Free Nursing Dissertations - Thus For Appropriate Understanding Of The Healing Process And The
Thus for appropriate understanding of the healing process and the interventions necessary to speed up healing and to repair chronic wounds, it is necessary to understand the underlying molecular events. Wound bed preparation is the management of wound that accelerates endogenous healing and facilitates the effectiveness of therapeutic measures and is an important concept in wound management. Wound bed preparation is an educational tool in wound management and several key issues form part of wound management and tissue viability. These include status of wound bed preparation, analysis of acute and chronic wound environment, wound bed preparation in the clinic, cellular components of the wound bed preparation concept, and analysis of the components of wound bed preparation.
An important part of wound management is realizing the potential dangers of wound infection. Surgery itself carries a 1 to 5% risk of wound infection and if proper care is not taken, there is a 27% chance of endogenous contamination. Bowler et al (2001) write, 'Infection occurs when virulence factors expressed by one or more microorganisms in a wound out compete the host natural immune system and subsequent invasion and dissemination of microorganisms in viable tissue provokes a series of local and systemic host responses' (p.247). Wound infection and presence of pathogens in the skin and body are primarily responsible for delayed wound healing although host immune response and local environmental factors such as tissue necrosis, hypoxia and ischemia impair immune cell activity. Antiseptics, antibiotics, antimicrobial therapy, vacuum assisted wound closure, enzymatic and surgical debridement, pressure reduction in wounds and complementary and alternative therapies are the common techniques of wound management.
Tissue Viability and Wound Management - Nursing Perspectives
In a study by Maylor (2005), tissue viability nurses, nurse practitioners and post registration nurses responded on a wound management survey and ranked signs and symptoms of wound healing, stasis and deterioration according to their supposed importance. According to the survey the top ranking sign for a healing wound was size or reduction of the wound, a static wound was recognized by no marked changes in the wound, and a deteriorating wound is marked by increased pain. However results have been generalized with caution although the study supports the fact that some words are used in common by different respondents in specific wound phases.
