Core Curriculum: Wound Management

Author: Dorothy Doughty, MN, RN, CWOCN, FAAN, Laurie McNichol, MSN, RN, GNP, CWOCN, CWON-AP
Affiliation: Wound Ostomy and Continence Nurses Society
Publisher: Lippincott Williams & Wilkins
Publication Date: 2016
ISBN 10: 1451194404
ISBN 13: 9781451194401
Edition: 1st

Description:

This volume in the new Core Curriculum series from WOCN(R) covers Wound Management, and is the crucial text for nurses practicing or studying wound care. It offers pathology and physiology basics in easy-to-grasp terms, while providing expert guidance on patient management. The perfect study guide for the wound, ostomy and continence (WOC) certification exams, it also provides step-by-step direction on essential nursing procedures. The evidence-based, easy-to-follow format of Wound, Ostomy and Continence Nurses Society(TM) Core Curriculum: Wound Management facilitates your comprehension of: o Skin anatomy and physiology o Physiology of wound healing o Principles of wound assessment.

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • Tribute
  • Contributors
  • Foreword
  • Preface
  • Acknowledgments

PART 1 General Concepts

    CHAPTER 1: Anatomy and Physiology of the Skin

    • Objectives
    • Topic Outline
    • Introduction
    • Anatomy and Physiology of the Skin
    • Functions of the Skin and Soft Tissue
    • Skin Changes throughout Life
    • Common Skin Conditions in the Elderly
    • Skin Immune System
    • Skin and Vitamin D production
    • Permeability and Dermal Absorption
    • Skin Assessment
    • Principles for Using Skin Care Products
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 2: Wound Healing

    • Objectives
    • Topic Outline
    • Introductory Concepts
    • Phases of Wound Healing
    • Mechanisms of Wound Healing
    • Types of Wound Closure
    • Acute versus Chronic Wounds
    • Aging and Wound Healing
    • Partial- versus Full-Thickness Wound Healing
    • Wound Healing: Risk Factors for Nonhealing
    • Psychological Factors and Wound Healing
    • Implications for Optimal Wound Care
    • Future Directions for Wound Healing Therapies
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 3: Assessment of the Patient with a Wound

    • Objectives
    • Topic Outline
    • Introduction
    • Type and Frequency of Assessment
    • Skin Inspection and Assessment
    • Assessment and Documentation of Wound Status
    • Follow-Along Serial Assessments
    • Laboratory and Diagnostic Tests
    • Conclusion
    • References
    • Questions
    • Answers:

    CHAPTER 4: General Principles of Wound Management: Goal Setting and Systemic Support

    • Objectives
    • Topic Outline
    • Goal Setting
    • General Principles in Treatment Planning
    • Strategies to Promote Seamless Transitions in Care
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 5: Patient and Caregiver Education: Significance and Guidelines

    • Objectives
    • Topic Outline
    • Introduction and Requirements
    • Goals of Care and Education
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 6: Nutritional Assessment and Support in Relation to Wound Healing

    • Objectives
    • Topic Outline
    • The Relationship between Nutrition and Wound Healing
    • Identifying Individuals with Compromised Nutritional Status
    • Nutrients That Play a Role in Wound Healing
    • Nutritional Needs of Individuals with Pressure Ulcers
    • Issues That Affect Nutrition Assessment and Interventions for Pressure Ulcers and Wounds
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 7: General Principles of Topical Therapy

    • Objectives
    • Topic Outline
    • Introduction
    • Priorities in Wound Management
    • Evidence-Based Wound Care: Moist Wound Healing
    • Wound Bed Preparation: TIME Framework
    • Management of Wound-Related Pain
    • Conclusion
    • Acknowledgments
    • References
    • Questions
    • Answers

    CHAPTER 8: Wound Cleansing and Dressing Selection

    • Objectives
    • Topic Outline
    • Introduction
    • Wound Cleansing
    • Dressing Selection
    • Specific Dressing Materials
    • Guidelines for Dressing Selection
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 9: Principles and Guidelines for Wound Debridement

    • Objectives
    • Topic Outline
    • Introduction
    • Decision Making Regarding Debridement
    • Progression and Maintenance of Debridement
    • Types of Debridement
    • Professional Practice Considerations
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 10: Assessment and Management of Wound-Related Infections

    • Objectives
    • Topic Outline
    • Introduction
    • Bacteria and Wound Healing
    • Osteomyelitis
    • Controlling and Managing Bioburden
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 11: Refractory Wounds: Assessment and Management

    • Objectives
    • Topic Outline
    • Introduction
    • Refractory Wounds
    • Assessment of the Nonhealing Wound
    • Management of the Nonhealing Wound
    • Indications for Referrals
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 12: Skin and Wound Care for Neonatal and Pediatric Populations

    • Objectives
    • Topic Outline
    • Introduction
    • Characteristics of Newborn, Infant, and Premature Infant Skin
    • Skin Assessment and Risk Factors for Skin Breakdown
    • Prevention and Treatment of Common Causes of Skin Breakdown in Neonates and Infants
    • Unique Challenges in Pediatric Skin and Wound Care
    • Skin Disorders Commonly Seen in the Pediatric Population
    • Wound Care for the Pediatric Population
    • Prevention of Skin Breakdown
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 13: Skin and Wound Care for the Geriatric Population

    • Objectives
    • Topic Outline
    • Introduction
    • Age-Related Changes in Skin and Wound Healing
    • Maintaining Skin Health
    • Photoaging
    • Xerosis and Pruritis
    • Age-Related Skin Lesions
    • Partial-Thickness Wound Healing
    • Full-Thickness Wound Healing
    • Elder Abuse
    • Delirium
    • Malnutrition
    • Polypharmacy
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 14: Skin and Wound Care for the Bariatric Population

    • Objectives
    • Topic Outline
    • Introduction
    • Skin Care for the Bariatric Patient
    • Pressure Ulcer Prevention
    • Surgical Wound Dehiscence
    • Bariatric Equipment
    • Safe Patient Handling
    • Bariatric Sensitivity
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 15: Skin and Wound Care for the Spinal Cord–Injured Patient

    • Objectives
    • Topic Outline
    • Introduction
    • Pressure Ulcer Prevention
    • Increased Risk for Impaired Healing
    • Management Guidelines Specific to SCI Population
    • Conclusion
    • References
    • Questions
    • Answers

PART 2 Specific Wounds

    CHAPTER 16: General Concepts Related to Skin and Soft Tissue Injury Caused by Mechanical Factors

    • Objectives
    • Topic Outline
    • Introduction
    • Overview of Mechanical Factors Causing Skin and Soft Tissue Damage
    • Top-Down versus Bottom-Up Injury
    • Guidelines for Differential Assessment
    • Current Gaps
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 17: “Top-Down” Injuries: Prevention and Management of Moisture-Associated Skin Damage (MASD), Medical Adhesive–Related Skin Injury (MARSI), and Skin Tears

    • Objectives
    • Topic Outline
    • Introduction
    • Moisture-Associated Skin Damage
    • Medical Adhesive–Related Skin Injury
    • Skin Tears
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 18: Bottom-Up (Pressure Shear) Injuries

    • Objectives
    • Topic Outline
    • Introduction
    • Risk Factors Associated with Pressure Ulcer Development
    • Pathology of Pressure Ulcer Development
    • Staging of Pressure Ulcers
    • sDTI (suspected Deep Tissue Injury)
    • Management of sDTI
    • Perioperative Pressure Ulcers
    • Medical Device–Related Pressure Ulcers
    • Avoidable versus Unavoidable Pressure Ulcers
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 19: Pressure Ulcer Prevention: Specific Measures and Agency-Wide Strategies

    • Objectives
    • Topic Outline
    • Introduction
    • Monitoring Pressure Ulcer Prevalence and Incidence
    • Maintenance of Skin Health: Routine Care and Assessment
    • Pressure Ulcer Risk Assessment
    • Assessment and Management of Risk Factors
    • Program Management
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 20: Therapeutic Surfaces for Bed and Chair

    • Objectives
    • Topic Outline
    • Introduction
    • Risk Factors Addressed by Support Surfaces
    • Components of a Support Surface
    • Categories and Features
    • Matching the Product to the Patient
    • Care Setting–Specific Formulary
    • Support Surface Initiative (S3I)
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 21: Venous Insufficiency, Venous Ulcers, and Lymphedema

    • Objectives
    • Topic Outline
    • Introduction
    • Prevalence and Incidence of Venous Insufficiency and Venous Ulcers
    • Pathology of Venous Insufficiency and Venous Ulceration
    • Assessment and Diagnosis
    • Primary Prevention
    • Management of CVI
    • Secondary Prevention: Preventing Recurrence
    • Management of Mixed Arterial–Venous Disease
    • Lymphedema
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 22: Assessment and Management of Patients with Wounds due to Lower-Extremity Arterial Disease (LEAD)

    • Objectives
    • Topic Outline
    • Introduction
    • Prevalence, Incidence, and Significance of LEAD
    • Pathophysiology/Etiology of LEAD and Ischemic Wounds
    • Risk Factors
    • Assessment and Diagnosis
    • Primary and Secondary Prevention
    • Wound Management
    • Medications
    • Nutrition
    • Pain Management
    • Edema Management for Patient with Mixed Arterial–Venous Disease
    • Critical Limb Ischemia (CLI) Management
    • Patient Education
    • Conclusion
    • Key Points
    • References
    • Questions
    • Answers

    CHAPTER 23: Lower Extremity Neuropathic Disease

    • Objectives
    • Topic Outline
    • Introduction
    • Etiology and Pathology of LEND
    • Prevalence and Incidence
    • Pathology, Classification, and Manifestations of Peripheral Neuropathy
    • Diagnosis of LEND
    • Assessment/Classification of Neuropathic Foot Ulcer
    • Management of Neuropathic Ulcers
    • Surgical Intervention
    • Charcot Neuropathic Osteoarthropathy
    • Fungal Skin and Nail Infections
    • Nutritional Management
    • Neuropathic Pain Management
    • Exercise Programs and Health Promotion
    • Prevention Recurrent Ulceration
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 24: Differential Assessment of Lower Extremity Wounds

    • Objectives
    • Topical Outline
    • Introduction
    • Differential Assessment: Essential Data
    • Differential Assessment: Data Synthesis
    • Differential Management
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 25: Atypical Lower Extremity Wounds

    • Objectives
    • Topic Outline
    • Introduction
    • Vasculitis and Ulceration
    • Sickle Cell Ulcers
    • Pyoderma Gangrenosum
    • Calciphylaxis (Calcific Uremic Arteriolopathy)
    • Malignant Wounds: Squamous Cell Carcinoma and Basal Cell Carcinoma
    • Factitious Ulcers: Dermatitis Artefacta
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 26: Foot and Nail Care

    • Objectives
    • Topic Outline
    • Introduction
    • Foot and Nail Care: Overview
    • Anatomy and Physiology of the Foot and Nails
    • Assessment Guidelines
    • Common Pathologic Nail Conditions
    • Common Skin Disorders of the Foot and Lower Extremity
    • Systemic Conditions and Implications for Foot Care Nurses
    • Common Foot Malformations
    • Common Toe Deformities/Malformations
    • Guidelines for Foot and Nail Care
    • Education, Prevention, and Routine Management
    • Multidisciplinary Teams
    • Conclusion
    • Acknowledgment
    • References
    • Questions
    • Answers

    CHAPTER 27: Wounds Caused by Infectious Processes

    • Objectives
    • Topic Outline
    • Introduction
    • Viral Infections Causing Wounds
    • Fungal Infections Causing Wounds
    • Bacterial Infections Causing Wounds
    • Mycobacterial Infection (Leprosy)
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 28: Wounds Caused by Dermatologic Conditions

    • Objectives
    • Topic Outline
    • Introduction
    • Autoimmune Blistering Skin Diseases (Pemphigus Vulgaris and Bullous Pemphigoid)
    • Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis
    • Psoriasis
    • Irritant and Allergic Dermatitis
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 29: Oncology-Related Skin and Wound Care

    • Objectives
    • Topic Outline
    • Introduction
    • Radiation Dermatitis
    • Extravasation
    • Targeted Chemotherapy Skin Reactions
    • Palmar–Plantar Erythrodysesthesia (Hand-Foot Syndrome)
    • Cutaneous T-Cell Lymphoma (Mycosis Fungoides and Sézary Syndrome)
    • Graft versus Host Disease
    • Malignant Fungating Wounds
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 30: Thermal Wounds: Burn and Frostbite Injuries

    • Objectives
    • Topic Outline
    • Introduction
    • Burn Wounds
    • Frostbite
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 31: Traumatic Wounds: Assessment and Management

    • Objectives
    • Topic Outline
    • Introduction
    • Causes of Traumatic Wounds
    • Management of Traumatic Wounds
    • Complications of Traumatic Wounds
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 32: Management of Surgical Wounds

    • Objectives
    • Topic Outline
    • Introduction
    • Healing Process for Surgical Wounds
    • Surgical Wound Classifications
    • Methods of Closure
    • Surgical Closure Complications
    • Surgical Wound Assessment
    • Guidelines for Incisional Care
    • Indications and Guidelines for Management of Complex Wounds
    • Abdominal Nightmare: Fistula Development
    • Management of Wound Closed with Mesh
    • Management of Poststernotomy Wound and Open Chest
    • Surgical Wound Complications
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 33: Palliative Wound Care

    • Objectives
    • Topic Outline
    • Introduction
    • Palliative Care Overview
    • Developing a Palliative Plan of Care
    • Skin Changes at End of Life
    • Common Wounds in the Palliative Care Population
    • Conclusion
    • References
    • Questions
    • Answers

    CHAPTER 34: Fistula Management

    • Objectives
    • Topic Outline
    • Introduction
    • Clinical Presentation and Classification
    • Etiologic Factors
    • Medical Management
    • Fistula Management for the WOC Nurse
    • Surgical Closure
    • Vesicovaginal, Rectovaginal, or Enterovaginal Fistulas
    • Conclusions
    • References
    • Questions
    • Answers

    CHAPTER 35: Nursing Management of the Patient with Percutaneous Tubes

    • Objective
    • Topic Outline
    • Introduction
    • Gastrostomy and Jejunostomy Tubes
    • Nephrostomy Tubes
    • Biliary Tubes
    • Conclusions
    • References
    • Questions
    • Answers

Glossary