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Acute and Chronic Wounds : Nursing Management

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ISBN: 9781556644108 | 1556644108
Edition: 2nd
Publisher: Mosby
Pub. Date: 6/16/2000

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SummaryTable of Contents
Focusing on a multidisciplinary approach, ACUTE AND CHRONIC WOUNDS: NURSING MANAGEMENT provides a comprehensive resource for health care providers challenged with the care of acute surgical and chronic wounds. The initial chapters on structure of the skin, its functions, types of skin damage, physiology of wound healing, and general principles of wound management provide the framework needed to understand and minimize threats to the skin. This comprehensive and up-to-date reference provides a complete understanding of the biology, pathophysiology, and management of dermal wounds. * Presents current advances in wound management to provide updated information on changing therapies in the management of acute and chronic wound care. * Authored and reviewed by members of the Wound, Ostomy and Continence Nurses Society (WOCN). * Includes anatomy and physiology of skin and soft tissue to facilitate a comprehensive understanding of wound management. * Provides a well-organized, comprehensive resource to assist nurses in maximizing patient outcomes. * Provides learning objectives at the beginning of each chapter to target learning goals. * Includes self-evaluation questions and problems at the end of each chapter to facilitate self-directed learning and preparing for the board certification exam. * Discusses advances in diagnosis, treatment, and pharmacology to examine the complete spectrum of wound care. * Highlights information in boxed format to enable the user to quickly focus on key points. * Contains illustrations and color plates to graphically illustrate types of wounds, procedures, and treatments.
... MORE
Anatomy and Physiology of Skin and Soft Tissue
1(16)
Annette B. Wysocki
Skin Layers
2(3)
Skin Functions
5(3)
Factors Altering Skin Characteristics
8(9)
Wound-Healing Physiology
17(24)
Joann Waldrop
Dorothy Doughty
Physiology of Wound Healing
17(10)
Regulation of Wound Healing
27(4)
Acute Versus Chronic Wounds
31(3)
Factors Affecting the Repair Process
34(7)
Nutritional Assessment and Support
41(10)
Nancy A. Stotts
Injury and Nutrient Need
41(3)
Nutritional Assessment
44(3)
Nutritional Support
47(4)
Assessment, Measurement, and Evaluation: Their Pivotal Roles in Wound Healing
51(34)
Diane M. Cooper
Background
51(1)
Measurement: Physiologic Processes, Wound Type, or Both
52(2)
Extent of Pathology and Potential for Healing
54(2)
Wound Parameters Viewed Generically
56(13)
Macroscopic Indices for Healing
69(10)
Documentation Guidelines
79(1)
Recommendations for More Accurate Wound Assessment
80(5)
Principles of Wound Management
85(40)
Bonnie Sue Rolstad
Liza G. Ovington
Ann Harris
Expected Outcome: Goal for Wound
85(1)
Patient Assessment
86(1)
Principles of Wound Management
86(8)
Maintenance of a Physiologic Local Wound Environment
94(6)
Wound Care Product Selection
100(2)
General Wound-Care Procedures
102(4)
Evaluating Outcomes
106(7)
Appendix 5.1 Wound Care Product Formulary
113(12)
Bonnie Sue Rolstad
Liza G. Ovington
Ann Harris
Skin Pathology and Types of Skin Damage
125(32)
Ruth A. Bryant
Assessment
125(5)
Mechanical Damage
130(5)
Chemical Factors
135(2)
Vascular Damage
137(1)
Infectious Factors
138(6)
Allergic Factors
144(1)
Inflammatory
145(2)
Disease
147(10)
Wound Debridement
157(22)
Janet Ramundo
Judy Wells
Methods of Debridement
158(1)
Autolysis
158(2)
Chemical
160(4)
Mechanical
164(3)
Sharp
167(3)
Selection of Debridement Method
170(2)
Assessment of the Debridement Process
172(5)
Appendix 7.1 WOCN Position Statement: Conservative Sharp Wound Debridement
177(2)
Wound Infection: Diagnosis and Management
179(10)
Nancy A. Stotts
Infection as a Significant Problem
179(3)
Diagnosis of Infection
182(3)
Principles of Treatment of Wound Infection
185(1)
Case Study
186(3)
Acute Surgical and Traumatic Wound Healing
189(8)
Judith M. West
Michael L. Gimbel
Background
189(1)
Oxygen
189(1)
Surgical Stress
190(1)
Acute Wound
191(2)
Patient Education
193(1)
Wound as an Organ
193(4)
Massive Tissue Loss: Burns
197(24)
Ruth Wilson
Epidemiology
197(1)
Pathology
197(1)
Types of Burn Injury
198(1)
Evaluation of the Burn Injury
199(2)
Pathophysiology
201(2)
Management
203(11)
Complications
214(2)
Outpatient Burn Management
216(2)
Outcome Management
218(3)
Mechanical Forces: Pressure, Shear, and Friction
221(44)
Barbara Pieper
Economic Effects
222(1)
Scope of the Problem
222(3)
Terminology
225(2)
Etiology
227(8)
Pathophysiologic Changes
235(3)
Prevention of Pressure Ulcers
238(18)
Management of Pressure Ulcers
256(9)
Lower-Extremity Ulcers of Vascular Etiology
265(36)
Dorothy B. Doughty
Joann Waldrop
Janet Ramundo
Arterial Ulcers
265(14)
Venous Ulcers
279(16)
Lymphedema
295(6)
Vascular and Neuropathic Wounds: The Diabetic Wound
301(16)
Laurel A. Wiersema-Bryant
Bruce A. Kraemer
Epidemiology and Cost
301(1)
Pathology
302(2)
Pathology of Ulceration
304(1)
Assessment
304(2)
Management
306(7)
Complications
313(1)
Patient Education
313(4)
Management of Drain Sites and Fistulas
317(26)
Bonnie Sue Rolstad
Ruth A. Bryant
Incidence and Etiology
317(1)
Terminology
318(2)
Medical Management
320(2)
Nursing Management
322(21)
Management of Gastrointestinal Feeding Tubes
343(24)
Ruth A. Bryant
Karen Huskey
Gastrostomy and Jejunostomy Devices
343(12)
Tube Features
355(2)
Low-Profile Gastrostomy Device (Button)
357(1)
Nursing Management of Enteric Tubes
358(3)
Complications
361(3)
Patient Education
364(3)
Oncology-Related Skin Damage
367(20)
Margaret T. Goldberg
Peggy Mcgynn-Byer
Joseph G. Kusiak
Nancy L. Tomaselli
Extravasation
367(7)
Fungating Wounds
374(5)
Irradiation Tissue Damage
379(8)
Managing Wound Pain
387(14)
Diane Krasner
Brief Review of the Literature
387(2)
Asessment of Pain
389(1)
Chronic Wound Pain Experience Model
390(4)
``Using a Gentler Hand''
394(1)
Venous Ulcer Pain
395(1)
Pragmatic Suggestions for Managing Procedural and Nonprocedural Wound Pain
396(5)
Surgical Approaches to Wound Closure
401(12)
Donald J. Morris
Optimize Patient
401(1)
Evaluate Tissue Damage
401(1)
Surgical Options
402(1)
Pressure Ulcer Closure
403(10)
Molecular Regulation of Wound Healing
413(18)
Greg Schultz
Biologic Roles of Cytokines and Growth Factors in Wound Healing
413(4)
General Properties of Growth Factors and their Receptors
417(2)
Major Families of Growth Factors
419(7)
Potential Limitations of Growth Factor Technology
426(5)
Adjuvant Wound Therapies
431(24)
Craig L. Broussard
Susan Mendez-Eastman
Rita Frantz
Hyperbaric Oxygenation
432(4)
Negative Pressure Wound Therapy
436(7)
Electrical Stimulation
443(12)
Principles for Practice Development
455(16)
Ruth Bryant
Wound Care Nurse as Clinical Expert
455(1)
Wound Care Nurse as Educator
456(1)
Wound Care Nurse as Researcher
457(14)
Home Environment: Implications for Wound Care Practice Development
471(8)
Kristy Wright
Laurie Lovejoy McNichol
Physical Conditions of the Home
471(1)
Caregivers
471(1)
Outcome-Based/Evidence-Based Practice
472(1)
Outcome-Based Quality Improvement and OASIS Data Set
472(1)
Qualifying Criteria for Home Care Services
473(1)
Documentation Requirements for Reimbursement
474(1)
Medicare Requirements for Wound Care
474(1)
Reimbursement Methods
474(2)
Role of Communication Technology in Home Care
476(1)
Implications for Practice and Patient Care
477(2)
Practice Development in Acute and Long-Term Care Settings
479(16)
Monica Beshara
Gayle Jameson
Barbara Barr
Acute Care Setting
479(10)
Long-Term Care Practice Development
489(6)
Team Approach to a Wound Care Program
495(40)
Nancy Tomaselli
Mark S. Granick
Economic Effect of Chronic Wounds
495(1)
Rationale for the Wound Care Team
496(1)
Goals for the Wound Care Team
497(1)
Team Constituents and Responsibilities
497(1)
Activities and Components of the Wound Care Program
498(1)
Wound Care Programs in the Clinic Setting
499(4)
Appendixes
Appendix A: Self-Assessment Answers
503(12)
Appendix B: Risk Assessment Scales
515(6)
Appendix C: Guidelines
521(10)
Appendix D: Wound Patient's Bill of Rights
531(2)
Appendix E: Websites
533(2)
Glossary535(4)
Index539

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