Wound Care Made Incredibly Visual! PDF
Preview Wound Care Made Incredibly Visual!
113366220088WWoouunndd CCaarree__FFMM..iinndddd ii 11//2299//22001111 11::0055::2233 PPMM Staff The clinical treatments described and recommended in this publication are based on research and consultation with nursing, medical, and legal authori- Publisher ties. To the best of our knowledge, these procedures J. Christopher Burghardt reflect currently accepted practice. Nevertheless, they can’t be considered absolute and universal Clinical Director recommendations. For individual applications, all Joan M. Robinson, RN, MSN recommendations must be considered in light of the Clinical Project Manager patient’s clinical condition and, before administra- tion of new or infrequently used drugs, in light of the Beverly Ann Tscheschlog, RN, MS latest package-insert information. The authors and Clinical Editior publisher disclaim any responsibility for any adverse Joanne M. Bartelmo, RN, MSN effects resulting from the suggested procedures, from any undetected errors, or from the reader’s misunder- Product Director standing of the text. David Moreau © 2012 by Lippincott Williams & Wilkins. All rights Product Manager reserved. This book is protected by copyright. Rosanne Hallowell No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means— Editor electronic, mechanical, photocopy, recording, or Jaime Stockslager Buss, MSPH, ELS otherwise—without prior written permission of the Copy Editors publisher, except for brief quotations embodied in critical articles and reviews, and testing and evalua- Jerry Altobelli, Amy Furman tion materials provided by the publisher to instructors Editorial Assistants whose schools have adopted its accompanying Karen J. Kirk, Jeri O'Shea, Linda K. Ruhf textbook. For information, write Lippincott Williams & Wilkins, 323 Norristown Road, Suite 200, Ambler, PA Art Director 19002-2756. Elaine Kasmer Printed in China. Designer Lynn Foulk WCIV2E010511 Design Assistant Kate Zulak Illustrators Esteban Cabrera, Judy Newhouse, Bot Roda, Betty Winnberg Vendor Manager Cindy Rudy Library of Congress Cataloging-in-P ublication Data Manufacturing Manager Beth J. Welsh Wound care made incredibly visual. — Second Edition. Production Services p. ; cm. SPi Global Includes bibliographical references and index. 1. Wounds and injuries—Nursing— Handbooks, manuals, etc. 2. Wounds and injuries—Nursing—Atlases. I. Lippincott Williams & Wilkins, issuing body. [DNLM: 1. Wounds and Injuries—nursing— Atlases. 2. Wounds and Injuries—nursing— Handbooks. WY 49] RD93.95.W69 2011 617.1—dc22 ISBN 978-1-60913-620-8 (pbk.) 2010051104 113366220088WWoouunndd CCaarree__FFMM..iinndddd iiii 11//2299//22001111 11::0055::2255 PPMM Contents The year’s best dressed iv Contributors and consultants vi 1 Skin anatomy and physiology 1 2 Wound healing 9 3 Wound assessment 23 4 Wound care procedures 39 5 Acute wounds 59 6 Pressure ulcers 85 7 Vascular ulcers 109 8 Diabetic foot ulcers 135 9 Malignant wounds 149 10 Atypical wounds 157 1 1 Wound care products 165 Selected references 195 Credits 197 Index 199 iii 113366220088WWoouunndd CCaarree__FFMM..iinndddd iiiiii 11//2299//22001111 11::0055::2266 PPMM My favorite part of any awards show is the parade down the red carpet, where the stars always dress to the nines. And this year’s Wound Care Made Incredibly Visual Awards were no different. From Al Ginate to Hydro Colloid, all of the stunning wound care stars were there to celebrate the importance of proper wound care in managing patient health. iv 113366220088WWoouunndd CCaarree__FFMM..iinndddd iivv 11//2299//22001111 11::0055::2266 PPMM And, who’s that Take note of the way that stunning celebrity? It’s this pop icon is dressed. When you Best dressed, who’s see it, you know that you’re about always decked out for the to witness the best documentation occasion of telling that money can buy. readers how to best apply wound care dressings. When this character arrives on the scene, she will demand your Special attention—and so will your bariatric patients! Tomorrow night we’ll take you inside the awards for a look at the Wound Care winners! 113366220088WWoouunndd CCaarree__FFMM..iinndddd vv 11//2299//22001111 11::0055::2299 PPMM Contributors and consultants Debbie Berry, RN, MSN, CPHQ, CWCN, CCCN Jennifer L. Pettis, RN, WCC, RAC-MT Vice President of Quality and Risk Consultant Northside Hospital Clifton Park, New York St. Petersburg, Florida Michelle C. Quigel, RN, BSN, CWOCN Laura A. Conklin, RN, MSN, MSA, ONC, Wound, Ostomy, Continence Nurse CWS, LNCC, FCCWS, DIP. AAWM Holy Redeemer Hospital and Medical Professor Center Wayne County Community College Meadowbrook, Pennsylvania District Tracy A. Robinson, RN, BSN, CWOCN Detroit, Michigan Home Health Nurse Evonne Fowler, RN, CWON MacNeal Home Care Certified Wound and Ostomy Nurse Berwyn, Illinois San Gorgonio Hospital Tracey J. Siegel, MSN, RN, CWOCN, CNE Banning, California Instructor Elizabeth R. Fudge, RN, MS, CWON Middlesex County Community College Wound/Ostomy RN Nursing Program Wellstar Cobb Wound Care Center Edison, New Jersey Wellstar Cobb Hospital Jennifer Smoltz, RN, MSN, CWOCN, ACNP-BC Austell, Georgia Advanced Practice Nurse Julia Isen, RN, MS, FNP-C University of Virginia Health System Assistant Clinical Professor Charlottesville, Virginia UCSF Medical Center, Mt. Zion Campus San Francisco, California vi 113366220088WWoouunndd CCaarree__FFMM..iinndddd vvii 11//2299//22001111 11::0055::3333 PPMM Anatomy 2 Physiology 6 Beauty Vision quest 8 may be only skin deep, but in my line of work, that’s important! 113366220088WWoouunndd CCaarree__CChhaapp0011..iinndddd 11 11//2299//22001111 1111::2255::0088 AAMM 2 Skin anatomy and physiology Anatomy Skin The skin, or integumentary system, is the largest organ in the body. It accounts for about 6 to 8 lb (2.5 to 3.5 kg) of a person’s body weight and has a surface area of more than 20 square feet. The living cells in the skin receive oxygen and nutrients through an extensive network of small blood vessels. Collaboration is key. Skin is Cross section of the skin made up of Stratum corneum separate layers that Stratum granulosum function as a single unit. Stratum spinosum Dermal Stratum basale Pore of papillae sweat gland Krause’s end-bulb Free Epidermis nerve ending Meissner’s corpuscle Sebaceous gland Arrector pilli Dermis muscle Ruffini’s corpuscle Collagen fiber Hair bulb Eccrine Subcutaneous sweat gland tissue (hypodermis) Sensory nerve fibers Autonomic Artery nerve fibers Vein 113366220088WWoouunndd CCaarree__CChhaapp0011..iinndddd 22 11//2299//22001111 1111::2255::1177 AAMM
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