As the healing process takes place, fibroblasts form at the surface of a wound.Granulation can help healthcare professionals monitor and evaluate the progress of wound healing.It is difficult to measure the tissue, but there are general guidelines to follow.
Step 1: Look at the surface of the wound.
The history of how the wound was acquired should be included in the complete wound assessment.It is important to note the length, width and depth of the wound in centimeters.There are signs of infections such as redness, pain and drainage.You should check for necrotic and granulation tissue.The necrotic tissues form thick and leathery black eschar.This can be used to mask an underlying abscess.The healthy tissues look as if they are red at the wound base.
Step 2: Use the Pressure Ulcer Scale for Healing to measure the wound surface.
Get the length and width of the wound in centimeters.When exudates are heavy, rate 0 for none down to 3.To document the type of tissue, use the 0 to 4 scale rating: 0 for a closed or resurfaced wound, 1 for superficial epithelial tissue and 2 for granulation tissue.The sum should be placed on a graph to monitor the condition of the wound.
Step 3: The wound depth should be compared to the percentage of wound granulation.
The clinicians measure the wound depth.There is a decrease in wound depth.A significant decrease is defined as a small change in depth compared to the previous assessment.
Step 4: The wound needs to be cleansed.
First, wash your hands with soap under running water.You can dry your hands with a towel.Put on a pair of gloves.Disregard the wound dressing if you don't want to.Fresh gauze can be used to dress a wound.
Step 5: The clock technique can be used to measure the wound dimensions.
Measure the length, width and depth of the wound with a ruler and use it as an imaginary clock.The length may not be the longest measurement here.Depending on the clock position, the width may be longer than the length.
Step 6: Place the ruler on the widest part of the width.
You can measure the width of the wound.The heels and toes are at 12 and 6 o'clock, respectively, when you get the length.The ruler should be placed over the longest part of the wound.
Step 7: Find the depth of the wound.
The deepest part of the wound bed can be measured using a cotton pledget dipped in a normal saline solution.To measure the depth of the wound margin, hold the ruler against the applicator stick and look for the mark on the stick.Take the percentage of the wound surface and divide it by the amount of wound granulation.It's important to document your findings properly.
Step 8: Understand the different phases of wound healing.
Understanding the process of wound healing is important in order to effectively manage and treat wounds.
Step 9: The inflammatory phase should be recognized.
The first line of defense against injury is the inflammatory phase.It happens when the blood vessels contract in order to limit the amount of bleeding.White blood cells are sent to the site of the wound to killbacteria and promote wound healing.The inflammatory phase lasts from 2 to 4 days after a wound injury.
Step 10: The proliferative phase is visible.
The proliferative phase begins around the third day and coincides with the release of macrophages.The fibroblasts are one of the most important cells and they are attracted by the macrophages.The healthy granulation tissue should not bleed and should be reddish in color.Poor tissue perfusion is indicated by dark tissue.It could also be an indication of an illness.Ischemia is characterized by a bluish discoloration around the wound.When the blood vessels are impeded, it occurs.Collagen synthesis and breakdown is what leads to wound healing.
Step 11: The remodelling or maturation phase can be identified.
After a wound healing, the production of collagen continues.It's made of a bunch of acids.It strengthens the structures of the body by acting like cement.During the maturation phase, remodeling or replacement ofType IIICollagen withType ICollagen takes place until such a time that the tissue almost equates to the texture of normal skin and mimics 80% of uninjured tissue.