Wound care

simple ppt

1. Wound care JOHNY WILBERT, M.Sc [N] LECTURER, APOLLO INSTITUTE OF HOSPITAL MANAGEMENT AND ALLIED SCIENCE

2. Wound It is a break in the continuity of the skin, mucous membranes, bone, or any body organ

3. TYPES OF WOUNDS INCISION It is cause by sharp instrument. Ex knife or scalpel .   CONTUSION Cause by blowFrom a blunt Object. Closed woundSkin appears ecchymotic   ABRASION Surface scrape, either Unintentional or Intentional It is an open wound Involving the skin, Painful

4.   PUNCTURE Penetration of the Skin and often, the Underlying tissues From a sharp Instrument.   LACERATION Tissues torn apart Often from accidents PENETRATING WOUND Penetration of the Skin and the Underlying tissues. (eg.gun short )

5. THE RYB COLOR CODE This concept is based on the color of an open wound - Red, Yellow, Black   Red wound - are usually in the late regeneration phase of tissue repair and are clean and uniformly pink in appearance this type of wound needs to be protected   Protect the Red wound a . gentle cleansing b . avoiding the use of dry gauze or wet to dry saline dressings c . applying a topical antimicrobial agent d . changing the dressing as infrequent as possible .

6. YELLOW WOUNDS Characterized by primarily by liquid to semiliquid “slough” that is often accompanied by purulent discharges .   CLEANSETHE YELLOWWOUNDS Yellow wounds should be Cleanse to absorb drainage and remove nonviable tissue. Apply wet to wet dressing. Hydrogel dressings Exudate absorbent dressings

7.   BLACK WOUNDS This type of wound is covered with necrotic tissue. BLACK WOUNDS requires debridement ( removal of infected and necrotic material )

8. Red wound Black wound Yellow wound

9. GUIDELINES IN WOUND CLEANING Use Isotonic saline or lactated ringers solution to clean or irrigate the wound. Warm the solution to body temperature before use . If wound is grossly contaminated by foreign material, bacteria, or necrotic tissue, clean the wound at every dressing change.

10. If wound is clean, has little exudate , and reveals healthy tissue avoid repeated cleaning Use gauze squares. Avoid using cotton balls and other products that shed fibers onto the wound surface. The fibers become embedded in the granulation tissue and act as a foci for infection Consider cleaning superficial noninfected wounds by irrigating them rather than by mechanical means Purpose of wound Dressings To protect the wound from mechanical injury

11. To protect the wound from microbial contamination To provide or maintain high humidity of the wound To provide thermal insulation   To absorb drainage or debride the wound   To prevent haemorrhage To splint or immobilize the wound site and prevent further injury