Dehiscence
separation of outer wound layers
Evisceration
Rupturing of a wound (organs or inner tissue is hanging out of the wound)
Eschar
hard, dry, leathery dead tissue (most commonly abdominal)
Granulation tissue
new tissue growing on a wound
Simustract
tunnel developing between two cavities in a wound - extends underneath the tissue
surgical incisions
sharply defined edges: also called approximated- close together-touching
Abrasions
superficial open wound cause by scraping
Lacerations
open wound made by accidental cutting or tearing of tissue. common-knives. pieces of glass and metal
puncture wounds
open wound when a sharp item pierces the skin. round hele that penetrates into deeper tissue
penetrating wounds
similar to a puncture wound
- object remains embedded in tissue
-degree of damage upon size of the object & the tissue
-DO NOT EVER REMOVE THE OBJECT!
Pressure ulcers
aka- pressure injury
wound resulting from pressure
-may be superficial or very deep
deep tissue injury
area over bony prominence that differs from surrounding tissue
stages of pressure ulcer
STAGE 1- erythema
generally over a bony prominence
stages of pressure ulcer
STAGE 2- partial thickness
loss of skin with exposed dermis; pink/red, moist, often a shallow open ulcer or intact/ruptured serum-filled blister
stages of pressure ulcer
STAGE 3- a full-thickness loss
loss with visible adipose