Wound Care/ Documentation Study Guide Questions And Correct Answers

Autolytic Debridement {Ans: - The process by which the wound bed utilizes phagocytic cells and proteolytic enzymes to remove debris. -This process can be promoted and enhanced by maintaining a moist wound environment. -In other words the body is doing the job of debridement by using the phagocytic cells and its own proteolytic enzymes to remove the debris or necrotic tissue. This is less painful but the process is slower.}Granulation Tissue {Ans: Red ,moist tissue composed of new blood vessels, the presence of which indicates progression toward healing.}serosanguineous {Ans: pale, pink, watery, mixture of clear and red fluid}Red wounds {Ans: Red wounds are in the healing phase and are granulating. The color may vary from pink to deep red. Exudate levels will vary Choose products that promote healing by protecting the healing tissue and maintain a moist environment Hydrogel NS moist}DAR {Ans: Data Action Response}Stage IV {Ans: Full thickness loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often undermining and tunneling present}