Chapter 13 Inflammation and Wound Healing Copyright 2007

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Chapter 13 Inflammation and Wound Healing Copyright © 2007, 2004, 2000, Mosby, Inc. ,

Chapter 13 Inflammation and Wound Healing Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Inflammatory Response Vascular response Cellular response Neutrophils Ø Monocytes Ø Lymphocytes Ø Eosinophils and

Inflammatory Response Vascular response Cellular response Neutrophils Ø Monocytes Ø Lymphocytes Ø Eosinophils and basophils Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -1 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -1 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -2 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -2 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -3 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -3 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Inflammatory Response (cont'd) Chemical mediators Complement system Ø Prostaglandins and leukotrienes Ø Copyright ©

Inflammatory Response (cont'd) Chemical mediators Complement system Ø Prostaglandins and leukotrienes Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -4 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -4 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -5 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -5 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Inflammatory Response (cont'd) Exudate formation Clinical manifestations Ø Fever Types of inflammation Acute Ø

Inflammatory Response (cont'd) Exudate formation Clinical manifestations Ø Fever Types of inflammation Acute Ø Subacute Ø Chronic Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -6 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -6 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Healing Process Regeneration Repair Primary intention • Initial phase • Granulation phase • Maturation

Healing Process Regeneration Repair Primary intention • Initial phase • Granulation phase • Maturation phase and scar contraction Ø Secondary intention Ø Tertiary intention Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -7 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -7 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Healing Process (cont'd) Wound classification Delay of healing Complications of healing Hypertrophic scars and

Healing Process (cont'd) Wound classification Delay of healing Complications of healing Hypertrophic scars and keloid formation Ø Contracture Ø Dehiscence Ø Excess granulation tissue Ø Adhesions Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -8 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -8 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -9 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -9 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -10 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -10 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Healing Process (cont'd) Collaborative care Drug therapy Ø Nutritional therapy Ø Copyright © 2007,

Healing Process (cont'd) Collaborative care Drug therapy Ø Nutritional therapy Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Nursing Management Inflammation Nursing implementation Health promotion Ø Acute intervention • Observation and vital

Nursing Management Inflammation Nursing implementation Health promotion Ø Acute intervention • Observation and vital signs • Fever • RICE Ø Rest Cold and heat Compression and immobilization Elevation Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Nursing and Collaborative Management Wound Healing Nursing assessment Nursing implementation Red wound Ø Yellow

Nursing and Collaborative Management Wound Healing Nursing assessment Nursing implementation Red wound Ø Yellow wound Ø Black wound Ø Negative-pressure wound therapy Ø Hyperbaric oxygen therapy Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -11 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -11 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Fig. 13 -12 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of

Fig. 13 -12 Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Nursing and Collaborative Management Wound Healing (cont'd) Infection prevention and control Ø Psychologic implications

Nursing and Collaborative Management Wound Healing (cont'd) Infection prevention and control Ø Psychologic implications Ø Patient teaching Ø Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Pressure Ulcers Etiology and pathophysiology Clinical manifestations Copyright © 2007, 2004, 2000, Mosby, Inc.

Pressure Ulcers Etiology and pathophysiology Clinical manifestations Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All

Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

Nursing and Collaborative Management Pressure Ulcers Nursing assessment Nursing diagnoses Planning Nursing implementation Health

Nursing and Collaborative Management Pressure Ulcers Nursing assessment Nursing diagnoses Planning Nursing implementation Health promotion Ø Acute intervention Ø Ambulatory and home care Ø Evaluation Copyright © 2007, 2004, 2000, Mosby, Inc. , an affiliate of Elsevier Inc. All Rights Reserved.

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UNIT I Inflammation WOUND HEALING WOUND HEALING HealingUNIT I Inflammation WOUND HEALING WOUND HEALING Healing
REPAIR WOUND HEALING Repair Wound healing by primaryREPAIR WOUND HEALING Repair Wound healing by primary
Wound healing November 4 2004 Wound healing nWound healing November 4 2004 Wound healing n
Regeneration Wound healing October 10 2006 Wound healingRegeneration Wound healing October 10 2006 Wound healing
Healing and repair lecture 2 Wound healing HealingHealing and repair lecture 2 Wound healing Healing
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INCISED WOUND INCISED WOUND An incised wound isINCISED WOUND INCISED WOUND An incised wound is
Factors Involved in Wound Healing and Acute WoundFactors Involved in Wound Healing and Acute Wound
Wound Healing Tissue injury and response Wound repairWound Healing Tissue injury and response Wound repair
THE BASIC SURGICAL SKILLS Inflammation and wound healingTHE BASIC SURGICAL SKILLS Inflammation and wound healing
Inflammation and wound healing Joseph Burdon Tim SargeantInflammation and wound healing Joseph Burdon Tim Sargeant
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BIOLOGY OF WOUND HEALING DEFINITION OF A WOUNDBIOLOGY OF WOUND HEALING DEFINITION OF A WOUND
INFLAMMATION Comprehensive Approach Inflammation and repair Inflammation isINFLAMMATION Comprehensive Approach Inflammation and repair Inflammation is
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ACUTE INFLAMMATION ACUTE INFLAMMATION COMPONENT Definition Acute inflammationACUTE INFLAMMATION ACUTE INFLAMMATION COMPONENT Definition Acute inflammation
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