General healing wounds

Assess the whole patient

Successful treatment of difficult wounds requires assessment of the entire patient, not just the wound. Systemic problems often affect wound healing; otherwise, the healing of the wound may indicate systemic pathology.

Considering the negative effects of endocrine disorders (such as diabetes, thyroid function hypothyroidism), blood conditions (such as anemia, polycythemia, myeloproliferative disorders), cardiopulmonary problems (such as chronic obstructive pulmonary disease, congestive heart failure), gastrointestinal diseases, caused by malnutrition, vitamin deficiency, obesity, and peripheral vascular disease (such as atherosclerosis, chronic venous insufficiency, lymphedema).

Descriptive wound

The assessment contents include: (1) in the scale and the depth and extent of the damage, (2) on wound necrosis or appearance is feasible, (3) the number and characteristics of (S) wound exudate, and (4) this week the state (for example, pigmentation, scar, atrophy, honeycomb fabric arthritis).

Ensure adequate oxygen

The lack of tissue oxygenation is usually due to sympathetic stimulation of local vasoconstriction. This may be due to insufficient blood volume, pain, or hypothermia, especially the extent of the distal extremities.

Ensure adequate nutrition

Adequate nutrition is often overlooked in wound healing requirements. Protein calorie malnutrition and vitamin and mineral deficiencies.

Protein calorie malnutrition, even if only a few days of hunger, but also damage the normal wound healing mechanism. For healthy adults, the daily nutritional needs about 1.25-1.5 grams of protein per kilogram of body weight 25-30 kcal / kg. These requirements can be increased.