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Wound phases/care
phases and modalities for care
| Question | Answer |
|---|---|
| Name the 3 phases of wound healing | acute inflammatory phase, granulation phase, scar maturation phase |
| Healing phase that occurs hours after injury or surgery | acute inflammatory |
| phase characterized by vasodilation, edema, and migration of WBC.s and phagocites to the wound area | acute inflammatory |
| phase occurs within the first 72 hours and yields in the formation of collagen | granulation phase |
| phase that by the end of the second week results in erythema of the new scar | granulation phase |
| superficial reddening of the skin, usually in patches as a result of injury or irritation | erythema |
| phase that occurs during the 3rd to 6th week of wound healing | scar maturation phase |
| phase where fibroblasts are slowly replaced with scar collagen fibers and the wound becomes stronger and more able to withstand progressive stresses leading to scar maturation | scar maturation phase |
| How long does strength continue to increase during the scar maturation phase? | 3 months or longer |
| During the scar maturation phase, what has been shown to facilitate more effective remodeling? | controlled tension on a scar |
| Name 4 treatments to facilitate wound healing. | whirlpool/warm soaks, fluidotherapy, manual and chemical debridement, electrical stimulation |
| Treatment that can be used to agitate and remove dead skin, as well as increased circulation and blood flow to the wound. | whirlpool/warm soaks |
| Treatment effective for infected wounds | sterile whirlpool |
| A self-sterilizing and low humidity medium thought to be very effective for "seepy" wounds | fluidotherapy |
| Thought to have some effect on wound healing when used as high voltage direct current because of the increase mechanical effects on the tissues | electrical stimulation |
| ointments used to promote wound healing | silvadine, lanolin, cocoa butter, creams/lotions |
| ointment used with burn patients | silvadine |
| 2 ointments that are excellent for scar massage as they do not disappear quickly | lanolin and cocoa butter |
| 4 pressure methods used to promote wound healing | elastomer, coban, pressure garments, scar massage |