Presentation on theme: "Types of Wounds Review of wounds commonly seen in the Long Term Care Setting Bed sores (Pressure Ulcers or Decubitus Ulcers) Skin Tears Purpura (multiple."— Presentation transcript:
Review of wounds commonly seen in the Long Term Care Setting Bed sores (Pressure Ulcers or Decubitus Ulcers) Skin Tears Purpura (multiple bruises of blood vessels)
Incisions A clean separation of skin and underlying tissues with smooth even edges. Most often seen in surgery. Skin edges are clean and even. May be closed with staples, sutures, steri strips or butterfly dressings. Surgical type glues are becoming more popular with smaller/shallow incisions. Benefits to “glues” are decreased pain, decreased scarring-cosmetic appeal to facial injuries, and increased aproximation (healing) of surgical edges. The use of sterile instruments decreases chance of infection.
Ulceration Bed sore, pressure ulcer, decubitus ulcer. Diabetic ulcer MRSA- infection (see lower left photo) Brown Recluse Spider Bite
Lacerations A separation of skin and tissue in which the edges are torn and irregular. Accidental Caused from glass, automobile accidents, stab wounds from knives. Lacerations often cause more scarring than a cleaner incision. Skin edges are irregular, and wounds often have debris, dirt and fragments. Infection may occur due to bacteria on lacerating object.
Abrasions Abrasion – a wound in which the top surface layers of skin are scraped away. Often referred to as a “brush burn”. Can also be shearing in the nursing home patient from friction of bedding. Abrasions often occur with falls. Abrasions are shallow, but often the application of a dressing is not only protective (helps keep out infectious agent), but comforting as well, to this painful injury.
Puncture wounds An opening of skin, underlying tissue, or mucous membrane caused by a narrow, sharp, pointed object. Objects that commonly inflict puncture wounds: knives, nails and large splinters. The risk of tetanus increases with a deep puncture wound. (Tetanus bacteria are anerobic, meaning they don’t need oxygen to survive.)
Contusion Injury to soft tissue from the force of contact with a hard object, sometimes called a bruise. Often seen in automobile accidents. Referred to as blunt force trauma. Because bleeding is under skin, severity of injury may not be realized; therefore this can make contusion injuries more dangerous.
Lacerated Liver (Blunt force trauma) closed wound.
Burns (classifications of) Thermal burn injuries can be classified as "full thickness" or "partial thickness" based upon the ability of the skin to regenerate. In the partial thickness burns, there are still skin adnexa in the dermis that are viable and from which new epithelium could grow.