WOUND CARE IN ENGLISH

                                                

                                          WOUND CARE IN ENGLISH

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Wound care –

Ø Wound is defined as a break in the continuity of the tissue. Wound are divided mainly in Five types-

Ø Incised Wound.

Ø Lacerated Wound.

Ø Contused Wound.

Ø Punctured Wound.

Ø Amputation

Ø Incised Wound.- Incised wounds are caused by sharp objects, such as knives or shards of glass, slicing into the skin. Depending on the injury, underlying blood vessels can be punctured, leading to significant blood loss.

Ø Lacerated Wound.- A laceration is a wound that is produced by the tearing of soft body tissue. This type of wound is often irregular and jagged. A laceration wound is often contaminated with bacteria and debris from whatever object caused the cut

Ø Contused Wound.- Contusions are a type of hematoma or any collection of blood outside a blood vessel. When there is a blunt trauma, capillaries or blood vessels are injured and blood leaks into the surrounding area.

Ø Punctured Wound.- A puncture wound is a forceful injury caused by a sharp, pointed object that penetrates the skin. A puncture wound is usually narrower and deeper than a cut .

Ø Amputation- Traumatic amputation is the loss of a body part, usually a finger, toe, arm, or leg, that occurs as the result of an accident or injury. It is normally associated with severe blood loss.

SYMPTOMS OF WOUND-

Ø The most common symptoms of wounds are-

Ø Pain,

Ø Swelling and

Ø Bleeding.

Ø Depending on the location and type of injury, some wounds will hurt, bleed and swell more than others. 

Ø CARE OF WOUND-

Ø wound care includes two basic steps cleaning and dressing of wound.

Ø Cleaning removes visible dust and dirt as ell as necrotic tissue that hinder proper wound healing.

Ø Dressing protects the wound from infection and further injury and also promotes wound healing.

PREPARATION OF ARTICLES-

Ø Dressing Tray includes-

Ø • Clean and Sterile gloves

Ø • Additional PPE, as indicated

Ø • Sterile cotton swabs.

Ø • Sterile dressings

Ø • Surgical or abdominal pads

Ø • Sterile dressing set  (for the sterile scissors and forceps)

Ø • Suture set (if needed)

Ø • Cleaning solutions ( normal saline and H2O2 )

Ø • Antiseptic solutions ( Betadine solutions )

Ø • Antiseptic creams ( soframycin or betadine )

Ø • Adhesive tape and Bandages of different sizes

Ø • Kidney tray and paper bag

Ø • Mackintosh and towel

STEPS OF PROCEDURE-

Ø Explain the procedure to the patient.

Ø Assess the patient’s level of comfort and the need for analgesics before wound care.

Ø Assess the current dressing to determine if it is intact. Assess for excess drainage, bleeding, or saturation of the dressing

Ø Perform hand hygiene and put on clean gloves.

Ø Close curtains around bed and close door to room if possible to provide privacy.

Ø Assist the patient to a comfortable position that provides easy access to the wound area.

Ø loosen tape on the old dressings

Ø Carefully remove the soiled dressings, assess and place in kidney tray .

Ø Inspect the wound site for size, appearance, and drainage.

Ø Assess if any pain is present. Check the status of sutures, adhesive closure strips, staples, and drains or tubes, if present.

Ø Open the sterile dressing tray.

Ø Remove clean gloves and Put on sterile gloves.

Ø Clean the wound from top to bottom and from the center to the outside using normal saline. Following this pattern, use new gauze for each wipe, placing the used gauze in the waste receptacle (kidney tray).

Ø Once the wound is cleaned, dry the area using a gauze sponge in the same manner (from top to bottom and from the center to the outside). 

Ø Apply ointment/solution or perform other treatments, as ordered.

Ø If a drain is in use at the wound location, clean around the drain.

Ø Apply a layer of dry( or as ordered), sterile dressing over the wound. 

Ø Sterile forceps may be used to apply the dressing.

Ø Apply a second layer of gauze or cotton over dressing as per need. More cotton pads are used if drainage is suspected such during post operative dressings.

Ø Remove the gloves and secure the dressing by adhesive tape or bandage.

Ø After securing the dressing, label dressing with date and time.

Ø Remove all articles to their proper place.

Ø  Place the patient in a comfortable position.

Ø  Return to the patient after some time and check the dressing for drainage, tightness or looseness.

Ø Record the procedure in nurses notes with assessment findings and evaluation of the procedure.