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Wondzorg VMV2 volledige samenvatting met foto's

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een volledige samenvatting van het onderdeel 'wondzorg' van het vak 'verpleegkundige methodiek en vaardigheden 2' van de Vives Brugge PBA Verpleegkunde. Volledig samengevat met verwijzingen naar het boek en met bijhorende afbeeldingen en tekeningen om het visueel makkelijker te maken!

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  • March 11, 2023
  • 44
  • 2022/2023
  • Summary

1  review

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By: marilouponette • 7 months ago

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WONDZORG
Inhoud
Algemeenheden................................................................................................... 4

Wonde............................................................................................................ 4

Wondzorg....................................................................................................... 4

Wondgebied.................................................................................................... 5

Inleidende begrippen............................................................................................ 6

Het helingsproces................................................................................................. 7

Extra: littekenvorming....................................................................................... 8

Wonddiagnose.................................................................................................... 8

Care cycle........................................................................................................ 8

Wound bed preparation.....................................................................................8

Factoren die de wondgenezing beïnvloeden...........................................................10

Voeding...................................................................................................... 10

Psychosociale factoren................................................................................... 10

Lokale factoren............................................................................................ 10

Geneesmiddelen........................................................................................... 10

Algemene fysieke gezondheid.......................................................................... 12

oorzaak van de wonde....................................................................................... 12

wonden met exogene oorzaak.......................................................................... 12

wonden door onderliggende stoornis................................................................12

TIME-model................................................................................................... 12

Tissue: observatie van het wondweefsel.............................................................12

Infection: observaties van ontsteking en infectie..................................................13

Moisture: observaties van het wondvocht...........................................................17

1

, Edge/epithelisation/enviroment: observaties van de wond(rand), omgeving en
epithalisatie................................................................................................. 19

Helingstijd (H-concept)................................................................................. 20

Andere observaties....................................................................................... 20

Wondbehandeling.............................................................................................. 20

Zorgontvangergebonden factoren.......................................................................20

Wondetiologie................................................................................................. 21

Chirurgische wonden.................................................................................... 21

Open wonden.............................................................................................. 21

Aanpak wonde volgens TIME.............................................................................. 21

Aanpak van het weefsel.................................................................................. 21

Aanpak van infectie...................................................................................... 22

Aanpak van wondvocht.................................................................................. 26

Aanpak epithalisatie, wond(rand) en omgeving...................................................26

Evaluatie vd wondbehandeling..............................................................................26

7. reinigen en ontsmetten.....................................................................................27

Reinigen........................................................................................................ 27

methoden om te reinigen...............................................................................27

Reinigingsmiddelen......................................................................................... 27

Antibiofilmmiddelen........................................................................................ 28

Ontsmetten.................................................................................................... 29

Ontsmettingsmiddelen..................................................................................... 29

Verenigbaarheid reinigings- en ontsmettingsmiddelen...........................................30

8. verbanden...................................................................................................... 32

Passieve verbanden.......................................................................................... 32

Actieve verbanden............................................................................................ 33

9. rapportage...................................................................................................... 33

10. basisprincipes................................................................................................ 33
2

, Hygiëne......................................................................................................... 33

Omgeving:.................................................................................................. 33

Tijdens de zorg:............................................................................................ 33

Na de zorg:.................................................................................................. 34

Steriliteit....................................................................................................... 34

Steriel veld.................................................................................................. 34

Instrumenten, verbanden en producten............................................................34

Veiligheid....................................................................................................... 35

Medicatie.................................................................................................... 35

Weefsel...................................................................................................... 36

Houding..................................................................................................... 36

Zelfzorg, inspraak, beleving & omgeving ZO..........................................................36

Comfort van de ZO........................................................................................... 36

Economie en ecologie....................................................................................... 37

Ergonomie..................................................................................................... 37

11. openen en voorbereiden steriele set.....................................................................38

Verbandmateriaal............................................................................................ 38

Kleine kompressen....................................................................................... 38

Grote kompressen........................................................................................ 38

Gewatteerde of absorberende verbanden...........................................................38

Instrumenten.............................................................................................. 38

Recipiënten................................................................................................. 38

12. basisprocedure wondzorg................................................................................. 38

13. aanbrengen van zalven en etc............................................................................38

Zalf en zalfkompressen..................................................................................... 38

Wondspray................................................................................................. 39

14. huidhechtingen.............................................................................................. 39


3

, Hechtingsdraad.............................................................................................. 40

Resorbeerbaar............................................................................................. 40

Niet resoberbeerbaar....................................................................................40

Enkelvoudige/onderbroken hechting................................................................40

de doorlopende/ononderbroken hechting..........................................................41

Wondhaakjes/autosuturen.............................................................................42

Steristrips................................................................................................... 42

Wondkleefstof............................................................................................. 42

Aandachtspunten bij het verwijderen van hechtingsmateriaal....................................43




WONDZORG
 Algemeenheden
Wonde
 Verbreking vd anatomische en functionele samenhang v levend weefsel
 Gevolg van exogene beschadiging
o Mechanisch
o Chemisch
o Fysisch
 Acuut of chronisch

Wondzorg
 Het totaal van aseptische handelingen en methoden, teneinde de wondzorg zo vlot
mogelijk te laten verlopen en factoren die de wondgenezing te vertragen te
elimineren.

Het voorbereiden, uitvoeren en toezicht houden is een B1-handeling

Verwijderen van hechtingsmateriaal is een B2-handeling



4

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