A nurse assessing a pressure ulcer Video
a nurse assessing a pressure ulcerClassification[ edit ] According to level of contamination, a wound can be classified as: Clean wound — made under sterile conditions where there are no organisms present, and the skin is likely to heal without complications.
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Contaminated wound — usually resulting from accidental injury; there are pathogenic organisms and foreign bodies in the wound. Infected wound — the wound has pathogenic organisms present and multiplying, exhibiting clinical signs of infection yellow appearance, soreness, redness, oozing pus. Colonized wound — a chronic situation, containing pathogenic organisms, difficult to heal e. Open[ edit ] Open wounds can be classified according to the object that caused the wound: Incisions or incised wounds — caused by a clean, sharp-edged object such as a kniferazoror glass splinter.
Associated Data
Lacerations — irregular tear-like wounds caused by some blunt trauma. Lacerations and incisions may appear linear what causes land pollution or stellate irregular. The term laceration is commonly misused in reference to incisions. Abrasions are often caused by a sliding fall onto a rough surface such as asphalttree bark or concrete. Avulsions — injuries in which a body structure is forcibly detached from its normal point of insertion. A type of amputation where the extremity is pulled off rather than cut off. When used a nurse assessing a pressure ulcer reference to skin avulsions, the term ' degloving ' is also sometimes used as a synonym.
Puncture wounds — caused by an object puncturing the skinsuch as a splinternail or needle. Penetration wounds — caused by an object such as a knife entering and coming out from the skin. Gunshot wounds — caused by a bullet or similar projectile driving into or through the body. There may be two wounds, one at the site of entry and one at the site of exit, generally referred to as a "through-and-through. These wounds can cause serious hydroelectrolytic and metabolic alterations including fluid loss, electrolyte imbalances, and increased catabolism [2] [3] [4] Closed[ edit a nurse assessing a pressure ulcer Closed wounds have fewer categories, but are just as dangerous as open wounds: Hematomas or blood tumor — caused by damage to a blood vessel that in turn causes blood to collect under the skin.
Hematomas that originate from internal blood vessel pathology are petechiaepurpuraand ecchymosis. The different classifications are based on size. Hematomas that originate from an external source of trauma are contusionsalso commonly called bruises.
Crush injury — caused by a great or extreme amount of force applied over a long period of time. An open wound an avulsion A laceration to the leg An infected puncture wound to the bottom of the forefoot.]
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