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Numerous evidence-based and expert consensus-based clinical guidelines have been to developed to help guide medical professionals internationally [21] and in specific countries including the UK. [ 43 ] [ 44 ] [ 45 ] The Standardized Pressure Injury Prevention Protocol (SPIPP) Checklist is a derivative of the International Guideline that was ...
The wound usually appears red and can be accompanied by drainage. Clinicians delay re-opening the wound unless it is necessary due to the potential of other complications. If the surgical wound worsens, or if a rupture of the digestive system is suspected the decision may be to investigate the source of the drainage or infection. [2] [3]
The International Red Cross wound classification system is a system whereby certain features of a wound are scored: the size of the skin wound(s); whether there is a cavity, fracture or vital structure injured; the presence or absence of metallic foreign bodies. A numerical value is given to each feature (E, X, C, F, V, and M).
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
Ackley, Betty (2010). Nursing diagnosis handbook : an evidence-based guide to planning care. Maryland Heights, Mo: Mosby. ISBN 9780323071505. Amico, Donita (2016). Health & physical assessment in nursing. Boston: Pearson. ISBN 978-0-13-387640-6. Bates, Barbara (1995). A pocket guide to physical examination and history taking. Philadelphia ...
A wound is any disruption of or damage to living tissue, such as skin, mucous membranes, or organs. [1] [2] Wounds can either be the sudden result of direct trauma (mechanical, thermal, chemical), or can develop slowly over time due to underlying disease processes such as diabetes mellitus, venous/arterial insufficiency, or immunologic disease. [3]