The Care of Wounds: A Guide for Nurses PDF
Preview The Care of Wounds: A Guide for Nurses
the care of wounds t A GUIDE FOR NURSES h FOURTH EDITION e Carol Dealey c a the care of “This is an excellent text book…I have no reservation in recommending it” r Journal of Wound Care e “The photographs provide good illustrations of a variety of wounds and o problems: ideal for nurses with a basic knowledge of wound management” f wounds Professional Nurse w The Care of Wounds addresses all aspects of holistic wound management. The o fourth edition of this successful clinical text continues to reflect current research and u evidence based practice, while incorporating the considerable developments which n have occurred in wound care practice since the publication of the previous edition. d This book includes chapters on the physiology of wound healing, general principles of wound management, wound management products, and the management of patients s with both acute and chronic wounds. Superbly illustrated with full colour illustrations F throughout, The Care of Wounds is of value to all nurses and healthcare professionals O working in the field of tissue viability and wound healing. U A G U I D E F O R N U R S E S R T • Comprehensive and clinically oriented H • Examines best practice in wound management E D • Incorporates national and international clinical guidelines where applicable IT FOURTH EDITION I • Superbly illustrated with full colour throughout O N Dr Carol Dealey is Senior Research Fellow at University Hospital Birmingham NHS D Carol Dealey Foundation Trust. She is a Council Member of the Tissue Viability Society and has e served on the Boards of both the European Wound Management Society and the a European Pressure Ulcer Society. l e y Cover design: Meaden Creative Cover images: Images 1, 2 and 3 courtesy of Carol Dealey. Image 4 © iStockphoto ISBN 978-1-4051-9569-0 9 781405 195690 dealey_9781405195690_pb.indd 1 2/12/11 15:27:28 The Care of Wounds A Guide for Nurses In memory of my husband The Care of Wounds A Guide for Nurses FOURTH EDITION Carol Dealey PhDMA BSc (Hons) RGN RCNT University Hospital Birmingham NHS Foundation Trust and University of Birmingham, UK Thiseditionfirstpublished2012(cid:1)2012byCarolDealey Wiley-BlackwellisanimprintofJohnWiley&Sons,formedbythemergerofWiley’s globalScientific,TechnicalandMedicalbusinesswithBlackwellPublishing. Registeredoffice: JohnWiley&Sons,Ltd,TheAtrium,SouthernGate,Chichester,West Sussex,PO198SQ,UK Editorialoffices: 9600GarsingtonRoad,Oxford,OX42DQ,UK TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 2121StateAvenue,Ames,Iowa50014-8300,USA Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformation abouthowtoapplyforpermissiontoreusethecopyrightmaterialinthisbookplease see our website at www.wiley.com/wiley-blackwell. Therightoftheauthortobeidentifiedastheauthorofthisworkhasbeenassertedin accordancewiththeUKCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrieval system,ortransmitted,inanyformorbyanymeans,electronic,mechanical, photocopying,recordingorotherwise,exceptaspermittedbytheUKCopyright, DesignsandPatentsAct1988,withoutthepriorpermissionofthepublisher. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedas trademarks.Allbrandnamesandproductnamesusedinthisbookaretradenames, servicemarks,trademarksorregisteredtrademarksoftheirrespectiveowners.The publisherisnotassociatedwithanyproductorvendormentionedinthisbook.This publicationisdesignedtoprovideaccurateandauthoritativeinformationinregardto thesubjectmattercovered.Itissoldontheunderstandingthatthepublisherisnot engagedinrenderingprofessionalservices.Ifprofessionaladviceorotherexpert assistanceisrequired,theservicesofacompetentprofessionalshouldbesought. LibraryofCongressCataloging-in-PublicationData Dealey,Carol. Thecareofwounds:aguidefornurses/CarolDealey.–4thed. p.;cm. Includesbibliographicalreferencesandindex. ISBN-13:978-1-4051-9569-0(pbk.:alk.paper) ISBN-10:1-4051-9569-X(pbk.:alk.paper) I. Title. [DNLM: 1. WoundsandInjuries–nursing. 2. WoundHealing–physiology. WY 154.2] LCclassificationnotassigned 617.1–dc23 2011032157 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. Setin9.5/12.5ptPalatinobyThomsonDigital,Noida,India 1 2012 Contents Preface vii 1 Thephysiologyofwoundhealing 1 Introduction 1 Definitionsassociatedwithwounds 1 Thestructureoftheskin 2 Woundhealing 3 Impairedwoundhealing 9 Conclusion 12 2 Themanagementofpatientswithwounds 15 Introduction 15 Physicalcare 15 Psychologicalcare 39 Spiritualcare 45 3 Generalprinciplesofwoundmanagement 61 Introduction 61 Woundassessment 61 Managingwounds 77 Documentation 85 Evaluatingthedressing 86 4 Woundmanagementproducts 93 Introduction 93 Thedevelopmentofdressingsthroughtheages 93 Traditionaltechniques 100 Theuseoflotions 102 Clinicallyeffectivewoundmanagementproducts 108 Modernwoundmanagementproducts 110 5 Themanagementofpatientswithchronicwounds 127 Introduction 127 Thepreventionandmanagementofpressureulcers 127 Themanagementoflegulcers 149 Diabeticfootulcers 165 Themanagementoffungatingwounds 170 v vi Contents 6 Themanagementofpatientswithacutewounds 185 Introduction 185 Thecareofsurgicalwounds 185 Traumaticwounds 199 Theburninjury 205 Radiationreactions 216 7 Theorganisationofwoundmanagement 227 Introduction 227 Managingwoundsinthecommunity 227 Nursespecialistsinwoundcare 228 Multiprofessionalwoundcare 229 Woundhealingcentres 230 Conclusions 230 Index 233 Preface Since writing the previous edition of this book there have been many developments in wound care, especially an increase in the number of guidelines available to healthcare professionals. There is also increasing recognitionoftheimportanceofmultiprofessionalworking.Theadvances incommunicationmeanthatwearemuchmoreawareofwhatishappening around the world. I hope that I have reflected some of this in this new editionofTheCareofWoundsandthatthisbookwillbeofusetothoseofyou providingcaretopatientswithwounds. CarolDealey vii
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