MANAGEMENT EXAM QUESTIONS AND VERIFIED ANSWERS
WITH SOLUTION 100% GUARANTEED PASS
Wound
disruption of the integrity and function of tissues in the body
Stages of wound healing
1. Defensive (haemostasis and inflammatory) phase
2. Reconstructive (proliferative) phase
3. Maturation Phase
Defensive (haemostasis and inflammatory) phase
- Occurs immediately after injury and lasts about 3-4 days.
Haemostasis - occurs by vasoconstriction of large blood vessels affected by the area.
Inflammation - the body's defensive adaptation to tissue injury and involves both
vascular and cellular responses.
Reconstructive (proliferative) phase
- Begins on the 3rd or 4th day after injury and lasts 2-3 weeks.
- Contains the process of collagen deposition, angiogenesis, granulation tissue
development and wound contraction.
Maturation Phase
- the final stage of healing, begins on the 21st day and may continue for up to two years
or more.
, - Scar tissue is remodelled (reconstructed by collagen deposition)
- The scar gains strength but is weaker than the tissue it replaces.
Factors that affect wound healing
- Age
- Body Type
- Nutrition
- Oxygenation
- Smoking
- Medication Therapy
- Chronic Disease
- other factors (infection, repeated trauma)
Haemorrhage
- (Persisent bleeding) is abnormal and may indicate a slipped surgical suture, a
dislodged clot or erosion of a blood vessel.
- Risk for Haemorrhage is greatest during the first 24-48 hours after surgery.
Biofilm
- A dense sheet of bacteria that adhere to each other within an extracellular polymetric
matrix that acts as a physical barrier to both biological and pharmaceutical antimicrobal
action
- Can be found on wound bases, drains or urinary catheters etc.
- Promotes a low-grade inflammation that interferes with healing and is an important
factor in antibiotic resistance
- Can develop as quickly has 6 hours following contamination of a wound