Question

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

Aetiology

Nursing consideration (minimum 2 each)

24.1)     Skin tear

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24.2)     Malignant wound

Answer 1

Type of wound	Aetiology	Nursing Consideration
24.1)Skin tear	injury (direct trauma) Medication (steroid) Immobile patients Removal of adhesive tape or dressing Neonatal and elderly population skin Lacking nutritious diet Dehydration	Be cautious while handling elderly and neonates while bathing, dressing or addressing their personal hygiene Provide a good nutritious diet and plenty 8f liquids to maintain hydration Dressing, tapes from patient body to be removed after moistening to prevent skin tear Range of motion exercise can improve circulation in bedridden patients and prevent skin tear Apply moisturiser In case of very mild tear ,leave it dry and airy to speed heeling Apply ointment if superficial If deep dressing as per order
24.2)Malignant wound	Cancer Fungal infection (fungating ) Ulcerative cancer cells	Follow strict asepsis in procedures, handling patients to prevent cross infection Aseptic dressing as per order(activated charcoal reduces odour,antimicrobial prevents growth of microbes that result in debris Administer medication to treat the cancer cells directly Administer analgesic to relieve pain Antipruritic medication to reduce itching which is common in these patients