Wound healing phases & scarring
Phase beginning within hours of trauma.
inflammatory
assisted by elevation of hand above the heart
venous return
The 3 colors for describing wounds.
Yellow, red, black
this type of dressing is applied to a wound with red granulation tissue
occlusive or semi-occlusive
Standard Jamar Dynamometer setting for grip.
Setting 2
phase beginning at day 8, continuing for at least 1 year
remodeling
blood vessels require protection for this long
1-2 weeks
Requires wet to dry dressings
Yellow wound
this type of dressing prevents air and water from entering (ex: Xeroform)
Occlusive
Strongest of the three pinch tests.
Lateral pinch
scarring not associated with race
hypertrophic scarring
indicated by skin pallor and decreased temperature
arterial insufficiency
Requires surgical debridement
Black wound
Allows wound to "breathe" while protecting from liquids.
Semi-occlusive
Monofilament range 3.84-4.31 indicates this.
Diminished protective sensation
leads to hypertrophic scarring early in remodeling
excessive mechanical loading
indicated by cyanosis and rapid capillary refill
True/False: Humidity is a factor in wound healing
True
this type of dressing uses the body's own enzymes (example: Duoderm)
Hydrocolloid
Static 2-point range 6-10 mm is considered this.
Fair
extreme dryness in a wound
desiccation
used to measure edema via water displacement.
volumetric measurement
Desiccation of the dermis can lead to
depression
factors for poor healing
diabetes, age, nutrition
Assessed by total flexion minus total extension
TAM: total active ROM