NUR 2206 Concepts - Answer - Developmental level (infants, older ad...

NUR 2206 Concepts

• Factors affecting skin integrity and wound healing

Answer

• Developmental level (infants, older adults)

• Circulation (mobility, nutrition/hydration)
• physical stature
• skin moisture (diaphoresis, incontinence)
• medical interventions

• Intentional wound

Answer on purpose (surgery)

• unintentional wound

Answer accident

• open wound

Answer surface of skin is broken

• closed wound

Answer injury beneath the skin

• acute wound

Answer usually heal within days to weeks

• chronic wound

Answer 1 / 2

A wound that fails to progress to healing in a timely manner, often remaining open for an extended period

• Phases of wound healing

Answer

• hemostasis (1-3d)

• inflammatory (1-20d)
• proliferation (1-6w)
• maturation (6w-2y)

• hemostasis

Answer occurs directly after tissue injury, blood vessels constrict and clotting begins, then vessels dilate, exudate causes swelling and pain, increased perfusion causes heat and redness

• inflammatory

Answer

• after hemostasis

• 4-6 days
• phagocytosis (leukocytes clean up bacteria and cellular debris at wound; macrophage release

growth factors of new epithelial cells)

• generalized body response to inflammatory process

• Proliferation

Answer

• aka

fibroblastic, regenerative, or connective tissue phase

• lasts for several weeks
• fibroblasts synthesize collagen and produce growth factors to form blood vessels and

endothelial cells

• capillaries grow across the wound
• granulation tissue develops
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