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.