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Dermatology

ABC of Wound Healing - download pdf or read online

By Joseph E. Grey, Keith G. Harding

ISBN-10: 0727916955

ISBN-13: 9780727916952

This fresh identify within the ABC sequence appears to be like on the therapy and administration of wounds and therapeutic strategy - it is the ideal reduction for college kids, nursing employees, sanatorium medical professionals and GPs.

Covers the evaluation, prognosis and administration of all wounds - from demanding to power. Giving sensible suggestion on dressings and units utilized in the administration of wounds.

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Extra resources for ABC of Wound Healing

Example text

Subtle signs of local wound infection include unhealthy “foamy” granulation tissue, contact bleeding, tissue breakdown, and epithelial bridging. Infection is a major source of failed wound healing Management of bite wounds x x x x x Carry out meticulous surgical debridement and cleansing of wound Send deep tissue specimens for microbiology testing Consider empirical treatment with antibiotics Consider tetanus prophylaxis Seek microbiological advice if bite was by exotic animal Signs of wound infection x x x x x x x x x x x x Redness Heat Pain Swelling Exudate (purulent, serous, or serosanguinous) Odour Poor healing Contact bleeding Epithelial bridging Tissue breakdown Presence of unhealthy granulation tissue Systemic illness in the absence of other focus of infection Types of sample Superficial wound swabs—The ease of obtaining and processing superficial wound swabs, combined with their relatively low cost and non-invasive nature, make them in most instances the most appropriate method for wound sampling.

Films are very flexible and are good for wounds on “difficult” anatomical sites—for example, over joints. They are unable to cope with large amounts of exudate, however, and may cause maceration of the skin surrounding the wound bed if they are used injudiciously. Left: Healthy venous leg ulcer suitable for dressing with low adherent dressing. Right: Wound suitable for dressing with semipermeable film Semipermeable films Examples include Bioclusive, Mefilm, OpSite Flexigrid,* OpSite Plus, Tegaderm x Suitable for flat, shallow wounds with low to medium exudates x Promote moist environment x Adhere to healthy skin but not to wound x Allow visual checks x May be left in place several days x Useful as secondary dressing x Provide no cushioning x Not for infected or heavily exuding wounds *Not available on prescription in UK primary care.

Subtle signs of local wound infection include unhealthy “foamy” granulation tissue, contact bleeding, tissue breakdown, and epithelial bridging. Infection is a major source of failed wound healing Management of bite wounds x x x x x Carry out meticulous surgical debridement and cleansing of wound Send deep tissue specimens for microbiology testing Consider empirical treatment with antibiotics Consider tetanus prophylaxis Seek microbiological advice if bite was by exotic animal Signs of wound infection x x x x x x x x x x x x Redness Heat Pain Swelling Exudate (purulent, serous, or serosanguinous) Odour Poor healing Contact bleeding Epithelial bridging Tissue breakdown Presence of unhealthy granulation tissue Systemic illness in the absence of other focus of infection Types of sample Superficial wound swabs—The ease of obtaining and processing superficial wound swabs, combined with their relatively low cost and non-invasive nature, make them in most instances the most appropriate method for wound sampling.

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ABC of Wound Healing by Joseph E. Grey, Keith G. Harding


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