Question

Mr.John Smith is admitted to the hospital for surgical incisions and drainage (I&D) of an abscess on his right calf, which resulted from a farm machinery accident. The right calf has an area 3 cm x 2.5 cm, which is red, warm and hard to touch, and edematous.

Qn 1. Explain the wound healing process according to the phase of Mr.Smith’s wound?

Qn 2. The surgeon orders for wet-to-dry sterile saline dressing twice a day with iodoform gauze to the wound, covered with the wet-to-dry dressing. Explain how to perform this change?

Answer 1

Answer no 1 : normal wound

Wound healing process according to Mr.smiths wound

Four stages

1. Homeostasis stage

Here vasoconstriction takes place to form a clot and reduce the bleeding at wound site

2.inflammatory stage

It prevent regeneration of the wound , after homeostasis blood vessels are again dilate and allow the cells to participate in wound healing process cells like antibiotics enzymes wbc and rbc etc..

3.proliferative stage

Here new translation formed by composed college and extracellular matrix.then epithelial cells are resurace and it called as epithelisation

4.maturation stage

It occur once the wound is closed. here remodelling of college forms and cellular activities are reduce .wound is completely healed.

Question no 2:

Wet to dry sterile saline change

Step 1 : hand hygiene is performed and get concern from the patient and also informed about the dressing

Step 2: remove the of dressing and watch for any redness swelling bleeding is occur or not.

Step 3 : after removing the old dressing , clean the wound with saline gently .Don't rub the wound.in some cases rinse the wound and also clean the dead tissues from the wound and also drain the exudate if necessary

Step 4: after cleaning should apply the iodoform gauze in the wound site and close with it in wet saline around the wound

Step 5; do an documentation of nature of the wound and inform to the physician