Rehab Chapter 11

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  1. Autolysis
    Disintegration of tissue or cells by the body's own mechanism (leukocytes, enzymes)
  2. Debridement
    • Removal of necrotic tissue
    •  sharp
    •  mechanical
    •  chemical
    •  autolysis
  3. Decubitus
    Pressure ulcer
  4. Epithelialization
    regeneration of epidermis across a wound surface
  5. Epiboly
    Rolling over of wound margins
  6. Erythema
    redness of skin caused by congestion of capillaries
  7. Eschar
    dry thick necrotic skin
  8. Exudate
    fluid drainage
  9. Gangrene
    death of tissue, associated with a decrease of absence of blood supply and bacterial infection
  10. Granulation tissue
    small blood vessels (neovascularization) and immature collagen
  11. Induration
    due to edema, the hard feeling of wound edges
  12. Maceration
    softening of tissue due to moisture or excess fluid
  13. Necrosis
    morphological changes indicative of cell death
  14. Sinus tract
    pathway extending from the wound
  15. Slough
    mass of death tissue or cells
  16. Undermining
    rim under wound margin
  17. wound margin
    rim or border of the wound
  18. How can pressure ulcers be caused
    occlusion of capillaries or friction and shear
  19. What are 7 types of wound classifications
    • burns
    • pressure ulcers
    • arterial insufficiency
    • venous insufficiency
    • mixed (arterial & venous insufficiency)
    • diabetic wounds
    • cellulitis
  20. What are the two stages of wound healing
    primary and second intention
  21. What is primary intention
    • approximation of wound edges via sutures, staples steri-strips
    • tends to be much faster and therefore the preffered method in many instances
  22. What is secondary intention
    • this involves the filling of wounds via granulation and epithelialization
    • slower, increase risk of infection and scar tissue
  23. How are wounds measured
    • they are measured in centimeters W/D/L
    • typically use a clock system if applicable
  24. What must be documented for wound care
    • location
    • classification
    • width, depth, length
    • presence of tunnels, undermining
    • wound appearance in percentage
    • periwound area: signs of edema, induration, inflammation, infection
  25. What are the different types of mechanical debridement
    • whirlpool
    • irrigation
    • pulse lavage
    • mist
    • dressing removal
  26. What are the three types of sharp debridement
    • scalpel
    • scissors
    • tweezers
  27. What are some Physical Therapy interventions for wound care
    • prevention and ongoing pressure relief
    • wound debridement
    • dressing changes/wound management
    • modalities (E-Stem/Ultrasound)
    • wound cleaning (hydrotherapy/pulsed lavage)
    • vacuum assisted closure devices
  28. When examining a wound what are some of your objectives
    • type
    • size
    • stage
    • type and amount of drainage
    • tissue
    • presence of edema, odor and skin integrity in adjacent area
Card Set
Rehab Chapter 11
Wound Care Terms and More
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