ACCC Nursing Wound Care

superficial, partial-thickness wound with little bleeding, caused by rubbing or scraping the skin or a mucous membrane

closed, with the wound’s edges touching each other

arterial insufficiency
inadequate blood flow through the arteries

decrease in size, wasting away, or progressive decline of a body part or tissue

large blister, as seen with burns

thermal injury to tissues

malignant (cancerous) growth made up of epithelial cells that tends to infiltrate surrounding tissue thus causing metastasis

injury to tissues with skin discoloration from blood seepage just under the skin and without breakage of skin; a bruise

abnormal, closed epithelium-lined sac that contains a liquid or a semisolid substance

remove contaminated, damaged, or devitalized (dead) tissue from a wound

decubitus ulcer
somewhat outdated term for pressure ulcer, impaired skin integrity and/or formation of a wound due to prolonged pressure

spontaneous opening of the edges of a surgical wound with partial or total separation of wound layers

inflammation of the skin

innermost layer of the skin

seepage or withdrawal of fluids from a wound or cavity

hemorrhagic spot, or bruise, caused by bleeding under the skin and irregularly formed in blue, purple, or brown patches

accumulation of excess fluid, causing swelling in the cells, in intercellular spaces within tissues, or in potential spaces inside the body

reddening of the skin caused by congestion of the capillaries

slough (hard crust or mass of dead tissue) produced by a thermal burn, a corrosive application, or gangrene

material such as fluid with a high content of protein and cellular debris that has escaped from blood vessels and has been deposited in tissues or on tissue surfaces, usually as a result of inflammation

any abnormal tubelike passage in the body

development of red moist tissue made up of new blood vessels, indicating the progression of wound healing

localized collection of blood underneath the tissues, appearing as a swelling or mass often characterized by a bluish discoloration

protective response occurring in reaction to any type of bodily injury or destruction of tissues, characterized by redness and swelling and sometimes serous exudate

wash out with fluid

sharply elevated, progressively enlarging scar that does not fade with time

cut; torn wound

softening or dissolution of tissue after lengthy exposure to fluid

spot or thickening of the skin, not raised above the surface

malignant mole or tumor on the skin with atypical melanocytes (pigment-forming cells) in both the epidermis and the dermis and sometimes the subcutaneous cells

death of areas of tissue or bone surrounded by healthy tissue

small, solid mass that can be detected by touch

paleness; a decrease or absence of skin coloration

small, circumscribed, solid, elevated skin lesion

minute reddish or purplish spots containing blood that appear in skin or mucous membranes as a result of localized hemorrhage (singular form: petechia)

any patch or flat area of the skin, such as the characteristic scales of psoriasis or eczema

pressure ulcer
impaired skin integrity and/or formation of a wound due to prolonged pressure


wound made by a sharp pointed object penetrating the skin

condition characterized by various skin manifestations, including hemorrhages into the skin, mucous membranes, internal organs, and other tissues

containing pus

yellowish liquid product of inflammation or infection

small, elevated skin lesion that contains pus

skin eruption, most often temporary, caused by allergies, irritation, or disease processes

mark that remains on the skin after a wound has healed

pertaining to serum; thin and watery like serum

force exerted parallel to the skin resulting both from gravity and from resistance (friction) between the patient and a surface, such as that created when a patient slumps in a chair

skin tear
a traumatic wound resulting from separation of the epidermis from the dermis

mass of dead tissue separating from an ulcer

stagnation (stopping) of the flow of body fluid, most commonly used to describe the impaired flow of blood back to the heart from the peripheral circulation (venous stasis)

venous insufficiency
inadequacy of the venous valves and impairment of venous return from the lower limbs (venous stasis), often with edema and sometimes with skin ulcers (particularly at the ankles)

small blister that contains liquid

smooth, localized, reddened or pale, slightly elevated area on the skin that is either induced via intradermal injection or is typical of allergic reactions

Skin -protective barrier and a sensory organ for pain, temperature, and touch; and it synthesizes vitamin D -2 layers: epidermis and the dermis separated by a membrane called the *dermal-epidermal junction* -if injured, the epidermis fans to resurface the wound …

T or F – All wounds require sterile dressing changes. False T or F – Washing hands with soap and water is sufficient to sterilize them. False WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU …

1. A patient who had surgery yesterday has the initial dressing covering the surgical site. What is the nurse’s responsibility in assessing this patient’s wound? a. Remove the dressing, inspect the wound, and reapply a new dressing. b. Inspect the …

Wound healing The process by which your surgical wound heals is complex and involves three main steps. •Inflammation – this lasts for a short time as the blood flow is increased to your wound. •Proliferation – new blood vessels grow …

intervention …an action taken by the nursing team to help the patient. sutures …stitches; placed to hold the edges of a wound together to promote healing. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR …

Function of the Skin (5) 1. Skin is the largest organ in the body 2. Protect underlying tissue from injury 3. Regulate body temperature 4. Secrete oily substance (sebum) that softens and lubricates the hair and skin 5. Produces and …

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