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BrainRecally Memory Master
Medical & Nursing Studies 30 flashcards ~15 min

Wound Care and Skin Integrity

Wound care and skin integrity are essential nursing skills, especially for immobile or chronically ill patients. This deck covers pressure injury staging, the Braden Scale, and the four phases of wound healing, along with treatments like debridement and negati...

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Wound care and skin integrity are essential nursing skills, especially for immobile or chronically ill patients. This deck covers pressure injury staging, the Braden Scale, and the four phases of wound healing, along with treatments like debridement and negative pressure wound therapy. You'll also review chronic wound types such as diabetic foot ulcers and venous stasis ulcers, plus key signs of infection and complications like dehiscence and evisceration. A practical study set for nursing students and clinicians.

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Localized skin damage caused by prolonged pressure, often over bony areas
The Braden Scale
Stage 1 through Stage 4, plus unstageable and deep tissue injury
Non-blanchable redness of intact skin
Full-thickness tissue loss exposing bone, tendon, or muscle
Promoting healing and preventing infection
The removal of dead or damaged tissue from a wound
Faster healing and reduced scarring compared to dry environments
Fluid that drains from a wound
Absorbing light to moderate exudate and maintaining a moist healing environment
A treatment using suction to promote healing by removing fluid and increasing blood flow
The hemostasis phase, involving clot formation
Hemostasis, inflammation, proliferation, and remodeling
White blood cells clean the wound and fight infection
New tissue, including collagen and blood vessels, forms to close the wound
The wound strengthens and matures over time, sometimes lasting months to years
A wound that fails to heal within a normal expected timeframe
A chronic wound often occurring on the feet of people with diabetes, due to poor circulation and nerve damage
Poor circulation and blood pooling in the lower legs, often due to venous insufficiency
Insufficient blood flow, often due to peripheral arterial disease
Softening and breakdown of skin due to prolonged moisture exposure
Identifying infectious organisms present in a wound
Increased redness, warmth, swelling, pain, and purulent drainage
New connective tissue and blood vessels forming during wound healing
The formation of new epidermis over a healing wound
The partial or complete separation of previously joined wound edges
Protrusion of internal organs through a wound opening
Adequate protein and vitamin C intake
Pressure injuries in immobile patients
Protecting skin from moisture-related damage, such as incontinence-associated dermatitis