Wound Measurements
How often wound measurements/pictures and edema measurements should be taken, regardless if the patient has a provider appointment
What is weekly?
3 anatomical layers of the skin
What are the epidermis, dermis, and hypodermis (subcutaneous)?
Name for the bottom of the foot
What is the plantar surface?
White or yellow dead tissue that forms on the wound bed
What is slough?
The process of wound healing where skin cells called keratinocytes migrate across a wound's surface to cover it, restoring the protective skin barrier. The term for a wound that is completely healed.
What is Epithelialization?
Measurement taken from the longest part of the wound, vertical 12 to 6 o'clock
What is length?
Subcutaneous tissue is located in this layer of the skin
What is the epidermis?
Space between the buttock (pionidal cyst location)
What is the Natal Cleft or Gluteal Fold?
Wound treatment for DVTs
What is compression?
The four stages of wound healing
What is Hemostatis, Inflammation, Proliferation, and Remodeling?
A narrow channel or passageway extending in any direction from the base of the wound.
What is a tunnel?
Collagen, elastin, connective tissue, hair follicles, sweat glands, and sebaceous are located is this layer of skin
What is the Dermis?
Finger next to the pinky
What is the ring finger?
Fingers are not numbered, they are named.
A scarring pattern of white, polygonal or star-shaped lesions that develop after painful ulcers on the lower legs, ankles, or feet, often caused by blood vessel problems
What is atrophie blanche or livedoid vasculopathy?
Applied to arterial ulcers and ischemic ulcers on feet to keep them stable
What is Betadine?
Depth measurement when the wound appears to have no depth but the skin is open
What is <0.1cm?
True or False: Subcutaneous tissue is found in the dermal layer of the skin
What is false?
Space between the eyebrows
What is the Glabella?
A purple or bluish-purple edge of a skin lesion, often a wound or ulcer, that is raised and undermined. A key clinical sign of certain inflammatory skin conditions, most notably pyoderma gangrenosum
What is violaceous border?
Burn dressing that pulls exudate away from the wound and periwound skin, requires a secondary dressing
What is Mepilex Transfer?
Width measurement (see picture)
What is __cm?
A burn that is through the dermis, dry and leathery, and not painful
What is a full thickness burn?
Triangular bone in the lower back formed from fused vertebrae and situated between the two hipbones of the pelvis
What is the Sacrum?
The detachment of the stomal tissue from the surrounding skin at the point where they were surgically joined.
What is Mucocutaneous Separation?
DIME approach to promote wound healing
What is deviatlized tissue, infection/ inflammation, moisture balance, and edge preparation?