Wound Care: How to Wound Care properly
Wound care and healing is a normal process in body of humans occur by four programmed phases: haemostasis, inflammation, proliferation, and remodeling.
For a wound to successfully to heal, all four phases should occur in the proper phases and time frame.
More than one factors interferes with one or more phases thus causing impaired or improper wound healing and make care is difficult.
In this article the recent literature review on significant factors that affect cutaneous wound care and healing.
The potential molecular mechanisms involved.
The factors discussed include oxygenation, age and sex hormones, stress, diabetes, medications, alcoholism, and nutrition and when affected make care is difficult.
What is wound care?
Wound care or healing is a long and complex procedure during which the lacing or other body tissues repair themselves due to a wounds.
In normal skin, which is composed of two layers, the epidermis (the outer layer) and the dermis (the inner layer), they act as a protective layer for the body from the surrounding external environment.
When this protective layer is injured or injured, an orderly series of biochemical reactions will activate until what has been damaged by the wound is repaired.
What are stages of open wound healing?
An open wound is healed when you care of it and goes through all stages of healing, which are represented in the following:
1. The stage of stopping bleeding and clotting:
Within a few seconds or even minutes after the injury, the blood vessels around the wound begin to narrow, and platelets begin to collect and clot at the site of the wound until your care causes wound closes completely.
By time, these clots in wounds areas turn into hard crusts that contain special materials support them attached to the wound until the tissues or cells below it recovers.
2. Inflammatory stage:
After the wound closes completely, the blood vessels in the area return and open; To provide the injury with nutrients and oxygen needed for the healing care.
In the meantime, white blood cells work to care of wounds from infection and from any external contaminants which make care is difficult, which is a very important stage that determines when the open wound heal.
All this may cause:
- Redness.
- Swelling in the wound area.
Clear liquid coming out indicates that white blood cell care and help to healing of wounds.
3. The stage of cell renewal and recovery:
The stage of cell renewal and recovery is the penultimate stage of wound healing and care, where orders from the brain at this stage reach the wounds to urge cells to start manufacturing collagen and renew tissue, and here a scar begins to appear.
The scar is initially red, then gradually turns to a lighter colour close to the colour of the skin, and sometimes the scar disappears completely after the wound healing and care of it.
4. Maturation stage:
At this stage, although the wound may appear to be completely closed, the body is still in recovery.
So, the patient may feel a kind of itching or tightening in the wound, as new tissues are still in growth, and these symptoms disappear with after care of a wound and healing of the open wound.
What are signs of non-healing wounds?
The answer to the question when does an open wound heal? However, it remains to identify some signs that may mean non-healing wounds and care of wound is difficult.
1.Pus and pus coming out of the wound an important of non-healing which mean a problem in wound care.
2.An unpleasant smell comes out at the wound site an important of non-healing which mean a problem in wound care.
3.Feeling of fever an important of non-healing wound also mean care problem.
4.Feeling of increasing pain at the site of the wound also mean care and healing problem.
5.Feeling a kind of warmth, softness, and redness in the wound an important of non-healing, none of which subsides with time also mean care problem.
What are the different types of wounds?
A.Leaking Wounds: Wounds that are prone to fluid secretion and that need care to be dried using a non-isolating product that allows air to care and reach the wound such as:
1.nappy rash.
2.Fluid between lacing folds.
3.Chickenpox with its secretions.
4.cutaneous bubbles.
B.Non-oozing wounds: They are superficial to medium wounds that need care and moisture from a breathable semi-isolating product such as:
1.After surgery (e.g., stitches).
2.Cuts, scrapes, and other daily injuries after care and wound dries.
3.Chickenpox in the recovery stage which require to care.
4.After cosmetic procedures (eg, peeling, laser treatment, permanent hair removal, tattooing and tattoo removal) also require to care.
5.Non-leaking nappy rash which needs to care.
6.Radiation therapy also affectwound care.
C.Non-Operating Wounds: Medium to major wounds that require nourishment and replenish lipids from a barrier product that forms a barrier on the surface of the tissue such as:
1.cracks, dry spots, pulpitis, etc.
2.burns.
3.scratching.
4.abrasive laser treatment.
How to control wound healing?
Controlling underlying conditions and seeing for early signs of any problem can go a long way to preventing it.
When you scratched your knee as a child, these scrapes healing on their own wihout treatment or therapy, with just a little bandage and a mother’s tenderness, but now that you’re older, the wounds take much longer to heal, sometimes up to several months.
There are some types of wounds called stubborn wounds which are resist healing and treatment or therapy may result from exposure to radiation (for cancer treatment) or injuries from falls, but the following conditions are the most common causes of wounds becoming uncontrollable:
1.Diabetes: People can have vision problems as well as numbness and pain in the lower legs and feet, which can make it difficult to see or care or feel cuts and scrapes and dificult to treatment or care.
Wound care in diabetic foot patient after traumatic event usually require surgical team including trained nursing, doctors oreven specialized physicians (specialists) in hospital or healthcare centers to apply solutions(alcohol) and cleaning or wash wounds.
It usually this medical problem for years make them develop neuropathy and treating and options of treatment which providing becomes minor.
So, diabetic patients should find their way to learn and education about uses of products to keep their limbs health.
2.Pressure wounds, also called bedsores, appear in the form of small irritation, but they are serious wounds that can suddenly turn into wide or deep wounds and become difficult to care of it.
Wounds appear when compression is applied (when lying down or sitting) to places where the bones are prominent, such as the heels, buttocks, hips, head, and lower back.
Such compression stops blood flow to the soft tissues above the bones and makes difficult to wound care and healing in any center.
3.Venous insufficiency: the veins lose their ability to effectively carry blood to the heart in some elderly people, which can cause significant leg swelling, ulcers and care and healing problems.
What is treatment and how to care of wounds?
In the past decade, many new treatment or therapy to help wound healing.
There are, for example, treatment or therapy that use stem cells (cells that can develop into other cells) and platelet-rich plasma (concentrations of platelets from human blood containing growth factors).
Also, Materials from the human placenta, and even decellularized skin (skin from a human cadaver, which has had the cells removed, and which provides a structure in wound to repopulate with healthy cells).
However, treatment or therapy that helps care of wounds are still of limited use.
Another treatment or therapy to care of a wound is spending a period in a hyperbaric oxygen chamber in a specific center, which delivers hyperbaric oxygen in the advanced center to the person inside that room.
What is treatment of stubborn wounds?
Treatment or therapy and healing and care of a stubborn wounds requires a combination of methods to care, and a wound care professional can contribute.
This specialist might a physician, physician assistant, or certified wound nurse.
The first step of healing and make care is to remove the dead cell tissue and called debridement.
Wound care also includes special dressings, depending on the individual’s requirments, to create a moist and healthy environment for the wound and promote the healing process and care of it, and in some cases, skin grafting is necessary.
Another treatment or therapy method, based on creating a vacuum around the wound, is a method known as negative pressure wound therapy, or vacuum-assisted closure (VAC).
What about medications?
Only one drug has received FDA approval for treatment or a therapy of wound care, it’s a topical gel called bicaplermin (Regranex), but this drug has a “black box” warning – the agency’s strongest warning level – for its link to cancer and many drugs still developing.
What is the first aid to deal with wounds?
When you or a member of your family in home has a cut or abrasion, follow these steps to management of wounds:
1.Stop the bleeding by applying compression to the wound with a clean bandage or towel, and if possible or necessary, elevate the injured site above heart level to help reduce blood flow.
2.Make sure your hands are clean, then clean the wound of foreign particles, such as dirt beacuse it affect healing and care.
3.Clean the wound with an antiseptic or an antiseptic cream to help care and healing.
An antiseptic cream such as Bepanthen which helps healing and care plus cream that effectively disinfects the wound while at the same time reducing the risk of contamination and healp healing that can arise because of touching the wound.
What will happen at advanced wound Care Center?
For a patient suffering from a chronic or non-healing wounds, Any advanced Center for wound care and Hyperbaric medicine that advanced center offers relief approachs to wound management and wound & Hyperbaric advanced center can help examine your wound.
The wound care advanced center offers patients access to state-of-the-art outpatient clinical wound care and hyperbaric medicine.
Also, advanced center for advanced wound care and hyperbaric medicine has care program in the center.
Wound care advanced center emphasizes treatment while supporting patient requirments.
And wound care advanced center uses the most advanced technology to heal wounds.
What is hyperbaric oxygen therapy?
Hyperbaric oxygen in advanced center is used as an adjunctive treatment for non-healing wounds that meet specific criteria 10 to 20% meet them.
Throughout hyperbaric oxygen treatments in advanced center, the patients are require concentration of hyperbaric oxygen has increased in the blood near the wounds.
During the treatments in any center, the patient breathes hyperbaric oxygen inside a chamber in the center, quickly increasing the concentration of oxygen in the blood.
Which makes healing faster.
Essentially, hyperbaric oxygen therapy in the center helps heal the wound.
Hyperbaric oxygen inthe center can help reduce swelling, infection.