply sterile dressing
8. Secure dressing in place
9. Dispose of supplies and perform hand hygiene
wound management briefing training course including wounds, wound healing & wound types, wound closure, wound covers, wound dressings and marketing plan for new product launch, wound assessment types and measures.
for HCP , wound care specialists, nursing, and wound care and health associations
Proper wound care is necessary to prevent infection, assure there are no other associated injuries, and to promote healing of the skin. An additional goal, if possible, is to have a good cosmetic result after the wound has completely healed. This wound care article is designed to present information on wounds involving mainly the skin; it is not meant to cover all wounds (for example, gunshot, degloving wounds, tendon lacerations, and others).
wound management briefing training course including wounds, wound healing & wound types, wound closure, wound covers, wound dressings and marketing plan for new product launch, wound assessment types and measures.
for HCP , wound care specialists, nursing, and wound care and health associations
Proper wound care is necessary to prevent infection, assure there are no other associated injuries, and to promote healing of the skin. An additional goal, if possible, is to have a good cosmetic result after the wound has completely healed. This wound care article is designed to present information on wounds involving mainly the skin; it is not meant to cover all wounds (for example, gunshot, degloving wounds, tendon lacerations, and others).
Formulas for Production of Cosmetics, Drugs, Cleaners, Soaps, Detergents, Den...Ajjay Kumar Gupta
Formulas for Production of Cosmetics, Drugs, Cleaners, Soaps, Detergents, Dentrices and Depilatories (Cosmetics and Drugs, Steel (Iron) Baths, Mud Bath, Glycerin Cold Cream, Glycerin Honey Jelly, Turtle Oil Cream, Massage Oil, Acne Face Lotion, Face Pack, Scalp Stimulant, Hair Oil, Lilac Perfume, Nail Polish, Liquid Cream, Toilet Powders, Cream Powder, Cherry Tooth Paste, Zinc Oxide Jelly, Cuticle Remover, Mascara)
Cosmetics, also known as make-up, are substances or products used to enhance or alter the appearance or fragrance of the body. Many cosmetics are designed for use of applying to the face and hair. They are generally mixtures of chemical compounds; some being derived from natural sources (such as coconut oil), and some being synthetics. Common cosmetics include lipstick, mascara, eye shadow, foundation, rouge, skin cleansers and skin lotions, shampoo, hairstyling products (gel, hair spray, etc.). A drug is any substance (other than food that provides nutritional support) that, when inhaled, injected, smoked, consumed, absorbed via a patch on the skin, or dissolved under the tongue, causes a physiological change in the body.
Cosmetics, also known as make-up, are substances or products used to enhance or alter the appearance or fragrance of the body. Many cosmetics are designed for use of applying to the face and hair. They are generally mixtures of chemical compounds; some being derived from natural sources (such as coconut oil), and some being synthetics. Common cosmetics include lipstick, mascara, eye shadow, foundation, rouge, skin cleansers and skin lotions, shampoo, hairstyling products (gel, hair spray, etc.). A drug is any substance (other than food that provides nutritional support) that, when inhaled, injected, smoked, consumed, absorbed via a patch on the skin, or dissolved under the tongue, causes a physiological change in the body.
Tags
Cosmetics, Production of Eyelid Pencil, Powdered Hand Toilet Soaps, Stone Cleaning, Metal Cleaning, How to Clean Brass and Steel, How to Clean Tarnished Silver, Watchmakers and Jewelers Cleaning, Glass Cleaning, Feed Water Heater Cleaning, Milky Ammonia, Textiles, Fibres, Liduid Soap Shampoos, Soft Soap Manufacture, Fireproofing Soap, Antiseptic Soap, Hexalin Soaps, Lampblack, Production of Lampblack, Liquid Soap, Talcum Powder, Manufacture of Alum Pencil, Creamy Hand Lotion, Eyebrow Pencils, Hand Creams, Mercuric Nitrate Ointment, Dentifrices, Depilatories, Depilatory Cream, Detergents, Face Powder, Creams, Cold Cream,
Bandaging and Splinting & Slings; Techniques and Types (Health Subject)Jewel Jem
A short report about bandaging, types of bandages, bandaging techniques and even Splinting & Slings, types of splinting & slings, splinting & Splints techniques
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
The variety of wounds present challenges to the physician to select the most appropriate management to facilitate healing.
A complete wound history along with knowledge of the healing potential of the wound, as it relates to the specific medical and environmental considerations for each patient, provides the basis of decision making for wound management.
It is essential to consider each wound individually in order to create the optimal conditions for wound healing.
Understanding of wound healing is as important as knowing the pathogenesis of disease, because satisfactory wound healing is the ultimate goal of treatment.
If we are able to understand the mechanism of wound healing, we can design treatment approaches that maximize favorable conditions for wound healing to occur.
Elevating Tactical DDD Patterns Through Object CalisthenicsDorra BARTAGUIZ
After immersing yourself in the blue book and its red counterpart, attending DDD-focused conferences, and applying tactical patterns, you're left with a crucial question: How do I ensure my design is effective? Tactical patterns within Domain-Driven Design (DDD) serve as guiding principles for creating clear and manageable domain models. However, achieving success with these patterns requires additional guidance. Interestingly, we've observed that a set of constraints initially designed for training purposes remarkably aligns with effective pattern implementation, offering a more ‘mechanical’ approach. Let's explore together how Object Calisthenics can elevate the design of your tactical DDD patterns, offering concrete help for those venturing into DDD for the first time!
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using Deplo...James Anderson
Effective Application Security in Software Delivery lifecycle using Deployment Firewall and DBOM
The modern software delivery process (or the CI/CD process) includes many tools, distributed teams, open-source code, and cloud platforms. Constant focus on speed to release software to market, along with the traditional slow and manual security checks has caused gaps in continuous security as an important piece in the software supply chain. Today organizations feel more susceptible to external and internal cyber threats due to the vast attack surface in their applications supply chain and the lack of end-to-end governance and risk management.
The software team must secure its software delivery process to avoid vulnerability and security breaches. This needs to be achieved with existing tool chains and without extensive rework of the delivery processes. This talk will present strategies and techniques for providing visibility into the true risk of the existing vulnerabilities, preventing the introduction of security issues in the software, resolving vulnerabilities in production environments quickly, and capturing the deployment bill of materials (DBOM).
Speakers:
Bob Boule
Robert Boule is a technology enthusiast with PASSION for technology and making things work along with a knack for helping others understand how things work. He comes with around 20 years of solution engineering experience in application security, software continuous delivery, and SaaS platforms. He is known for his dynamic presentations in CI/CD and application security integrated in software delivery lifecycle.
Gopinath Rebala
Gopinath Rebala is the CTO of OpsMx, where he has overall responsibility for the machine learning and data processing architectures for Secure Software Delivery. Gopi also has a strong connection with our customers, leading design and architecture for strategic implementations. Gopi is a frequent speaker and well-known leader in continuous delivery and integrating security into software delivery.
State of ICS and IoT Cyber Threat Landscape Report 2024 previewPrayukth K V
The IoT and OT threat landscape report has been prepared by the Threat Research Team at Sectrio using data from Sectrio, cyber threat intelligence farming facilities spread across over 85 cities around the world. In addition, Sectrio also runs AI-based advanced threat and payload engagement facilities that serve as sinks to attract and engage sophisticated threat actors, and newer malware including new variants and latent threats that are at an earlier stage of development.
The latest edition of the OT/ICS and IoT security Threat Landscape Report 2024 also covers:
State of global ICS asset and network exposure
Sectoral targets and attacks as well as the cost of ransom
Global APT activity, AI usage, actor and tactic profiles, and implications
Rise in volumes of AI-powered cyberattacks
Major cyber events in 2024
Malware and malicious payload trends
Cyberattack types and targets
Vulnerability exploit attempts on CVEs
Attacks on counties – USA
Expansion of bot farms – how, where, and why
In-depth analysis of the cyber threat landscape across North America, South America, Europe, APAC, and the Middle East
Why are attacks on smart factories rising?
Cyber risk predictions
Axis of attacks – Europe
Systemic attacks in the Middle East
Download the full report from here:
https://sectrio.com/resources/ot-threat-landscape-reports/sectrio-releases-ot-ics-and-iot-security-threat-landscape-report-2024/
Encryption in Microsoft 365 - ExpertsLive Netherlands 2024Albert Hoitingh
In this session I delve into the encryption technology used in Microsoft 365 and Microsoft Purview. Including the concepts of Customer Key and Double Key Encryption.
Transcript: Selling digital books in 2024: Insights from industry leaders - T...BookNet Canada
The publishing industry has been selling digital audiobooks and ebooks for over a decade and has found its groove. What’s changed? What has stayed the same? Where do we go from here? Join a group of leading sales peers from across the industry for a conversation about the lessons learned since the popularization of digital books, best practices, digital book supply chain management, and more.
Link to video recording: https://bnctechforum.ca/sessions/selling-digital-books-in-2024-insights-from-industry-leaders/
Presented by BookNet Canada on May 28, 2024, with support from the Department of Canadian Heritage.
Securing your Kubernetes cluster_ a step-by-step guide to success !KatiaHIMEUR1
Today, after several years of existence, an extremely active community and an ultra-dynamic ecosystem, Kubernetes has established itself as the de facto standard in container orchestration. Thanks to a wide range of managed services, it has never been so easy to set up a ready-to-use Kubernetes cluster.
However, this ease of use means that the subject of security in Kubernetes is often left for later, or even neglected. This exposes companies to significant risks.
In this talk, I'll show you step-by-step how to secure your Kubernetes cluster for greater peace of mind and reliability.
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024Tobias Schneck
As AI technology is pushing into IT I was wondering myself, as an “infrastructure container kubernetes guy”, how get this fancy AI technology get managed from an infrastructure operational view? Is it possible to apply our lovely cloud native principals as well? What benefit’s both technologies could bring to each other?
Let me take this questions and provide you a short journey through existing deployment models and use cases for AI software. On practical examples, we discuss what cloud/on-premise strategy we may need for applying it to our own infrastructure to get it to work from an enterprise perspective. I want to give an overview about infrastructure requirements and technologies, what could be beneficial or limiting your AI use cases in an enterprise environment. An interactive Demo will give you some insides, what approaches I got already working for real.
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024
Wound care 09
1.
2. Skin: structure and function
General Functions
Each skin layer has its own unique function
Epidermis = protection
Dermis = nourishment of epidermis
Hypodermis = Composed mostly of adipose tissue
insulation
5. Classifying wounds
A wound can be defined as:
“A cut or break in the continuity of any tissue,
caused by injury or operation”
(Baillière’s 23rd Ed)
6. Wound Types and
Characteristics
CLOSED
Contusion ( Bruise) – Tissue injury without
breaking of skin.
CD: Purpule contusion 5x7 cm on left face
Hematoma – Tissue injury that disrupts a
blood vessels; pooling of blood under the
unbroken skin
CD: 2 in diameter hematoma on left face
7. Sprain – Wrenching or twisting of a joint
with partial rupture of its ligaments;
causes swelling
CD: Swelling of right foot and round
malleolus. No bruising noted
OPEN
Incision- Surgically made separation of
tissues with clean, smooth edges
CD: Approx. 3-in incision on R lower
quadrant of abdomen; well approximated;
clean and dry with sutures intact
8. Laceration – Traumatic separation of
tissues with clean, smooth edges
CD: 2 in jagged (pointy, uneven)
laceration app 4 cm deep on L sole
foot.
Abrasion- Traumatic scraping away of
surface layers of skin
CD: Raw appearing abraded area 2 1/2
in diameter on lateral aspect of lower
leg.
9. Puncture – Wound made by sharp, pointed
object through sin or mucous membranes
and underlying tissue.
CD: Small circular entry wound on R palm
from sharp pointing nail
Penetrating- Variable – size open wound
through sin and underlying tissues made
by a bullet or metal or wood fragment; may
extend deeply into body
CD: Jagged Deep wound 10 in posterior on
L leg.
10. Avulsion – Tearing away of a structure or
a part, such as a fingertip, accidentally or
surgically.
CD: Avulsion of L leg from VA. Attach only
by skin.
Ulceration – Excavation of sin and/or
underlying tissue from injury or necrosis
CD: Ulceration on L sole foot 4 cm x 5 x 2
cm deep. Yellow drainage present.
Wound edges reddened.
11. Wounds can be classified according to their nature:
•
12. 2. According to depth
Superficial
Involves only the epidermis
Injury is usually the result of fiction, shearing (cut) or
burn.
Partial Thickness
Involves the epidermis and the dermis
Wounds heal more quickly
Full Thickness
Involves the epidermis, dermis, fat, fascia and exposes
bone
In order to heal, all dead tissue must be removed so
that granulation tissue can gradually fill in the defect.
13. TYPES OF WOUND DRAINAGE
Serous -clean, watery
Purulent - thick, yellow, green, tan or
brown.
Sanguineous - bright red, indicative of
active bleeding.
Serosanguineous -pale, red, watery
mixture of serous and sanguineous.
14. Wound healing
All wounds heal following a a specific
sequence of phases which may overlap
The process of wound healing depends on
the type of tissue which has been damaged
and the nature of tissue disruption
The phases are:
Inflammatory phase
Proliferative phase
Remodeling or maturation phase
15. PHASES OF WOUND HEALING
1. INFLAMMATORY PHASE
-starts immediately after injury and lasts 3-6
days or 4-6 days.
2 major processes occur during this phase …
HEMOSTATIC AND PHAGOCYTOSIS
Haemostatic
- Tissue and capillaries are destroyed, plasma and
blood leaks. Area blood vessels constrict, platelets
aggregates and bleeding stops, scabs ( rough
protective crust) forms, preventing entry of
infectious organisms.
16. Inflammation
Characterized by edema, erythema, pain,
temperature
- increase blood flow, to wound resulting
localized redness and edema, attracts
WBC and wound growth factors.
WBC arrive-clear debris from wound.
17. injury
Exposure of plasma to
injured site Release of Histamine
Activation of Hageman Factor Capillary Permeability
Vasodilation
Kinin Prostaglandin
Edema Inc bld Flow
Clotting
Tumor Rubor
Dolor ( Swelling) (Redness)
( Pain)
Calor
( Heat)
18. 2. PROLIFERATIVE PHASE
-extends from day 3 to about day 21 post
injury.
Macrophages continue to clear the wound
debris, Stimulates Fibroblast to synthesize
collagen 9 main ingr. For tissue scaring)
New capillary networks are formed.
19. 3. REMODELLING OR MATURATION PHASE
-final healing stage may continue for I year
or more.
Remodeling of scar tissue to provide wound
strength.
20. TYPES OF WOUND HEALING
FIRST INTENTION HEALING-partial
thickness wounds.
- a clean incision is made with primary
closure, minimal scarring.
-expected when the edges of clean surgical
incisions are sutured together, tissue loss
is minimal or absent if the wound is not
contaminated with microorganism.
-e.g.-abrasion or skin tear.
21. SECOND INTENTION HEALING
-granulation
-accompanies traumatic open wounds with tissues loss or
wounds with a high microorganisms count.
-go though a process involving scar tissue formation a heal
slowly because of the volume of tissue needed to fill the
defect.
-e.g.-contaminated surgical wound, pressure ulcer.
Delayed primary healing
If there is high infection risk – patient is given antibiotics
and closure is delayed for a few days e.g. bites
23. Wound can result from:
Planned events – Such as surgery
Accidents – such as a fall from a bike
Exposure to environment – such as the
damage to UV rays in sunlight.
24. Clinical appearance
Describes the type of material present
In the base of the wound:
Slough (yellow)
Necrotic tissue (black)
Infected tissue (green)
Granulating tissue (red)
Epithelializing (pink)
25. Sloughy wound
• Aim: to liquefy slough and
aid its removal
• Dead cells accumulated in
exudate
• Prepare wound bed for
granulation
• Assess wound depth and
exudate levels
• Hydrogels, hydrocolloids,
alginates and hydrofibre
dressings
26. Necrotic wound
• Aims: to debride and
remove eschar
Provide the right
environment for
autolysis
• Assess wound
depth and
exudate levels
• Hydrogels,
hydrocolloid
dressings
27. Infected wound
• Aims: reduce exudate,
odour and promote
healing
Clinical signs of
infection
Swab wound – systemic
antibiotics
Treat symptomatically:
exudate and odour
control
Change dressings daily
28. Granulating wound
• Aims: support
granulation, protect new
tissue, keep moist
Assess depth and
exudate levels
Moist wound surface –
non-adherent dressing
Treat over-granulation
Hydrocolloids, foams,
alginates
29. Epithelialising wound
• Aims: to provide suitable conditions for
re-surfacing
, films, hydrocolloids
Disturb as little as possible
30. COMPLICATIONS OF WOUND HEALING
1. HEMORRRHAGE
-risk of hemorrhage is greatest during the ist
48 hours after surgery.
-emergency -N@- should apply pressure
dressing to the wound and monitor vital
signs.
2. INFECTION
-surgical infection is apparently 2-11 days
post operatively.
31. N@- watched for presence of changed in
wound color, pain or drainage-culturing of
the wound.
3. DEHISCENCE WITH POSSIBLE
EVISCERATION
-may occur 4-5 days postoperatively.
-involves an abdominal wound in which the
layers below the skin separates.
N@- an increase in flow of serosanguinous
drainage into the dressing can indicate
32. impending dehiscence.
- If occurs N@ should be quickly
supported by sterile dressing soaked in
sterile normal saline.
-position? Client in bed with knees bent…
why? To decrease pull on the incision. and?
Notify physician……
35. WOUND MANAGEMENT
1. DRESSINGS - material applied to wound
with or without medication, to give
protection and assist in healing.
-what are the purposes?
To protect the wound from mechanical injury
Splint or immobilized the wound.
Absorbs dressing
Prevent contamination from bloody
discharges
36. Promote homeostasis, (pressure
dressing)
Debride the wound
to kill or inhibit microorganism
provide a physiologic environment
conducive to healing
provide mental and physical comfort for
the patient.
38. What are the types of dressings?
a. DRY TO DRY DRESSINGS
-used primarily for wounds closing by
primary intention.
-offers good protection, absorption &
provide pressure
-they adhere to the wound surface when
drainage dries.
- when remove can cause pain and
disruption of granulation tissue.
39. b. WET TO DRY DRESSINGS
-used for untidy or infected wounds that must
be debrided and closed by secondary
intention.
>how can it be done?
-gauze saturated with sterile saline or
antimicrobial sol’n. is packed into the wound,
the wet dressing are then covered by dry
dressings
>when to changed?
-when it becomes dry
40. c. WET TO WET DRESSINGS
-used on clean open wounds or on
granulating surfaces.
-provide a more physiologic environment
(warmth moisture) which can enhance the
local healing processes and assure greater
patient comfort.
-surrounding tissues can become ulcerated.
high risk for infection.
41. 2. DRAINS- device or a tube used to draw
fluids from an internal body cavity to the
surface.
-what are the purposes?
a)placed in the wounds only when
abdominal fluid collections are present.
b)placed near the incision site
> wound drainage-drains placed within the
wounds are attached to a portable suction
with a collection container.
e.g. hemovac, jackson-pratt, penrose drain.
42. 3. BINDERS AND BANDAGES
-what are the purposes?
Creates pressure over the body parts
Immobilize body parts
Reduce or prevent edema
Secure a splints
Secure dressing
43. Dressing choice
What is available?
How do we choose?
Does the patient have a say?
Do we consider cost?
Are choices restricted by a protocol?
How do we evaluate?
44. Dressing
A process of cleansing the wound using
aseptic solution.
∆ To aid debridement The ideal dressing
∆ To remove excess • A dressing that
exudate creates the optimum
∆ To control bleeding environment
∆ To protect a wound • Wound debridement
∆ To support healing • Wound cleansing
• Alternative therapies
45. TYPES OF DRESSINGS
Hydrogel Dressings
Hydrogels are indicated for management
of pressure ulcers, skin tears, surgical
wounds, and burns, including radiation
therapy burns. Because they contain up
to 95% water, hydrogels cannot absorb
much exudate and should be reserved for
dry wounds or wounds with minimal to
moderate drainage.
46. Hydrocolloid Dressings
Because they are occlusive, hydrocolloid dressings do
not allow water, oxygen, or bacteria into the wound.
This may help facilitate angiogenesis and granulation.
Hydrocolloids also cause the pH of the wound surface
to drop; the acidic environment can inhibit bacteria
growth.
Like hydrogels, hydrocolloids can help a clean wound
to granulate or epithelialize and encourage autolytic
( distruction of cells by own enzymes) debridement in
wounds with necrotic tissue. However, because of
their occlusive nature, hydrocolloids cannot be used if
the wound or surrounding skin is infected.
47. Alginate Dressings
Previous columns have addressed products that are
appropriate for dry wound beds or wounds with minimal
exudate or drainage-namely, hydrogels and
hydrocolloids. In contrast, alginate dressings absorb
moderate to high amounts of wound drainage.
In wounds with moderate to heavy drainage, the alginate
forms a gel when it comes in contact with wound fluid.
Capable of absorbing up to 20 times its weight in fluid, an
alginate can be used in infected and noninfected wounds.
Because an alginate is highly absorbent, it should not be
used with dry wounds or wounds with minimal drainage; it
could dehydrate the wound, delaying healing.
48. Composite dressings
Made of three layers. The layers of the composite dressings combine to
form an antimicrobial barrier for moderate to heavy exuding wounds. Some
composite dressings also gradually release silver over time to promote
healing. Our selection of silver dressings include the popular Acticoat,
Aquacel and Aquacel AG.
Composite dressings have multiple layers and can be used as primary or
secondary dressings. They are appropriate for wounds with minimal to
heavy exudate, healthy granulation tissue, necrotic tissue (slough or moist
eschar), or a mixture of granulation and necrotic tissue
Use composite dressings cautiously if the patient is dehydrated or has
fragile skin. Keep in mind that some insurers will not reimburse a facility
or provider if a composite dressing is used as a secondary dressing with a
hydrogel or impregnated gauze.
49.
50. Transparent Films
Film dressings are flexible sheets of transparent
polyurethane coated with an acrylic adhesive. They
can be used as a primary or secondary dressing.
These dressings are semipermeable, vary in size and
thickness, and have an adhesive that holds the
dressing on the skin. They conform easily to the
patient's body but do not hold well in high-friction
areas, such as the sacrum or buttocks.
Because films are transparent, the wound can be
easily monitored.
Because films are semiocclusive and trap moisture,
they allow autolytic debridement of necrotic wounds
and create a moist healing environment for
granulating wounds.
51. Principles
Explain the procedure to the patient
Handwashing before and after the
procedure
Clean from least contaminated to the
most contaminated area
Use separate cotton for each stroke
Start from the center going outward
• Observe aseptic technique
53. Procedures
1. Check physician's order for specific
wound care and medication instructions.
Helps to plan for proper type and amount of
supplies needed.
55. Procedure
3. Assess the existing dressing
Indicates types of dressing or applications
to use.
56. Procedure
4. Explain the procedure to the patient
and instruct client not to touch wound
area or sterile supplies.
Decreases anxiety and to gain cooperation.
Sudden unexpected movement on client's part
could result in contamination of wound and
supplies.
57. Procedure
5. Loosen and remove the dressing with the use of the
dressing forcep. If the dressing adheres to the
wound, loosen it by moistening with sterile NSS.
Microorganism can be transferred by direct contact from
dressing to hands. An intact scab is a body defense and
can be damage if not handled gently.
58. Procedure
6. Observe the dressing for the amount
type, color and odor of the drainage.
Provides estimate of drainage
amount and assessment of wound's
condition.
59. Procedure
7. Discard the soiled dressing in the
waste receptacle.
Reduces the transmission of
microorganism.
60. Procedure
8. Clean the wound aseptically using the
dressing forcep from the center going
outward in circular motion with;
A.Betadine cleanser
B.Dry gauze
C.Betadine antiseptic solution
(use each gauze for only one stroke)
61. Procedure
Prevents contamination of previously cleaned.
Prevents introduction of organism into wound.
Reduces excess moisture, which could
eventually harbor microorganism.
Helps reduce growth of microorganism
62. Procedure
9. Apply a new dressing by gently placing
the gauze sponges at the wound center
and moving progressively outward to
the edges of the wound site.
Promotes proper absorption
of drainage and protects wound
from entrance of
microorganism.
63. Procedure
10. Secure the edges of the dressing to
the patient’s skin with strips of adhesive
tapes.
Ensures that dressing remains intact and
covers wound.
64. Procedure
11. Make the patient feel comfortable and
tidy the unit.
Promotes client's sense of well-
being. Enhances comfort.
65. Procedure
12. Do the aftercare of the equipment.
Soak the dressing forceps in 5% lysol
solution for 30 minutes, then wash them
with soap and water. Rinse them then
dry. Send them to the CSR for
sterilization..
67. Procedure
14. Chart: site of wound, character
of wound/ discharges, treatment
given if any(e.g. ointment used)
and reaction of patient.
For proper documentation and legal
purposes
68. Reference
Fundamentals of Nursing, fifth edition, page
1598-1605 by Potter and Perry
http://images.google.com.ph/imgres?img
Fundamentals of Nursing, seventh edition,
page636-645 by Wolff
Fundamentals of Nursing by Kozier
There is now the presence of purulent discharge, and the evidence of clinical infxn.
Are the steps of body’s natural processes of tissue repair, but it also varies depending on factors such as the type of healing, wound location and sizes.
Base structural support to wound (it provides wound strength); to feed new tissues; provides surface for epithelization; to decrease the size of defect; resurfacing of wound, wound closure
Hemorrhage can be caused by blood clots, slipped suture, or erosion of a blood vessel,INTERNAL HEMORRHAGE- can be detected by, swelling and distention at the area of the wound; EXTERNAL BLEEDING-appear under the area or escapes from the dressing and pools under the patient.
Infxn-bullet or knife wounds, intestinal surgeries, because the colonizing organisms complete with the new cell for O2 and nutrition and because their by products can interfere with a healthy surface condition, the presence of contamination can impair wound healing and may lead to infxn.