Assessment
This tissue type appears red, moist, and indicates healthy healing.
What is granulation tissue?
Granulation tissue is new, healthy tissue that forms as a wound heals. Its red, moist appearance comes from the formation of new blood vessels and connective tissue. It fills the wound bed and provides the foundation for new skin to grow.
Reference :Zhan L,. et a. Int J mol Sci. 2022.23(5) 2464
The wound type is most commonly associated with edema, hemosiderin staining , and irregular wound borders.
What is a venous ulcer?
Venous leg ulcers are associated with chronic venous hypertension/insufficiency. Common clinical findings include lower-extremity edema, hemosiderin-related reddish-brown skin discoloration, and shallow wounds with irregular or sloping edges, often occurring around the gaiter area of the lower leg.
Wounds International. Simplifying Venous Leg Ulcer Management. 2023.
Collagen, silver and cadexomer.
What are 3 types of dressings used in Sturdy WCC?
In the Sturdy WCC we do a BV before using this modality.
What are CTPs. Skin substitute products such as Puraply, Nushield and Affinity.
A nurse who is rocking 60 in WCC.
Who is Linda?
Slough, eschar, epithelium and granulation.
What are the four types of tissue documented in Wound Expert for a full thickness wound?
Wound type is most commonly found over bony prominences due to pressure and shear?
What is a pressure injury?
A pressure injury is localized damage to the skin and /or underlying tissue cased by prolonged pressure or pressure combined with shear. They commonly develop over bony prominences, such as the sacrum, heels, hips, and elbows, although they can also occur beneath or near medical devises.
National Pressure INjury Advisory Panel, European Pressure Ulcer Advisory Panel, and & Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries; Clinical Practice Guideline. 4th Edition International Guideline, 2025-2026.
National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory
This treatment strategy is considered the cornerstone of diabetic foot ulcer management.
What is offloading?
Offloading removes/reduces pressure and mechanical stress from the ulcer, allowing it to heal. For appropriate plantar DFUs, non-removable knee-high offloading devices are preferred.
Reference: IWGDF Guidelines on Offloading Foot Ulcers in Persons with Diabetes, 2023.
This advanced modality delivers oxygen under increased atmospheric pressure.
What is hyperbaric oxygen therapy?
Breathing near- 100% oxygen under increased atmospheric pressure increases oxygen availability to tissues and may support healing in appropriately selected patients.
Reference: Undersea & Hyperbaric Medical Society(UHMS), Hyperbaric Oxygen Therapy Indication, 15th ed.
What is 1913?
A wound measures 5cm x4cm x2cm. Which measurement reflects the wound's depth?
What is 2 cm?
Wounds are measured length x width x depth. The third measurement represents the wound's deepest point.
Wounds International. Clinical Practice:Wound Measurement and Documentation. 2023.
A wound an uncontrolled diabetic often gets.
What is a diabetic foot ulcer(DFU).
A diabetic patient goal for Hg1ac is 7.
This intervention remains the gold standard for venous leg ulcer management when arterial perfusion is adequate.
What is compression therapy?
compression is the cornerstone of venous leg ulcer treatment because is reduces venous hypertension and edema and promotes healing. Alway assess arterial perfusion before applying compression.
Reference: ESVS Clinical Practice Guidelines. Eur J Vasc Endovasc Surg. 2022; 63:184-267.
These products are derived from human, animal, or synthetic sources and are used to support healing in chronic wounds.
What are cellular, acellular, and tissue-based products (CTPs)?
Advanced wound-care products from human, animal, or synthetic sources that provide biological or structural support to help promote wound healing.
Snyder RJ, et al. Skin substitutes and cellular and tissue-based products for chronic wounds: an overview of current evidence and clinical considerations. Advances in Wound Care. 2023.
She is known as the founder of modern nursing.
Who is Florence Nightingale?
This vascular assessment value generally indicates several arterial disease and warrants urgent vascular referral.
What is an ABI less than 0.5?
ABI<0.50 suggests severe arterial perfusion impairment and significant PAD. In a patient with a wound, this may indicate poor healing potential and warrants prompt vascular evaluation.
Guideline for the Management of Lower Extremity Peripheral Artery Disease. Circulation. 2024;149.
This atypical wound etiology should be suspected when a wound rapidly enlarges following debridement and causes significant pain.
What is pyoderma gangrenosum?
A painful inflammatory ulcer that can rapidly worsen after trauma or debridement(pathergy). Suspected PG requires specialist evaluation because aggressive debridement may worsen the wound.
Reference: Alavi A, et al. J AM Acad Dermatol. 2024
This wound care principle emphasizes correcting the cause of the wound rather than simply treating the wound itself.
What is treating the underlying etiology?
Treat the cause-not just the wound. Successful wound healing requires addressing the underlying problem, such as venous hypertension, arterial insufficiency, pressure, or neuropathy.
Key principle: If you don't treat the cause, the wound is likely to come back.
Frykberg RG, Banks J Challenges in the treatment of chronic wounds. Advances in Wound Care. 2015;4(9):560-582.
The modality applies controlled negative pressure to promote wound healing.
What is negative pressure wound therapy(NPWT)?
Uses controlled negative pressure to remove exudate, reduce edema, promote granulation tissue, and support wound closure. Reference:European Wound Management Association (EWMA). Negative Pressure Wound Therapy:An Update. Journal of Wound Care. 2024.
The president and CEO of Sturdy Health.
Who is Aimee Brewer?
This acronym is commonly used to guide comprehensive wound bed preparation.
What is TIME?
A framework for wound bed preparation:
T- Tissue: Remove/manage nonviable tissue.
I-Infection/Inflammation: Identify and manage infection or excessive inflammation.
M-Moisture: Maintain an appropriate moisture balance.
E-Edge: Assess whether the wound edge is progressing toward closure.
Harris, RL. Bosanquet DC, Harding KG. Wound bed preparation:TIME for an update. International Wound Journal. 2016:13 (Suppl 3):8-14.
This skin injury results from prolonged exposure to moisture and is often confused with pressure injuries.
What is moisture-associated skin damage(MASD)?
Skin inflammation or erosion caused by prolonged moisture exposure. Think moisture- not pressure.
Reference:McNicholL, et al. JWOCN. 2022;49(3):235-239.
This type of debridement uses the body's own enzymes and moisture to liquefy nonviable tissue.
What is autolytic debridement?
Uses the body's own enzymes and moisture to break down and liquefy devitalized tissue. It is selective but generally slower than sharp debridement.
Reference: International Wound Infection Institute(IWII), 2022.
This modality uses electrical energy to stimulate wound healing and has shown benefits in selected chronic wounds.
What is negative pressure wound therapy(NPWT)?
Uses controlled negative pressure to remove exudate, reduce edema, promote granulation tissue, and support wound closure. Reference:European Wound Management Association (EWMA). Negative Pressure Wound Therapy:An Update. Journal of Wound Care. 2024.
The acronym HIPAA stands for.
What is the Health Insurance Portability and Accountability Act?