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wound care- chapter 26

1.

Dehiscence

separation of outer wound layers

2.

Evisceration

Rupturing of a wound (organs or inner tissue is hanging out of the wound)

3.

Eschar

hard, dry, leathery dead tissue (most commonly abdominal)

4.

Granulation tissue

new tissue growing on a wound

5.

Simustract

tunnel developing between two cavities in a wound - extends underneath the tissue

6.

surgical incisions

sharply defined edges: also called approximated- close together-touching

7.

Abrasions

superficial open wound cause by scraping

8.

Lacerations

open wound made by accidental cutting or tearing of tissue. common-knives. pieces of glass and metal

9.

puncture wounds

open wound when a sharp item pierces the skin. round hele that penetrates into deeper tissue

10.

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!

11.

Pressure ulcers

aka- pressure injury

wound resulting from pressure

-may be superficial or very deep

12.

deep tissue injury

area over bony prominence that differs from surrounding tissue

13.

stages of pressure ulcer

STAGE 1- erythema

generally over a bony prominence

14.

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

15.

stages of pressure ulcer

STAGE 3- a full-thickness loss

loss with visible adipose