Question

Mr. John Smith is admitted to the hospital for surgical incision and drainage (I&D) of an abscess on his right calf, which resulted from a farm machinery accident. The right calf has an area 3 cm x 2.5 cm, which is red, warm and hard to touch, and edematous.
a. Explain the wound healing process according to the phase of Mr. Smith's wound?
b. The surgeon orders for wet-to-dry sterile saline dressing twice a day with iodoform gauze to the wound, covered with the wet-to-dry dressing. Explain how to perform this dressing change?

Answer 1

Answer:

A. Mr. Smit is in stage two of the healing process, which has four stages for tissue recovery, the first phase, coagulation has been overcome, he is currently in the inflammation phase in which pathogens are being eliminated For the immune system, then comes the proliferation stage that is responsible for regenerating new tissue and then the maturation stage in which the built tissue acquires strength and elasticity.

B. To make the bandage changes, you must use non-sterile gloves, previously wash your hands, remove the old bandage, with a clean and soft cloth, clean the wound with warm soapy water, in this process there may be some bleeding, then rinse the wound with water, dry it with a clean towel with light blows without rubbing, check the wound and proceed with a new pair of gloves, apply the saline solution to the gauze, squeezing out the excess and the iodoform, place it on the wound and cover with a large dry bandage pad, tape is attached, used supplies are stored in a plastic bag and closed for safe storage