Skin Integrity and Wound Care
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| EPIDERMIS | Outermost cell layer of skin
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| DERMIS | middle layer of skin beneath epidermis, composed of CT, Blood and Lymph vessels, sweat glands, hair follicles
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| SUBCUTANEOUS TISSUE | or Hyypodermis-3rd layer, contain fat
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| Intentional Wounds | occur during therapy. Ie operation, venipuncture
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| Unintentional Wounds | accidentals
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| Incision | sharp instrument, Open wound, deep or swallow
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| Contusion | blow from a blunt instrument, Closed wound, skin appears ecchymotic, bruised because of damage blood vessels
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| Abrasion | Surface scrape, either unintentional or intentional-Open wound involving the skin
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| Puncture | penetration of the skin and often the underlying tissues by a sharp instrument, either intentional or unintentional-Open wound
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| Laceration | Tissue torn apart, often from accident-Open wound; edges are often jagged
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| Penetrating Wound | Penetration of the skin and the underlying tissues, usually unintentional –Open wound
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| Clean | are uninfected wounds there is minimal inflammation and respiratory , GI, genital, and urinary tracts are not entered. Primarily closed wounds.
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| Clean-Contaminated | surgical wounds in which respiratory, GI, genital, or urinary tract has entered. Such wounds show no evidence of infection
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| Contaminated wounds | include open-fresh accidental wounds and surgical wounds involving a major break in sterile technique or a large amt of spillage from GI. Contaminated wounds show evidence of inflammation
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| Dirty/infected wounds | include wounds containing dead tissue and wounds with evidence of a clinical infection, such as purulent drainage.
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| Partial-Thickness | confined to the skin-dermis and epidermis
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| Full-thickness | involving the dermis, epidermis, subcutaneous tissue, possibly muscle and bone; require CT repair
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| Ischemia | deficiency in blood supply to tissue. Tissue is compressed bw 2 surfaces, surface of the bed and bony skeleton
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Created by:
moxleyjulene
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