Question

Complex Wounds
List five common problems to be considered in the management of complex wounds?

Answer 1

Ans) Common problems to consider on the management of Complex wounds:

1. Infection.
2. It is the popular belief that a wound must be allowed to dry to heal but in complex wounds, best condition when they are kept moist. Scabbing and scarification happen in wounds that are dry, and many people feel that a wound must be allowed to dry to heal. While this is an effective tactic in smaller or simple wounds, allowing a wound to dry out and stay dry will cause it to stop healing and scarify instead. Complex wounds may take a very long time to heal, and of course that looks like not resolving to many people.
3. Insufficient blood-flow to wounds: In diabetics in particular compromise in blood-flow to a wound will slow or stop wound healing. This is the reason that diabetics end up with amputations: some wounds are non-healing, and spontaneous wounds can occur. In the sedentary there are different problems, but lack of use of a body part will decrease blood-flow. Two other things that reduce blood flow are smoking and dehydration.
4. Expense: Treating a complex wound is very expensive. It requires many visits of a knowledgeable nurse and expensive wound-care materials.
5. Body contours: It is downright hard to get a good wound dressing on an area of a joint or on a vertical limb, such as the upper arm or the leg. Often one then uses adhesive dressings which have drawbacks on contoured body structures as well. Flat dressings don't sit well on curved (or flexing) body parts. And trying to dress a wound that overlaps a joint, especially one that moves often is truly difficult, remembering that it has to avoid evaporation from the dressing, so it has to be almost air-tight.
6. Wound size: Large wounds may not be able to grow back a skin covering, so they might need skin grafting.
7. Poor nutrition: Both insufficient fluid intake and insufficient calorie intake can reduce wound healing. One needs protein, calcium, iron, and other nutrients to build new muscles, blood, bones, and other tissues, not to mention blood-clotting and infection-fighting special cells which circulate in the blood stream.