Download Tissue viability : the prevention, treatment, and management by Sylvie Hampton; Fiona Collins, SROT.; et al PDF

By Sylvie Hampton; Fiona Collins, SROT.; et al

The outside and Wound therapeutic. Wound evaluate. Dressings and remedy. Wound an infection and Colonisation. review, administration and therapy of leg Ulcers. dietary evaluation. Surgical Wounds. the method of Audit and study in Tissue Viablity. strain Ulcer Prevention. Seating. therapeutic and Prevention of strain Ulcers. Fungating Wounds. Ethics and The legislations. The expert Nurse in Wound administration. Index

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Additional info for Tissue viability : the prevention, treatment, and management of wounds

Example text

Dealey also discusses the effects on daily activities when bulky dressings, heavy exudate and lymphoedema can make the patient feel isolated from a social life. As stress, caused by life changes, can create delayed wound healing, the patient needs to continue as normal a social and working life as possible and this is often impossible when bulky dressings, malodour or excessive leakage of a wound is apparent. To support the patient’s own normal lifestyle it is important to address the problems that may alter that lifestyle.

Bulky dressings, bandages and malodour may all contribute to a low self-esteem and poor body image. Sleeping Studies of nocturnal animals have shown that cell proliferation and protein synthesis peak during the sleep period (Adam and Oswald 1983). Sleep deprivation in rats has certainly been shown to cause widespread deterioration in body tissues, even when food intake is increased (Torrance 1990). Beck et al. (1979) showed that sleep 50 Tissue Viability deprivation resulted in a higher secretion of growth hormone when sleep was resumed.

48 Tissue Viability As a person ages, there are skin changes that occur. Collagen production is reduced, the skin becomes thinner and drier with a loss of underlying tissue. Washing or bathing with alkaline soap decreases the thickness and number of cell layers in the stratum corneum and excessive use of soap or detergents can interfere with the water-hold capacity of the skin and may lower bacterial resistance (Bryant 1992). Therefore, the patients’ hygiene is best achieved with emollients or oils in the water and moisturizing lotions applied to the skin following washing will help to keep the skin moist.

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