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Case Study Wound Healing Tissue Repair

Case Study Wound Healing Tissue Repair

The healing of the patient requires care and attention which can help the patient to complete his recovery successfully. In this regard, the patient and his family members should be aware of the main phases of the healing and recovery of the patient as well as factors that may delay healing. Therefore, the treatment of the patient and his recovery depends on the healing of the wound and minimization of the impact of factors that may delay the healing process. Case Study Wound Healing Tissue Repair

First of all, the patient and his family members, who perform the function of his care givers, should distinguish primary intention healing from second intention healing. The primary intention healing occurs, where the tissue surfaces have been approximated (closed) (de Mello, et al., 2008). The second intention healing, were extensive and involves considerable tissue loss, and in which the edges cannot be brought together heals in this manner (de Mello, et al., 2008). The patient should undergo the second intention healing after the treatment of his stage III decubitus ulcer to his coccyx. Distinct features of the second intention healing include the longer period of healing compared to the primary intention healing. Furthermore, the scarring is greater in case of the second intention healing that means that the scar may need longer time to complete the full recovery and the tissue may be more vulnerable to infections and bacteria which may penetrate the skin and affect tissues further. Therefore, chances of the infection are greater and the patient should come prepared to take care and clean the scar frequently as well as conduct the disinfection measures to keep that part of his body clean and safe. Taking into consideration that it is his coccyx that is treated, he will need the assistance of his family members to take care of the scar and its post-surgery treatment. Case Study Wound Healing Tissue Repair


There are multiple factors that may and do affect the healing process, which the patient has come prepared to confront, including oxygenation, infection, age, stress, diabetes, obesity, medications, alcoholism, smoking, and nutrition (Galiano, et al., 2004). Oxygenation increases the risk of the spread of bacteria and infection on and under the surface of the scar and the wound. The age of the patient is a serious risk factor, because elderly patients suffer from the longer recovery after surgeries and the patient will need more time to complete the healing than the patient with the similar health issue but at the younger age. Stress may also interfere into the healing process since, if the patient is vulnerable to the impact of stress, his recovery will take more time than the recovery in the positive environment. Health issues, such as obesity or diabetes may also interfere in the healing process and expand the time of healing. At the same time, the medication of the patient may also interfere into the healing process as well as some dangerous habits, such as alcohol consumption, smoking or unhealthy nutrition. Hence, the patient should address those risk factors in the course of his healing.

The patient should be aware of four phases of healing he undergoes. Four phases of healing include hemostasis, inflammation, proliferation, and remodeling (Galiano, et al., 2004). Hemostasis involves the onset of injury and aims at stopping the bleeding. During this phase, the body activates its emergency repair system, the blood clotting system, and forms a dam to block the drainage (Galiano, et al., 2004). The inflammation intends to protect the body from the spread of infection as white blood cells called neutrophils enter the wound to destroy bacteria and remove debris (Galiano, et al., 2004). Proliferation includes filling the wound, contraction of the wound margins, and covering the wound (Galiano, et al., 2004). Finally, the last stage of the healing process includes remodeling, when the new tissue slowly gains strength and flexibility (Galiano, et al., 2004). Case Study Wound Healing Tissue Repair

Thus, the patient should conduct the healing on the ground of the information given above.


de Mello, V.D., et al. (2008). Effect of weight loss on cytokine messenger RNA expression in peripheral blood mononuclear cells of obese subjects with the metabolic syndrome. Metabolism, 57, 192-199

Galiano, R.D., et al. (2004). Topical vascular endothelial growth factor accelerates diabetic wound healing through increased angiogenesis and by mobilizing and recruiting bone marrow-derived cells. Am J Pathol, 164, 1935-1947 Case Study Wound Healing Tissue Repair



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