1. Woundcare

2. Definition wound
A wound is a severance of the natural cohesion of living tissue.

3. Skin
The skin is the largest organ of our body.

4. Functions of the skin Covering and protection of the body
Temperature regulation
Excretion
Functions as a vessel for many organs
Forming of Vitamine D

5. Classification of wounds
Open and closed wounds
Causes of wounds
Colour of the wound

6. Open wounds
The cohesion of all layers of the skin or the mucous membrane is severed.
Examples: cuts, stab wounds or surgical wounds

7. Closed wounds
Not all layers of the skin or mucous membrane have been severed. The outer layer is intact, the inner tissue is damaged.
Examples: Haematoma or
bruise

8. Causes wounds Mechanical wounds Chemical wound Burns
Abrasion, cut, stab wound, insect bite or shot wound
Chemical wound
skin or mucous membrane has necrotized
Burns
burning or frostbite
Electricity wounds

9. Causes wounds Oncological wounds Radiation wounds Infection wounds
metastases of the skin and skin cancer
Radiation wounds
sun, radiation
Infection wounds
Blood circulation insufficiency
insufficient blood and oxygen supply of the tissue (gangrene)
ulcus cruris and bed sores/pressure sores

10. Wound healing Primary wound healing
Wounds will heal by themselves. The blood removes bacteria and dirt from the wound. As soon as blood comes into contact with air a blood clotting mechanism starts, a scab. When the healing process has been completed, the scab falls off.

11. Wound healing Secundairy wound healing
When there is severance of the tissues, the body will first have to clean the wound. The wounded area will first get inflamed. If the wound area has insufficient blood circulation, then necroses will take place. If there is a lot of dead tissue and dead bacteria, one speaks of pus. If the wound is clean, the primary healing process can take place.

12. Woundhealing

13. Sutures

14. Staples

15. Glue

16. Factors that influence wound healing
Features of the wound
Colour, extent of contamination and exudates, size, state of surrounding tissue, blood circulation
Age of the care seeker
State of nutrition
Medication
Smoking, drugs, lifestyle
Related illnesses
Psychosocial situation

17. WCS classification
Method used to determine the best course of action for local wound care:  examine the wound and its colour to determine the phase of wound healing
On finding mixed colours: choose course of action to treat the most urgent problem

19. Red wound

21. Yellow wound

23. How to examine a wound? wound type site of wound colour/odour
exudates/colour of exudates
necroses (wet/dry)
hydration of the skin
measurement wound /depth of wound
How to examine a wound?

24. How to examine a wound? pain ulcer edge inflammation signs
Apart from that it is important to observe the patient from a holistic point of view, and his/her underlying suffering and his/her the physical and mental wellbeing.

25. Questions?