Which layer of skin creates new skin cells? - ANSWER the deepest live layer
of the epidermis that produces new epidermal skin cells and is responsible for
growth.
Where does epithelialization begin? - ANSWER Epidermis
What are intrinsic factors that affect the development of wounds? - ANSWER
Circulation (O2 Saturation, skin blood supply)
General Health of the patient
Comorbidities
Diabetes
Vascular disease
Immunocompromised Conditions
Respiratory Conditions (COPD)
Condition of the skin - age (fragile)
Infection
Nutritional status
Hydration status
Location of the wound
Obesity
What are extrinsic factors that affect the development of wounds? - ANSWER
Mechanical stress (cut, friction, pressure)
Mobility
Transfers, bed mobility, gait
Shear
Friction
Pressure areas
Hygiene
, Maceration of Skin
Incontinence
Perspiration
Skin to skin contact (skin folds)
Pressure areas
Decreased mobility impact when patient has:
Contractures
Decreased ROM and/or Strength
Proper fit
AD (care & use leading to pressure area i.e. Crutches)
Braces
Prosthetics and Orthotics
Bandages
What is autolytic debridement? What type of bandaging or dressing is used to
achieve this? - ANSWER mechanisms (digestion) to remove nonviable tissue
by establishing a moist wound environment that rehydrates dry eschar and
necrotic tissue.
Use of semiocclusive or occlusive hydrocolloid, hydrogel, or transparent
dressings to keep eschar wet until it liquifies (3-7 days)»No limit on size of
necrotic area»Not performed on infected wounds
Advantages: Dressing promotes debridement/ Wound debrides itself/ Non-
invasive/ Painless
Disadvantages: Risk of infection/ Slow acting
what does decubiti mean? - ANSWER Pressure Ulcers - AKA: Bed sore,
Pressure sore, Decubiti ulcer
Causes: Compression of soft tissue over bony prominences = ischemia:
Friction/shear= TRANSFERS/BED MOBILITY!! Irreversible damage can be
caused in 2 hours (supine)
*Likely Locations of Decubiti:*
of the epidermis that produces new epidermal skin cells and is responsible for
growth.
Where does epithelialization begin? - ANSWER Epidermis
What are intrinsic factors that affect the development of wounds? - ANSWER
Circulation (O2 Saturation, skin blood supply)
General Health of the patient
Comorbidities
Diabetes
Vascular disease
Immunocompromised Conditions
Respiratory Conditions (COPD)
Condition of the skin - age (fragile)
Infection
Nutritional status
Hydration status
Location of the wound
Obesity
What are extrinsic factors that affect the development of wounds? - ANSWER
Mechanical stress (cut, friction, pressure)
Mobility
Transfers, bed mobility, gait
Shear
Friction
Pressure areas
Hygiene
, Maceration of Skin
Incontinence
Perspiration
Skin to skin contact (skin folds)
Pressure areas
Decreased mobility impact when patient has:
Contractures
Decreased ROM and/or Strength
Proper fit
AD (care & use leading to pressure area i.e. Crutches)
Braces
Prosthetics and Orthotics
Bandages
What is autolytic debridement? What type of bandaging or dressing is used to
achieve this? - ANSWER mechanisms (digestion) to remove nonviable tissue
by establishing a moist wound environment that rehydrates dry eschar and
necrotic tissue.
Use of semiocclusive or occlusive hydrocolloid, hydrogel, or transparent
dressings to keep eschar wet until it liquifies (3-7 days)»No limit on size of
necrotic area»Not performed on infected wounds
Advantages: Dressing promotes debridement/ Wound debrides itself/ Non-
invasive/ Painless
Disadvantages: Risk of infection/ Slow acting
what does decubiti mean? - ANSWER Pressure Ulcers - AKA: Bed sore,
Pressure sore, Decubiti ulcer
Causes: Compression of soft tissue over bony prominences = ischemia:
Friction/shear= TRANSFERS/BED MOBILITY!! Irreversible damage can be
caused in 2 hours (supine)
*Likely Locations of Decubiti:*
