Wound Care
Elite Student Guide – Final Paper Breakdown
Primary Function of Skin Disruption - Protection from trauma (mechanical, thermal, chemical,
radiant)
What are the results of impaired skin integrity? - Loss of body fluids and risk for infection
Skin Lesion - Pathological or traumatic discontinuity of TISSUE
Etiology: Skin Lesions - Mechanical injuries, pathological changes, allergies, bites
Primary Lesion - Initial or first lesion to occur
ex: mosquito bite
Secondary Lesion - Change in the primary lesion
ex: scab that develops after you have scratched the mosquito bite
Wound - Disruption in the structure and function of the skin from bodily injury or disease
Intentional Wounds - Wounds that occur from surgical procedures or treatments
Unintentional Wound - Wound that occurs from accidental injuries or trauma, adverse effects of
health care
Open Wound - An injury in which the skin is INTERRUPTED or disrupted, EXPOSING the tissue
beneath.
, Closed Wound - Bruising underneath the skin
Clean Wound - Wound that is created with CLEAN surgical instruments; Microbes have not
entered the wound.
Contaminated Wound - Wound with presence of microorganisms, dirt, debris, exudate
Acute Wound - Wound that heals in orderly and timely process; i.e. surgical incision
Chronic Wound - Wound that heals slowly and has an insidious onset; i.e. DPU
Types of Wounds - Open vs Closed
Clean vs Contaminated
Acute vs Chronic
RYB Classification System - Based on WOUND BED COLOR
Red Wound Bed Color - Granulating tissue (clean, healthy tissue)
Yellow Wound Bed Color - Slough (fibrous material of exudate) ;wound is not ready to heal yet
Eschar Wound Bed - Necrotic tissue (thick, leathery); tissue is nonhealing and needs to be
removed
Exudate - Fluid and cells that have escaped from blood vessels during the inflammatory process
Exudate: Serous - Clear, plasma thats escaping from wound bed
Elite Student Guide – Final Paper Breakdown
Primary Function of Skin Disruption - Protection from trauma (mechanical, thermal, chemical,
radiant)
What are the results of impaired skin integrity? - Loss of body fluids and risk for infection
Skin Lesion - Pathological or traumatic discontinuity of TISSUE
Etiology: Skin Lesions - Mechanical injuries, pathological changes, allergies, bites
Primary Lesion - Initial or first lesion to occur
ex: mosquito bite
Secondary Lesion - Change in the primary lesion
ex: scab that develops after you have scratched the mosquito bite
Wound - Disruption in the structure and function of the skin from bodily injury or disease
Intentional Wounds - Wounds that occur from surgical procedures or treatments
Unintentional Wound - Wound that occurs from accidental injuries or trauma, adverse effects of
health care
Open Wound - An injury in which the skin is INTERRUPTED or disrupted, EXPOSING the tissue
beneath.
, Closed Wound - Bruising underneath the skin
Clean Wound - Wound that is created with CLEAN surgical instruments; Microbes have not
entered the wound.
Contaminated Wound - Wound with presence of microorganisms, dirt, debris, exudate
Acute Wound - Wound that heals in orderly and timely process; i.e. surgical incision
Chronic Wound - Wound that heals slowly and has an insidious onset; i.e. DPU
Types of Wounds - Open vs Closed
Clean vs Contaminated
Acute vs Chronic
RYB Classification System - Based on WOUND BED COLOR
Red Wound Bed Color - Granulating tissue (clean, healthy tissue)
Yellow Wound Bed Color - Slough (fibrous material of exudate) ;wound is not ready to heal yet
Eschar Wound Bed - Necrotic tissue (thick, leathery); tissue is nonhealing and needs to be
removed
Exudate - Fluid and cells that have escaped from blood vessels during the inflammatory process
Exudate: Serous - Clear, plasma thats escaping from wound bed
