Encompass Healthcare and Wound Medicine

Wound Care Glossary

Wound Care Glossary

Abrasion  an injury caused by rubbing or scraping that results in the loss of the superficial layer of skin or epidermis and or dermis and may involve the mucous membrane.

Acid Mantle  the body’s natural protection of the outer layer of skin having a pH between 4.0 and 5.5. Made from sebum and sweat. Inhibits the growth of harmful micro-organisms and pollutants.

Angiogenesis  the process of forming new blood vessels. This occurs in the granulation phase of healing in wound repair.

Arterial Blood Flow  any of the blood vessels that carry oxygenated blood away from the heart to the body’s cells, tissues, and organs. Arteries are flexible, elastic tubes with muscular walls that expand and contract to pump blood through the body.

Arterial Insufficiency  a condition that slows or stops the flow of blood through your arteries. Arteries are blood vessels that carry blood from the heart to other places in your body. 

Autolysis the process where devitalized or dead tissue is self digested through the action of enzymes.

Bacterial Burden or Load  the number and virulence of bacteria in a wound.

Blanching  when pressure is applied to a reddened area ( inflammation) the area under the pressure becomes white.

Cellulitis  inflammation or infection of the cells in tissues characterized by redness, pain, heat and edema.

Champagne Leg (inverted) shape of a leg that looks like an inverted champagne bottle on some legs that have venous disease. The ankle and lower leg are narrow and the upper calf is much wider.

Charcot (Char Coe) Foot a progressive condition affecting the musculoskeletal system of the foot in persons with diabetes. Fractures of the bones in the foot joint dislocation and deformities can occur. The bottom of the foot has the appearance of the hull of a boat due to the arch of the foot collapsing

Collagen  A protein that is the principle component of skin, bone, tendon cartilage and other connective tissue. Collagen is needed in wound repair to provide the scaffolding in which the wound fills in when healing.

Comorbidity  the simultaneous presence of two chronic diseases or conditions in a patient.

Contraction shrinking in size. In wound healing, contraction occurs around the edges of the wound causing the wound size to become smaller. It is important to measure wounds to identify change over time to determine healing or deterioration.

Debridement the removal of devitalized or dead tissue and foreign material from the wound bed. A wound should be clear of dead or devitalized tissue to support healing and reduce the risk of infection. There are many ways to debride.

Dermis  the second layer of the skin under the epidermis. This layer provides blood supply to the nonvascular epidermis, contains the sweat and sebaceous glands, hair follicles, lymph and blood vessels nerves and pigment cells.

Edema swelling.

Enzymes a protein secreted by cells that acts as a catalyst to induce chemical changes capable of breaking down necrotic tissue.

Epidermis outermost layer of the skin.

Epithelialization  the process of epithelial cell formation and migration from the wound edges ( including hair follicles) that close over the wound.

Erythema redness of the skin. caused by vasodilatation related to inflammation, infection or injury.

Eschar necrotic tissue that forms a black thickened covering over wounds

Extravasation leakage of fluid from a blood or lymph vessel into surrounding tissue.

Extremities refers to the arms and legs.

Exudate fluid that comes from wounds. Can be clear (serous), sanguineous (bloody) or purulent (pus.)

Fibrin a protein involved in the blood clotting process. Can also be involved in the granulation phase of healing.

Fascia a band or sheet of connective tissue found throughout the body.

Fibroblast an important cell in wound healing.

Friable Tissue tissue that bleeds easily. Then this occurs in a chronic wound and infection should be suspected.

Granulation Tissue tissue that forms in the wound base which fills in wounds with scar tissue as healing with secondary intention. The tissue is red or pink and has a lumpy appearance like small grapes. This tissue is necessary to fill in wounds so that they can heal.

Growth Factors  specialized proteins that cause cells to migrate to an area as well as make other proteins needed in healing.

Hematoma An area filled with blood under a callus. Often caused by repeated trauma, over a bone; a localized collection of blood.

Hemosiderin Staining  a discoloration of the lower leg often present in venous disease. It is caused by the release of iron containing pigment as red blood cells disintegrate. Staining can been seen above the ankle and can be an indicator of venous disease.

Holistic an approach to care that supports many relationships and disciplines to support a comprehensive patient treatment plan.

Homeostasis the ability of a system such as the human body to maintain equilibrium when changes occur.

Hyperkeratosis the thickening of the skin such as callus formation.

Hypodermis a layer of cells below the dermis that store fat and anchor the skin to the underlying structures.

Induration  a process where the skin becomes firm, often surrounds a wound as a healing ridge or can be a sign of building bio-burden.

Inflammatory phase of healing the body’s initial response to injury and lasts between 2 – 4 days. During this phase the body attempts to close off broken blood vessels and clean up the wound.

Intermittent Claudication often identified as a pain in the lower limbs related to poor or com-promised blood supply. The pain usually occurs when walking and relieved with rest.

Ischemia a deficiency of blood supply to an area.

Laceration a wound that is produced by the tearing or slashing of the skin or injury by an object that causes a tear in the skin.

Loss of Protective Sensation (LOPS) occurs in persons with diabetes where feeling in the feet is diminished or absent. This places the area at risk for developing wounds.

Maceration  a softening and whitish look to the intact skin around wounds caused by excessive moisture. Often occurs when exudate is not well-managed by dressings.

Macrophage  a white blood cell that cleans up the wound, ingesting dead cells, micro-organisms, foreign material and other debris.

Malleolus the ankle bone.

Matrix Metalloprotease (MMP’s) an enzyme that breaks wound proteins during wound healing. When found in large numbers in chronic wounds these enzymes can interfere with healing as they will break down good proteins as well as proteins that can negatively impact healing.

Maturation Phase of Healing the final phase of wound healing that begins at about day 21 of the healing process and can last up to 2 years. During this phase collagen is restructured and the scar tissue softens and changes color. The closed wound is only about 80% as strong as the tissue was before injury.

Moist wound healing the idea of moist healing was born in 1962 when George D. Winter discovered that epithelialization would proceed twice as fast in a moist environment than under a scab.

Necrotic Tissue dead tissue that usually presents as black or brown and is hard or leathery in texture.

Neuropathy any abnormal, degenerative or inflammatory state of the peripheral nervous system. Symptoms include, numbness, tingling or pain in the extremities.

Offload to reduce or eliminate pressure from an area.

Orthotic  an orthopaedic applicance such as arch support placed in a shoe to support the foot or redistribute pressure areas.

Osteomyelitis infection of a bone.

Oxygenation providing oxygen to an area or system.

Paresthesia a non-painful abnormal sensation such as numbness tingling, burning for a feeling of skin stiffness.

Pathogen an organism that can cause disease such as a virus, bacteria or other micro-organism.

Pathology  a condition in the body produced by disease.

Perfusion the pumping of a liquid into tissues or an organ. Delayed wound healing can result is there is inadequate oxygen perfusion to the wounded area.

Peri-ulcer (peri-wound) the tissue the surrounds the wound.

Phagocytosis  the process where cells surround and digest cells debris, micro-organisms necrotic tissue and foreign bodies.

Plantar relating to the sole of the foot.

Pressure reduction  a device or surface designed to reduce pressure over an area.

Proliferative Phase of Healing the second phase of healing lasting 3 to 21 days. During this phase the wound fills in with granulation tissue, contraction of the wound occurs, and epithelialization takes place. This phase reduces the area and depth of the wound.

Purulent  containing or forming pus.

Qualitative Wound Culture  a collection of wound fluid to gather a specimen from a single point in a wound to be assessed for type and amount of bacteria in the wound. A culture should be taken before antibiotics are prescribed.

Semi-permeable when pertaining to wound care dressings, it is a property where certain type of molecules are allowed to pass through a membrane while other types of molecules are not. For example oxygen molecules may be allowed to pass but bacteria are not.

Slough Dead tissue usually yellow in color and can be stringy in appearance. Can be a source for bacteria and should be removed. Autolytic debridement is often the chosen approach to remove the necrotic tissue.

Swab Culture a specimen collection of fluid ( wound ) to determine number and type of bacteria present.

Systemic relating to an entire (body) system vs individual parts of the system.

Tensile Strength  the strength of a closed or healed wound in terms of the greatest stress the tissues can bear without tearing. Tissues over a healed wound are approximately 80% as strong pre-injury.

Total Contact Cast a fiberglass device/cast often used to support the healing of diabetic foot ulcers.

Ulcer  a break in the skin or mucous membrane with the loss of the surface tissue.

Vasoconstriction constriction or narrowing of the blood vessels.

Vasodilation  dilation or widening of blood vessels.

Wound  an injury to living tissue caused by a cut, blow, or other impact, typically one in which the skin is cut or broken.

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