2.

Compromised host- Diabetes Mellitus, infection, AIDS, - absorbs drainage of exudates and secretions from the wound
Wound Healing 3.
4.
chemotherapy
Nutrition- increase needs in wound healing
Obesity- more adipose tissue less blood supply
-
-
maintains moist environment that promotes wound healing
give support to the incision and surrounding skin or to
immobilize surrounding tissue

(Imperforated Anus) 5.
6.
7.
Medication- immunosuppressive agents
Smoking- reduces oxygen supply
Stress- additional energy demands drains energy supply for
-
-
provides pressure to reduce edema or prevent hematoma
conceal the wound aesthetically

3 Phases of Wound Healing repair Steps of Wound Cleansing

1. Inflammatory 1. Perform hand washing.
 Begins immediately 2. Prepare needed cleansing materials (hydrogen peroxide and
after injury and lasts 3- External Factors betadine)
4 days. 1. Bacterial infection- must be treated for healing to occur. 3. Prepare gauze or sterile dressing and cotton balls.
 Involves vascular and 2. Client hygiene-minimizes the risk to acquire infection 4. Remove dressing by removing the adhesive tapes carefully
cellular responses to 5. Look for signs of infection.
Complication of Wounds 6. Gently clean the wound area starting from the wound site
1. Hemorrhage/bleeding going farther. First use hydrogen peroxide to soften
2. Infection-from 2-11 days after wound onset encrustinations then apply the betadine solution in the same
intended to remove foreign Signs and Symptoms of Wound Infection: manner (from the suture side to the surrounding areas).
substances and dead and a. wound warm to touch  You can use dampening motion while cleaning the wound
dying cells. b. mal-alignment of site and circular motion when cleaning the outer area.
wound edges Remember no to re-use cotton balls applied to the same area.
 Increase blood supply to
c. fever 7. Dry wound using clean gauze.
bring nutrients to the wound
d. malaise 8. Cover wound with a dry dressing. Depending on the size of the
site needed for healing.
e. yellowish wound wound is the amount of dressing used. Layer dressing to provide
 Area becomes reddened and
discharges wound with adequate oxygenation.
swollen.
3. Dehiscence- wound opening  If with topical antibiotic apply first the topical antibiotic with
4 Purposes
4. Evisceration- protrusion of internal organs from an incision. a cotton swab before covering the wound with a dressing.
1. Control bleeding
2. Wound sealing 9. Apply adhesive over the layered dressing following a single
Ways of Preventing Wound Infection direction.
3. Removal of debris resulting from injury
1. Good nutrition especially foods rich in Vitamin C-promotes 10. Avoid wetting the wound with water during bathing. It is best
4. Provision of scaffolding for the deposition of collagen fiber. collagen formation that one bathes first before cleaning and applying dressing to the
2. Keep wound dry and clean. wound. Keep wound dry at all times and maintain an intact
2. Proliferation 3. Refrain handling wound with dirty hands- do proper hand dressing.
 Begins on the 3rd or 4th day after injury and continues for 2-3 washing. 11. Clean wound at least once or twice a day to prevent infection
weeks. 4. Proper cleansing and applying dressings and to promote wound healing.
 New tissue is generated and the continuity of the injured 5. Disposed used wound dressings properly. 12. Return for follow-
tissue is restored. 6. Seek medical attention if signs and symptoms of wound up check up if necessary.
infection is observed to prevent further infection. Materisals:
3. Maturation 7. Maintain a good hygiene.
 Begins at about 21 days and is the final most prolonged
Equipments and Materials for Wound Care
phase, may continue for over a year.
1. Cleansing solution- Hydrogen Peroxide and Betadine
 Fibroblasts continue to synthesize collagen.
solution (most prescribed); has an antiseptic effect and
 The scar becomes thin, less elastic white line appears. prevents irritation of the wound.
2. Bandage materials-gauze surgical tape or alternative
Factors Affecting Wound Healing materials such as clean cloth.
 Wound dressing
Internal Factors
- protects the incision from outside injury
1. Vasculature- good supply promotes wound healing
PREPARED BY:
RAMOS, NATHANIEL O. BSN IV –F3
SAINT LOUIS UNIVERSITY
SCHOOL OF NURSING
BATHCH 2011
“When the first baby laughed for the
first time, the laugh broke into a
thousand pieces and they all went
skipping about, and that was the
beginning of fairies. And now when
every new baby is born its first laugh
becomes a fairy. So there ought to
be.”
James Matthew Barrie