Question

24)    Wounds Types Fill in the table below Type of wound Aetiology Nursing consideration (minimum 2 each)...

24)    Wounds Types
Fill in the table below

Type of wound
Aetiology
Nursing consideration (minimum 2 each)
Surgical wound
result from surgery
Strict asepsis should be maintained while changing dressing

Look for staples and sutures applied and see if they are intact

Follow surgeons preference for wound management

Type of wound

24.1)     Skin tear Aetiology Nursing consideration (minimum 2 each)

24.2)     Malignant wound Aetiology Nursing consideration (minimum 2 each)

24.3)     Neuropathic ulcers Aetiology Nursing consideration (minimum 2 each)

24.4)     Burns Aetiology Nursing consideration (minimum 2 each)

24.5)     Skin grafts Aetiology Nursing consideration (minimum 2 each)

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Answer #1
Type of wound Aetiology Nursing consideration
Skin tear(a discontinuity in the skin due to injury)
  • sensitive, dry skin
  • By a force or friction on the skin
  • Common in elderly population due to ageing
  • Edematous patient
  • Infant skin
  • Medication
  • Apply moisturizer to prevent dryness
  • Remove the source or particles from the payient which can lead to physical injury
  • Hydrate the patient
  • Encourage patient to wear protective

Malignant wound

(The wound is a result of cancer cells invasion to skin impairing circulation and skin death )

  • Skin cancer
  • Tumor
  • Pain control by analgesic
  • Infection prevention ny antibiotics
  • Dressing ofvthe wound

Neuropathic wound

(The nerves are affected here)

  • Uncontrolled Diabetes
  • loss of sensation in the limbs
  • monitor and maintain blood glucose level in normal range
  • Prevent from injury
  • Exercises to improve circulation
Burns
  • fire or chemical exposure
  • Aseptic dressing
  • Administer pain killer to reduce pain
  • Cover the burns with steril gauze to protect the Skin from infection
  • Topical water proof creams and ointments
Skin graft
  • Burns
  • Skin infection
  • Assess for skin graft rejection
  • Administer medication as per order
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