1. Wound up definition, to change direction; bend; turn; take a frequently bending course; meander: The river winds through the forest.
2. The Oklahoma City Thunder have won six of their last seven games and they're looking to make it eight as they head to Houston to take on the.

Indiana University Health Wound Care provides individualized wound treatment that encourages your body’s natural processes, helping you heal faster and more completely.

See also wound healing. Variations are the result of differences in location, severity of the wound, extent of injury to the tissues, the age, nutritional status, and general state of health of the patient, and available body reserves and resources for tissue regeneration. The repair of damaged cells and tissue takes place by regeneration, in which structures are replaced by proliferation of similar cells, such as happens with skin and bone; and by formation of a scar, consisting of fibrous structures with some degree of contraction. Since most wounds extend to more than one type of tissue, complete regeneration is impossible; therefore, scar formation is an expected outcome of wound healing.

In healing by first intention (primary union), restoration of tissue continuity occurs directly, without granulation; in healing by second intention (secondary union), wound repair following tissue loss (as in ulceration) is accomplished by closure of the wound with granulation tissue. This tissue is formed by proliferation of fibroblasts and extensive capillary budding at the outer edges and base of the wound cavity, with slow extension from the base and sides of the wound toward its center. If, however, the wound is very deep and extensive, granulation tissue cannot fill the defect and grafting may be needed to cover the space and avoid severe contracture and loss of function. Wounds that are filled with large amounts of dead cells, blood clots, and other debris must be cleansed in order for healing to take place.

This can be accomplished by surgical or chemical d. Enzymes are sometimes used to remove the debris by enzymatic action. Since foreign bodies, such as sutures, slivers of glass, splinters, and the like, can delay healing, they too must be removed from the wound to facilitate healing. Patient Care. Assessment of the progress of wound healing begins with frequent inspection of the site for signs of bleeding in or around the wound. Discoloration of the skin adjacent to a surgical or traumatic wound that has been sutured may indicate a pooling of blood in the tissue spaces and the beginning stages of a hematoma. Bleeding in a wound and clot formation can delay healing. Accumulations of serosanguineous fluid and purulent drainage also must be watched for, because they retard the healing process and pose a problem of superinfection.

If a drain has been inserted to remove excess fluid, the color, amount, odor, and other characteristics of the drainage must be noted and recorded. If there is more than one drain, the drainage from each should be noted separately. Free Download About Elly (2015) Movie more. Dressings also must be observed frequently, especially a pressure dressing, which can become dangerously restrictive if there is swelling. Any change in sensation, such as tingling or numbness, signs of impaired circulation, or complaint of discomfort, should be reported to the physician. Other data important to the ongoing assessment of wound healing are the leukocyte count, coagulation tests, and electrolyte levels. An elevated body temperature can signal local or systemic infection.

Another sign of infection is the presence of purulent drainage. The color of the drainage is often indicative of the particular infecting organism. For example, a yellow color may indicate presence of Staphylococcus aureus, and a blue- green color may indicate Pseudomonas aeruginosa infection. In a surgical wound, a discharge of serosanguineous fluid on the fourth or fifth postoperative day may signal wound dehiscence and, therefore, should be reported immediately to the surgeon. During the scarring phase of healing, the wound is inspected for changes in size, color, and shape, which can continue for months even in superficial wounds. New scar tissue is usually purplish, raised, and irregular. With time, the color fades, the scar grows smaller, and its surface and edges become less irregular.

Sometimes the scar tissue grows to excess and extends beyond the normal limits of the wound. This hypertrophic scar or keloid may require steroid injections or surgical removal. Logan (2017) Downloading.

In order to achieve adequate and uneventful healing of a wound the patient must be in a good state of nutrition. Virtually every nutrient plays some role in the healing process; hence, a wide range of dietary nutrients must be supplied, either through oral feedings, supplemental vitamins and protein, or parenteral nutrition. Oxygen is also essential to the healing process. This means that measures must be taken to ensure adequate circulation of blood to the wound, employing measures such as exercise, ambulation when possible, and applications of warmth when prescribed. Positioning also is important to avoid prolonged pressure against blood vessels serving the wounded area. Adequate rest is needed to facilitate healing. The patient should understand the need for rest and the purpose of splints, casts, and other devices employed for immobilization of a wounded part.

Mechanical injury to a wound can greatly impede healing by damaging the tissues involved in the healing process. The wound should be protected from friction and direct blows. The affected part must be handled gently, and great care must be used in applying and removing dressings and bandages. Protective bandages and shields made from rubber, plastic cups, tongue blades, and other supportive materials may be needed to protect the wound from additional trauma.

Other factors that work against optimal healing are stress, old age, smoking, obesity, and diabetes mellitus. It is thought that in the poorly controlled diabetic patient there is an increased affinity of hemoglobin for oxygen, which hampers the release of oxygen to the healing tissues. Additionally, poorly controlled diabetic patients have an abnormal function of the phagocytes, which predisposes wounds to infection.

Although cancer does not itself interfere with the healing process or make the patient more susceptible to infection, radiation therapy, steroids, and antineoplastic agents, as well as the general debility of the patient, do compromise healing in cancer patients. Wound dressing construction and design. From Cohen et al., 1.

SCSO: Man found with gunshot wound in chest in Kingsport; two suspects sought. KINGSPORT, TN (WJHL) – Sullivan County Sheriff’s Office deputies are investigating a shooting after a man was found in the 1. Bloomingdale Road with a gunshot wound to the chest,A 9. Tuesday. Deputies arrived to find the 3. Witnesses told police, there was a fight in the yard between the victim and the suspect.

During the fight, the suspect shot the victim. The victim allegedly told police, the suspect left the area with a woman. The victim is being treated at an area hospital and the sheriff’s office says he’s in critical condition.

The Sullivan County Sheriff’s Office identified that suspects as Jarret Cole Heitmann and Makayla Danielle Stilwell. Investigators obtained warrants for Heitmann and Stilwell Tuesday afternoon and are currently trying to locate them. The sheriff’s office said they cannot reveal where they are looking but they’re knocking on doors and interviewing people in the hopes of developing leads. Kaleb Morelock and his family live across the street from the reported shooting and he says he heard the gun go off. I was about to roll over on the floor,” Morelock said.

His grandfather Tivis Marcum grew up in this neighborhood and he says Bloomingdale does see crime to time to crime but it’s not a violent area. Marcum said he’s confident the sheriff’s office will be able to find the suspects. Both Heitmann and Stilwell are charged with aggravated kidnapping, two counts of aggravated assault, reckless endangerment, especially aggravated robbery and attempted second- degree murder. Anyone who may know the whereabouts of Heitmann and Stilwell is asked to call the sheriff’s office.

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