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Notes on Wound and Skin Terminology - Technologies of Nursing Practice | NURS 202, Study notes of Health sciences

Wound Terms Material Type: Notes; Professor: Walter; Class: TECHNOLOGIES OF NURSING PRACT; Subject: Nursing; University: Virginia Commonwealth University; Term: Summer 2010;

Typology: Study notes

2009/2010

Uploaded on 12/09/2010

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Wound and Skin Terminology
Abrasion—a wearing of the skin through some mechanical process, such as friction or
trauma
Abscess—a circumscribed collection of pus that forms in tissue as a result of acute or
chronic localized infection and is associated with tissue destruction and, in many cases,
swelling
Acute wound—any wound that is new or progressing as expected
Angiogenesis—the formation and regeneration of blood vessels
Antimicrobial—an agent that kills the microbes or inhibits their growth
Autolysis—the breakdown of tissues or cells by the body’s own mechanisms, such as
enzymes or white blood cells
Blanchable erythema—a reddened area of the skin that temporarily turns white or pale
when pressure is applied with a fingertip; also known as reactive hyperemia
Blister—vesicle containing serum; secondary to a burn, friction or pressure
Cellulitis—cellular or connective tissue inflammation that is characterized by redness,
swelling and tenderness
Chemical debridement—the topical application of biologic enzymes to breakdown
devitalized tissue
Chronic wound—any wound that is not healing in a timely fashion (healing has slowed or
stopped)
Collagen—the main supportive protein of skin, tendon, bone, cartilage and connective
tissue
Colonized—contaminated with bacteria
Contamination—the presence of the bacteria, microorganisms or other foreign material in
or on tissues (wounds with bacterial counts of 10 or fewer organisms per gram of tissue
are usually considered contaminated; those with higher counts are generally considered
infected)
Cytotoxic agents—compounds that destroy both diseased and healthy cells that may be
used to clean wounds; examples include providone-iodine, Dakin’s solution and
hydrogen peroxide
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Wound and Skin Terminology Abrasion—a wearing of the skin through some mechanical process, such as friction or trauma Abscess—a circumscribed collection of pus that forms in tissue as a result of acute or chronic localized infection and is associated with tissue destruction and, in many cases, swelling Acute wound—any wound that is new or progressing as expected Angiogenesis—the formation and regeneration of blood vessels Antimicrobial—an agent that kills the microbes or inhibits their growth Autolysis—the breakdown of tissues or cells by the body’s own mechanisms, such as enzymes or white blood cells Blanchable erythema—a reddened area of the skin that temporarily turns white or pale when pressure is applied with a fingertip; also known as reactive hyperemia Blister—vesicle containing serum; secondary to a burn, friction or pressure Cellulitis—cellular or connective tissue inflammation that is characterized by redness, swelling and tenderness Chemical debridement—the topical application of biologic enzymes to breakdown devitalized tissue Chronic wound—any wound that is not healing in a timely fashion (healing has slowed or stopped) Collagen—the main supportive protein of skin, tendon, bone, cartilage and connective tissue Colonized—contaminated with bacteria Contamination—the presence of the bacteria, microorganisms or other foreign material in or on tissues (wounds with bacterial counts of 10 or fewer organisms per gram of tissue are usually considered contaminated; those with higher counts are generally considered infected) Cytotoxic agents—compounds that destroy both diseased and healthy cells that may be used to clean wounds; examples include providone-iodine, Dakin’s solution and hydrogen peroxide

Dead space—an area of tissue destruction or loss that extends out from the main body of the wound, leaving a cavity or tract (this area is lightly packed to avoid superficial closure that can lead to abscess formation) Debridement—the removal of necrotic (dead) tissue to allow underlying healthy tissue to regenerate Dehiscence—a partial or total separation of skin and tissue layers Dermis—the thick, inner layer of skin Drainage—the fluid produced by a wound, which may contain serum, cellular debris, bacteria, leukocytes, pus or blood Enzyme—a protein that acts as a catalyst to induce chemical changes in other substances Epidermis—the outermost layer of skin Epithelialization—the regeneration of epidermis across the wound surface Erythema—an inflammatory redness of the skin caused by engorged capillaries Eschar—nonviable (dead) wound tissue that is characterized by a dry, leathery, black crust Evisceration—the abrupt protrusion of underlying visceral organs from a wound Excoriation—abrasions or scratches on the skin Exudate—any fluid that has been extruded from tissue or capillaries, usually due to injury or inflammation; it is characteristically high in protein and white blood cells Fascia—a band of white fibrous tissue that lies deep in relation to the skin and forms a supportive sheath of muscles and various body organs Fistula—an abnormal passage between tow organs or between an organ and the skin Friction—the act of rubbing one surface against another; may lead to the physiologic wearing away of tissue Full-thickness wound—any wound that penetrates completely through the skin into underlying tissues; adipose tissue, muscle, tendon or bone may be exposed Granulation—the formation of soft, pink, fleshy projections during the healing process in a wound not healing by primary intention, consisting of new capillaries surrounded by fibrous collage; tissue appears reddened from the rich blood supply

Sharp debridement—the removal of foreign material or devitalized (dead) tissue using a sharp instrument such as a scalpel Shearing force—a mechanical force that runs parallel, rather than perpendicular, to an area of skin (deep tissues feel the brunt of this force) Skin tear—a pulling apart of the skin from the tissue anchoring it in place; may be caused by tape or direct injury Sinus tract—a cavity or channel that permits the drainage of wound contents Slough—nonviable tissue that is loosely attached; characterized by string like, moist, necrotic debris; can be yellow, green or gray in color Surgical wound—a healthy and uncomplicated break in the skin’s continuity resulting from surgery Tensile strength—the maximum force or pressure that can be applied to a wound without causing it to break apart Tissue—a large group of individual cells that perform a certain function Traumatic wound—a sudden, unplanned injury to the skin that can range from minor to severe Tunnel—an extension of the wound bed into adjacent tissue; also known as sinus tract Undermining—a tunneling effect or pocket under the edges of a wound that is caused by the pressure gradient transmitted from the body surface to the bone Wound—any break in the skin