National best practice and evidence based guidelines for wound ...
National best practice and evidence based guidelines for wound ...
National best practice and evidence based guidelines for wound ...
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NatioNal <strong>best</strong> <strong>practice</strong> aNd evideNce <strong>based</strong> guideliNes <strong>for</strong> wouNd maNagemeNt<br />
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● Ketoacidosis: A subsequent build up of acids (keto bodies) in the blood, resulting in a condition<br />
of acidosis <strong>and</strong> associated with hyperglycaemia.<br />
● Laceration: Produced when a blunt object strikes the skin with sufficient <strong>for</strong>ce to stretch <strong>and</strong> tear<br />
it. A crushing injury ensues <strong>and</strong> the margins of the <strong>wound</strong> may be ragged, abraded <strong>and</strong> bruised.<br />
● Lesion: A broad term referring to abnormalities in tissues, may be visible as tissue injury, sores<br />
or ulcers.<br />
● Maceration: A softening or sogginess of the tissue owing to retention of excessive moisture.<br />
Usually presents as moist red/white <strong>and</strong> wrinkled.<br />
● Macrophage: Blood cells which destroy bacteria <strong>and</strong> devitalised tissue <strong>and</strong> produce a variety of<br />
growth factors.<br />
● Methicillin-Resistant Staphylococcus aureus (MRSA): Staphylococcus aureus bacterium<br />
that is not succeptible to extended-penicillin antibiotic <strong>for</strong>mulas, such as Methicillin, oxacillin<br />
or nafcillin.<br />
● MMP Matrix metalloproteinase: enzymatic compound capable of connective tissue<br />
degradation; classified as collagenases, gelatinases <strong>and</strong> stromelysins.<br />
● MVTR: Moisture vapour transmission rate; measured in units of weight of moisture vapour per<br />
area of material per time period.<br />
● Necrosis: The local death of tissue. This tissue is often black/brown in colour <strong>and</strong> leathery in<br />
texture.<br />
● Neuro-ischaemic: The combination of diabetic neuropathy <strong>and</strong> peripheral arterial disease.<br />
● Neuropathy: Nerve damage leading to numb or sometimes painful feet.<br />
● NPUAP: <strong>National</strong> Pressure Ulcer Advisory Panel.<br />
● Onychauxis: Thickening of the nails.<br />
● Onychocryptosis: Nail de<strong>for</strong>mities such as ingrown toenails.<br />
● Onychogryphosis: De<strong>for</strong>mities of the nails.<br />
● Orthosis: An appliance which controls, corrects or accommodates a structural or functional<br />
abnormality.<br />
● Osteomyelitis: Inflammation of bone <strong>and</strong> marrow usually caused by pathogens that enter the<br />
bone during an injury or surgery.<br />
● Overgranulation: See Hypergranulation.<br />
● Pathogen: Any disease- producing agent or micro-organism.<br />
● Pemphigus: A group of serious diseases of the skin characterises by the appearance of bullae<br />
(blisters) of various sizes on apparently normal skin <strong>and</strong> mucous membrane. It is thought to be an<br />
autoimmune disease <strong>and</strong> occurs in men <strong>and</strong> women in middle <strong>and</strong> late adulthood.<br />
● Pemphigus: An uncommon chronic intra-epidermal blistering disease characterised by thin<br />
walled bullae.<br />
● Perfusion: Blood flow to the skin.<br />
● Perioperative: Literally, around (the time of ) surgery. More specifically, the period of time<br />
extending from when the patient goes into the hospital, clinic, or doctor’s office <strong>for</strong> surgery until<br />
the time the patient is discharged home.<br />
● Peripheral arterial disease (PAD): Disease of mostly small blood vessels in the extremities<br />
(h<strong>and</strong>s <strong>and</strong> feet), as narrowing of arteries.
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