Care Of Wound

Objective of Wound Care

A. General objectives:

The student will be able to know about wound care.

B. Specific objectives:

At the end of this session student will be able to know1: To know about definition of wound \ wound care.

1. To classify wound.
2. To purpose of wound care.
3. To indication of wound care.
4. To used of materials for wound dressing.
5. To procedure of wound dressing care.

Definition of wound:

A wound is the break of natural continuity of any of the tissues of the living body, produced by trauma.

Classifications of wound

1. According to surgical management/ visibility

(a)Closed wound

• • Bruise
  • Ecchymosis
  • Hematomas
  • Contusion

(b) Open wound

• • Abrasion
  • Laceration
  • Incised
  • Penetrating

1. According to infectivity
   1. Infected wound
   2. non-infected wound

Definition of wound care/dressing

Cleansing a wound or incision and applying sterile protective covering using aseptic technique is called dressing.

Types of wound dressing :

• • 1. open dressing
    2. close dressing

Purposes of wound care :

1. To protect the wound from to contamination with micro-organism.
2. To promote the wound granulation and healing.
3. To support or splint the wound.
4. Keep the wound moist.
5. To clean the wound .
6. To control the bleeding by putting direct pressure on the wound.
7. To immobilize the affected part .

Indications of wound care :

1. Contaminated wound
2. Areas of marginal viability
3. Wound involving joint, open fractures
4. All human bite wound
5. Most animal bite wound

Material used for wound care/dressing :

Articles:

• Sterile gloves
• Artery forceps
• Scissor
• Sterile test tubes
• Sinus forceps
• Cotton pad, Gauze pieces

• Kidney tray
• Mackintosh and towel

Cleaning solution :

• Providon iodine or viodin
• savlon

• Hydrogen peroxide
• Normal saline
• Disinfectant lotion

PROCEDURE OF WOUND CARE

➢Wash hand properly before dressing ➢Explain the procedure.

➢Maintain privacy for the patient.

➢Clean and swab room before dressing.

➢Position of the patient comfortably.

➢Protect the bed with mackintosh.

➢Untie bandage.

➢Put on mask.

➢Wear gloves and gown.

• Open the sterile tray and arrange the article in order of use.
• Drape the sterile towel around the wound area, to create a sterile field.
• Using swabs, clean wound from center to periphery, discarding the used swab after each cleaning.
• Use sterile forceps for cleaning, after through cleaning discard the forceps in the disinfectant lotion.
• Apply medication as ordered.
• Apply gauze pieces over the wound ,then cotton pads,use bandage or adhesives tapes to secure dressing.
• Remove gloves and discard them in a bowl .
• Remove all equipment .
• Wash hand properly .

Reference:

1. Text book : “Fundamental of Nursing” :Concepts , Process and practice/ Barbara Kozier — [ et al ].- Updated 5^th ed. – USA : Addison, 1998 .
2. Text book : Fundamental of Nursing / Patricia A. Potter , Anne Griffin perry – 6^th ed.

– New Delhi : Mosby, 2005.

Lesson plan