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Protocols around wound dressing (DHB protocol # (Gloves, Wound dressing…
Protocols around wound dressing
Pathophysiology
Wound healing
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Reconstructive phase
Maturation phase
Inflammation
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Wound disruption could occur due to dehiscence;when the wound pulls apart at the suture line
DHB protocol
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Gloves
Wound dressing chart
Infection control
Wound type identification
Wound product selection guide
Communication
Taking time to explain procedure to patient
Take time to answer questions and queries from patient
Wound drains: Should remove fluid efficiently, avoid tissue damage, reduce infection.
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Caring for a patient with a wound drain
Types: Penrose, corrugated, yeats, T tube, gauze wick, redivac, chest drain.
Methods of skin closure
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Glue
Staples
Suture
Potential post op wound complications
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Infection (temperature, swelling, oozing)
Nausea and vomiting
Bleeding
Factors affecting wound healing
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Intrinsic- Age, dehydration, disease processes, impaired blood supply, poor nutrition, Lower O2 supply
Extrinsic- Drug therapy, infection, inadequate wound management, obesity, smoking, stress, temperature of the wound
Social factors- poor housing, lifestyle, poverty, beliefs
Psychological factors- Patient knowledge, body image issues, patient motivation, following treatment plans
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1st line of defense broken