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an open wound caused by a sharp object
puncture wound
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a localized collection of pus resulting from invasion from a pyogenic bacterium or pathogen; must be open or drained to heal
abscess wound
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a closed wound caused by blunt trauma. May be referred to as a bruise or ecchoymotic area
Contusion wound
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A wound caused by force leading to compression or disruption of tissue. Often associated with fracture. Usually there is minimal or no break in the skin
Crushing wound
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an open, intentional wound caused by a sharp instrument
incision wound
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an open wound in which the agent causing the wound lodges in body tissue
Penetrating wounds
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a wound with an entrance and exit site
Tunnel
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extend through the epidermis but not through the dermis
partial thickness wounds
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extended into the subcutaneous tissue and beyond
full thickness wounds
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edges of the skin are brought back together
approximated
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the traditional wound closures are sutures (stitches)
sutures
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provide a fast, easy way to close an incision
Most common places: legs, abdomen, back scalp, or bowel
surgical staples
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safe for use in clean, low tension wounds. It is an ideal wound closure method for skin tears
surgical glue
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localized areas of injury to the skin, and possibly the underlying tissue, usually over a bony prominence
Pressure ulcers
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the area flushes bright red
reactive hyperemia
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occurs when the epidermal layer slides over the dermis, causing damage to the vascular bed; when the skin is moving at a different angle then the underlying tissues
Ex: pilling self off of car seat on a hot day. Like dragging (no dragging patient pick them up
Shearing
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red in color, shiny and taught,, may even feel warm or hot
venous stasis ulcer
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are irregularly shaped lesions caused bt venous congestion, often from damage to valves in the veins (occur usually between the inside ankle and the knee
venous statis ulcer
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Occur when there is a non- pressure related blockage of arterial blood to an area, causing ischemia and tissue necrosis. circulation has been cut off, oxygen is not able to get through to the cells
arterial ulcers
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over the lower leg, ankle, or bony areas of the foot. The wound bed tends to be dry and pale, with little drainage. Very painful
Arterial ulcers
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why do pressure ulcers occur?
Because there may be intense and or prolonged pressure
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moisture and temperature right around the skin on a patient
microclimate
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a patient who has good nutrition can resist things easily
nutrition
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the pumping of a fluid through an organ or tissue.
perfusion
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the pumping of a fluid through an organ or tissue.
Co morbidities
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older you get the worse you skin may be.
Condition of soft tissue
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