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Wound Care Teaching 535

Patient was instructed on traumatic wounds. Open wounds may be left heal

Wound Care Teaching 536

Patient was instructed on traumatic wounds. Abrasions are superficial epithelial wounds cause by frictional scarping forces. When extensive, they may be associated with fluid loss. Such wounds should be cleansed to minimize the risk of infection, and superficial foreign bodies should be removed to avoid unsightly

Wound Care Teaching 543

Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.

Wound Care Teaching 544

Instructed patient to report to nurse or MD at the first sign or symptom of pressure ulcer formation, for example: redness that remains half an hour after pressure has been removed from area.

Wound Care Teaching 545

Patient was instructed on the risk and factors that contribute to the development of pressure ulcers, such as malnutrition, dehydration, impaired mobility, chronic conditions, impaired sensation, infection, advance age and pressure ulcer present.

Wound Care Teaching 546

Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.

Wound Care Teaching 547

Patient was instructed on how to manage pressure that is necessary to avoid future complications. Provide appropriate support surface, repositioning every two hours in bed, off-load heel using pillows or positioning boot, use pillow between legs for side lying.

Wound Care Teaching 548

Patient was instructed on what to avoid in presence of ulcers. Friction and shear need to be reduced. Friction is the mechanical force exerted when skin is dragged against a coarse surface while shear is the mechanical force caused by the interplay of gravity and friction.

Wound Care Teaching 549

Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.

Wound Care Teaching 553

Patient was instructed on pain caused by pressure ulcers. Pain can be classified as acute or chronic. Cyclic acute pain, which is periodic and corresponds to the pain experienced during repeated management, such as dressing changes or patient repositioning and non-cyclic acute pain, which is accidental, including pain experienced during occasional procedures such as debridement or drain removal.