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Skin Integrity and Wound Care
Chapter 48 Fundamentals of Nursing 7th ed.
27
Nursing
Undergraduate 1
09/22/2009

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Term
Abnormal reactive hyperemia
Definition
Abnormal firmness of tissue with margins as a result of edema or inflammation
Term
Abrasion
Definition
superficial with little bleeding and is considered a partial-thickness wound
Term
Laceration
Definition
bleeds profusely, depending on the wounds depth and location
Term
Puncture
Definition
bleeds in relation to the depth and size of the wound
Term
Collagen
Definition
a tough, fibrous protein
Term
Pressure ulcer
Definition
localized injury to the skin and underlying tissue, usually over a body prominence, as a result of pressure or pressure in combination with shear and/or friction
Term
Tissue ischemia
Definition
pressure applied over a capillary exceeds the normal capillary pressure, and the vessel is occluded for a prolonged period of time. reduced sensation pt cannot respond to the discomfort of ischemia
Term
Darkly pigmented skin
Definition
skin that does not blanch when pressure is applied over bony prominences
Term
Granulation tissue
Definition
red, moist tissue composed of new blood vessels, the presence of which indicates progression towards healing
Term
Slough
Definition
stringy substance attached to wound bed
Term
Eschar
Definition
black or brown necrotic tissue, which needs to be removed before healing can proceed
Term
Approximated
Definition
closed
Term
Blanching
Definition
occurs when the normal red tones of the light-skinned client are absent
Term
Drainage evacuators
Definition
portable units that connect to tubular drains lying within a wound bed and exert a safe, constant, low-pressure vacuum to remove and collect drainage
Term
Epithelialization
Definition
to cover a wound with epithelial tissue
Term
Fibrin
Definition
An elastic, insoluble, whitish protein produced by the action of thrombin on fibrinogen and forming an interlacing fibrous network in the coagulation of blood
Term
Friction
Definition
the force of two surfaces moving across one another
Term
Hemorrhage
Definition
bleeding from a wound
Term
Hematoma
Definition
a localized collection of blood underneath the tissues
Term
Hemostasis
Definition
The stoppage of bleeding or hemorrhage.
The stoppage of blood flow through a blood vessel or body part.
Term
Induration
Definition
The hardening of a normally soft tissue or organ, especially the skin
Term
Primary intention
Definition
healing occurs quickly by epithelialization, heals quickly with minimal scar formation
Term
Secondary intention
Definition
wound heals by granulation tissue formation, wound contraction, and epithelialization
Term
Serosanguineous
Definition
composed of serum and blood.
Term
Tertiary tissue
Definition
closure of wound is delayed until risk of infection is resolved
Term
Vacuum Assisted Closure (V.A.C.)
Definition
a device that assists in wound closure by applying localized negative pressure to draw the edges of the wound together
Term
Wound contraction
Definition
the shrinkage and spontaneous closure of open skin wounds.
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