Wound Care Day 1

All aspects of care below are needed to improve the quality and efficiency of the wound care services at the Health Clinic EXCEPT

• Early screening, early detection and early prevention in high risk patients

• Integrating wound care in domiciliary care program

• Early treatment and interventions

• Health education and promotion

• Poor diabetic control and treated other comorbidities

Holistic patient assessment in wound care consist of below EXCEPT

• Diagnosis and differential diagnosis

• Agree to a treatment plan/care plan for social activities

• Wound bed assessment using SOAP

• Settling of objectives with the patient

• Review of care plan and wound bed

About the skin

• It is the second largest organ

• Consist of Epidermis, subdermis and subcutaneous fat

• Its thickness ranges from 0.5 cm to 4.0 mm depending on location

• Epidermis is the outer most layer, thinner portion, composed of epithelium

• Subcutaneous layer is the richest in blood supply

Regarding skin and wound

• Skin cannot function as blood reservoir

• Superficial wound involve damage to the epithelium and subcutaneous fat

• Regeneration does not requires an intact connective tissue scaffold

• Deeper wound; incisional and excisional skin wounds that damage the dermis will heal through the formation of a collagen scar

• Epidermal appendages have capability to regenerate

All these are the dressing purposes EXCEPT

• Protect from wound trauma

• Reduce pain

• Absorb drainage & debride the wound

• Provide emotional comfort

Hydrogel dressing purpose EXCEPT:

• Cavity filling

• Promotes moist wound healing

• Cushioning

• Deslough the wound

Antimicrobial solution

• Normal saline 0.9%

• Superoxidize solution

• Polyhexametyhlene biguanide ( PHMB)

• Povidone iodine 10% solution

All of them can do conservative sharp debriment EXCEPT:

• Community nurse

• Assistant Medical Officer

• Medical officer

• Registered nurse with C&P

Which macronutrient deficiency is most commonly associated with delayed wound healing and increased risk of infection?

• Fat

• Protein

• Carbohydrate

• Water

Which of the following nutrients is most directly involved in collagen synthesis during wound healing

• Vitamin D

• Vitamin A

• Vitamin B12

• Vitamin C