The wound Definition It is acut or break

The wound Definition: It is acut or break in the normal continuity of the body structure internally or externally.

Classification of wounds: @ according to producing: 1 - abrasion: removal of superficial layers of the skin. 2 - incision: clean and simple separation of tissues. 3 - contusion wound: injury of the soft parts with haemorrhage and swelling.

4 - laceration: is one which the tissues are torn and edges are irregular, injury by glass, metals. 5 - penetrating wound: passed through deep lying tissues, stab injury. 6 - punctured wound: deep in depth but making only small opening on the body surface.

According to bacterial content: 1 - clean wound: surgical wound. 2 - contaminated wound: number of organisms present in a wound is greater than clean wound. 3 - septic wound: it contains large numbers of pathogenic organisms.

Surgical dressing Definition: is a protection with a sterile covering of gauze or other materiales applied over a wound after cleaning it with aseptic precautions.

Advantages of dressing: 1 - to absorb drainage. 2 - to prevent contamination. 3 - for immobilization of wound. 4 - to protect the wound from mechanical injuries. 5 - for the mental and physical comfort of the patient.

Type of dressing: 1 - dry dressing : dressings are applied after application of medicine to the wound. 2 - wet dressing : it is used if wounds are infected, the dressing are made of many layers of gauze or cotton pad covered with gauze.

Equipment: Trolly containing: 1 - sterile cotton swab. 2 - sterile gauze. 3 - sterile containers. 4 - handling forceps. 5 - dressing forceps. 6 - anti septic solution.

Procedure: 1 - explain the procedure to the patient. 2 - screen the for privacy. 3 - collect the equipment beside the patient. 4 - assistant remove the outer dressing. 5 - protect the bed with makintosh and towel. 6 - support the part and keep it in comfortable position.

7 - wash your hand. 8 - masks should be worn by the dresser. 9 - weared sterile gloves. 10 - start the cleaning of the wound by forceps. 11 - the assistant handsover the cotton swabs. 12 - then discard the swab in to the kidney dish or paper bag.

13 - skin around the wound is cleaned with swab and spirit at last. 14 - apply drug over the wound and sterile dressings over it. (gauze) 15 - fix the wound with binder or bandage or adhesive strap. 16 - remove the articles to theutility room. 17 - wash the instruments, sterilize, and reset the tray. 18 - wash your hand.

Bandage It is a strip of cloth used to cover the dressing. Purpose: 1 - to apply pressure to control bleeding. 2 - to immobilize the fractured part. 3 - to protect open wound from contaminatation 4 - to provide support and aid in venous return in case of vericose veins or impaired circulation.