Why Do ,muslim Men Grow Their Pinky Nail

wound management

W. is not limited to: *
medically prescribed treatment
; infection prophylaxis
* * Perform emergency measures
but also
# from the wound resulting consequences for those affected
# Instructions and advice of the patient's relatives
+ # collaboration of various institutions during observation

# # #
wound pain observation & documentation treatment
# plot the latest scientific evidence
# Research and Evaluation
objectives of W.

• pain
• Preservation and promotion of the movement
• balanced diet
• maintenance of daily activities / social embeddedness
• acceptance of the altered body image
• boosting self-esteem
• acceptance of new wound dressing materials
• observance of precautions

WOUND = any tissue defect with more or less gaping Gewebsdurchtrennung the outer skin or mucous membrane.
WOUND HEALING = defect closure by Cicatricial supporting tissue related to epithelialization.
wound history

• cause of skin damage
• mobility
• pain
• medication allergies
• nutrition
• acceptance of the wound
  

factors on wound healing

;

local factors	general / systemic factors
location of the wound pressure and mechanical load in the wound area condition of the wound bed temperature fluid secretion from the wound [»exudate ] size of the defect age of wound complications wound healing as an accompanying disease	nutrition age health status immune status Hormone status blood circulation drugs life pain

wound observation
{a} location of the wound

• often regard development
• evidence of appropriate care

{b} wound size

• determined on the basis of wound area and depth
• calculation: Wundlinieal means of the two longest at right angles to each other to determine diameter lines and multiply

{c} wound depth
= Distance between the level of intact skin and wound bed

• measuring point = introduce deepest
• sterile button cannula vertically without sterile cotton swab to the skin surface to the deepest part of the wound, pull dannach and measure

{ d} wound environment

• is evidence of integrity of the skin, healing phase; health
• are observational criteria:
• color
• maceration (Swollen)
• Hautstrucktur
• callus (callus barriers)

{e} wound edge

• direct wound environment is in wound edge over
• important info's {f} on healing tendency of the wound
• vital [healthy] OR nonvital [lifeless]

wound bed / bed

• color & texture = indicator for various phases of wound healing
• Color:
• black / brown = occupied necrotic, dry necrosis
• yellow = fibrinous evidence, pus
• pale pink = unhealthy granulation
• deep pink / pink = healthy granulation Epithelisierungsgewebe
• consistency:
• Œ Nekrosen_trocken, leathery, hard, wet, greasy, scaly
• Granulationsgewebe_leicht-bleeding, glassy, watery, fibrinous occupied, dry, well supplied with blood, shiny wet

{g} =
exudate secretion of fluid wound

• observation criteria are: size, color / appearance, smell

wound healing phases

catabolic phase anabolic phase
~ Inflammation ~ proliferation / / ~ repair

inflammation

• activation of biochemical and cellular processes responsible for the defense against infections & Healing are significant
• leakage of blood and plasma as a result of vascular lesions and local circulation disorders
• bleeding and clotting
• resistance to infection and inflammation
• debridement / wound secretion
• beginning of the epithelialization

, proliferation

• neovascularization as condition for formation of granulation tissue
• granulation (formation of new tissue to the defect filling)
• epithelialization
• infection defense

ƒ repair

• epithelialization
• transformation to scar tissue and scar contraction
• maturation (= maturation of collagen fibers, resulting wound contraction)