W4 Skin integrity & wound care lecture updated STUDENT 7.23.18 SH Prof. Stefanie Haynes MSN, FNP-C NUR 216

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Skin Integrity & Wound Care Chapter 36 Prof. Stefanie Haynes MSN, FNP-C NUR 216 Learning Objectives Learning Objectives What are so... me functions of skin? Functions of the Skin • Largest organ in the body • Maintaining health and protects the individual from injury • Important nursing functions are maintaining skin integrity and promoting wound healing = protect the patient from infection! Skin Integrity • Intact skin: normal skin & skin layers uninterrupted by wounds • Factors influencing skin integrity: • Genetics & heredity • Age • Very young & very old more fragile & susceptible to injury • Wound healing more rapid in infants & children • Chronic illness & treatments • Impaired circulation (e.g., peripheral arterial circulation can cause skin on the legs that damages easily) • Medications (e.g., corticosteroids, rx that can cause photosensitivity) • Nutrition Skin Integrity What is the nurses responsibility related to skin integrity? Types of Wounds Types of Wounds • Wound: break in the skin • Intentional vs. unintentional • Intentional: planned, occurs during therapy • surgery, IV’s, edges are clean and straight, bleeding controlled, procedure sterile, less change of infection • Unintentional: trauma is accidental • Falls, gunshots, burns, edges jagged, non-sterile, greater chance for infection, bleeding controlled Types of Wounds Intentional vs. Unintentional Types of Wounds • Open vs. Closed • Open: the skin or mucous membrane surface is broken • Bleeding, tissue damage, increased chance for infection, delayed healing • Closed: trauma to the tissue but no break in the skin • Results from blow, force, or strained skin not broken, soft tissue damage, internal injury hemorrhage Types of Wounds Open vs. Closed Types of Wounds • Acute vs. Chronic • Acute: surgical incisions, wounds heal quickly, edges clean, decreased risk or infection • Chronic: pressure ulcers, peripheral vascular ulcers, edges not approximated, increased risk of infection, delayed healing ....................................................................................continued.......................................................................................... [Show More]

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