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Introduction
Providing Care
Our Skin
Healing
Wounds and Pressure Ulcers (Bed Sores)
General Wound Types
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Progress Report


Wounds  
Acute wound Caused by trauma or surgery and usually requiring limited local care.
Chronic wound Takes longer than usual to heal because of underlying conditions, such as pressure, diabetes mellitus, poor circulation, poor nutritional state, immunodeficiencies, or infection.
Full-thickness wound Tissue destruction extending through the second layer of skin (dermis) to involve subcutaneous tissue under and possibly muscle or bone; tissue can appear snowy white, gray, or brown, with a firm leathery texture.
Laceration Torn or jagged wound.
Partial-thickness wound Tissue destruction through the first layer of skin (epidermis), extending into, but not through, the dermis.

 

Ulcers

 
Arterial ulcer Caused by poor blood supply; related to the presence of arterial occlusive disease; symptoms include pain and tissue loss.
Diabetic ulcer Caused by trauma or pressure secondary to neuropathy or vascular disease related to diabetes mellitus.
Pressure ulcer Caused by poor blood supply from pressure, this localized tissue damage is also called a decubitus ulcer, bedsore, or pressure sore.
Venous ulcer Local losses of epidermis and various levels of dermis and subcutaneous tissue, occurring over or near the malleoli of the distal lower extremities; caused by edema and other sequellae of impaired venous return.

 

Burns

 
Superficial
(first-degree burn)
Damage limited to the epidermis characterized by erythema, hyperemia, tenderness, and pain.
Partial-thickness (second-degree burn) Superficial to deep partial-thickness wound characterized by large blisters, edema, pain, and wet, weeping, and shiny surface.
Full-thickness
(third-degree burn)
Full-thickness wound characterized by deep-red, black, or white appearance; edema; painless nerve ending damage; and exposed subcutaneous fat layer.
   

Adapted from Hess, CT, Clinical Guide to Wound Care, 3rd ed. Springhouse Corporation.

 

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