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Wound bed, wound edge and periwound skin should be examined before the initial treatment plan is devised. It should also be re-assessed at each visit or each dressing change. For wound bed, the following parameters are assessed: Tissue type; presence and percentage of non-viable tissue covering the wound bed; Level of exudate; Presence of infection
Since the year 2000, the wound bed preparation concept has continued to improve. For example, the TIME acronym (Tissue management, Inflammation and infection control, Moisture balance, Epithelial (edge) advancement) has supported the transition of basic science to the bedside in order to exploit appropriate wound healing interventions [6] and has not deviated from the important tenets of ...
The periwound (also peri-wound) is tissue surrounding a wound. Periwound area is traditionally limited to 4 cm outside the wound's edge but can extend beyond this limit if outward damage to the skin is present. Periwound assessment is an important step of wound assessment before wound treatment is prescribed. [1]
send out of bed sitting out of bed SOP: sterile ophthalmic preparation SORA: stable on room air SOS: if needed (from Latin si opus sit) SP s/p: status post; condition after" SPE: streptococcal pyrogenic exotoxin Spec: specimen SPECT: single-photon emission computed tomography: SPEP: serum protein electrophoresis: SPET: single-photon emission ...
The type of wound (incision, laceration, puncture, etc.) has a major effect on the way a wound is managed, as does the area of the body affected and presence of any foreign objects in the wound. A serious wound or any complication may require a call to emergency medical services. Any wound requires being disinfected after it stops bleeding.
The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity. It is felt now that drains may hinder recovery by acting as an 'anchor' limiting mobility post surgery and the drain itself may allow infection into the wound.
The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches , staples or sutures .
out of bed OP: outpatient department: Osteoporosis: O&P: ova and parasites: OPAT Outpatient parenteral antibiotic therapy: OPD: outpatient department: OPPT: oriented to person, place, and time OPV: outpatient visit OR: operating room (aka operating theatre) odds ratio ORIF: open reduction internal fixation: ORSA: oxacillin-resistant ...
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