Introduction
Advances in science over the centuries can be seen in various areas of medicine. One such area is in the treatment and healing process of wounds. In the past, wounds were treated and left to heal naturally where scar formation was common. However, times have changed and people are more concerned with their physical looks than they were two decades ago. The rise in plastic surgery operations is a clear indication of this increase in physical awareness. This change has led to medical research aimed at discovering ways in which wounds after treatment can be made to heal without forming scars.
Medically, there are two main types of scars; keloid scars and hypertrophic scars (Avocet, 2011). Keloid scars are scars that mostly result in formation of big defacing tumors. Research has linked their occurrence to genes where the patients have genetically abnormal cells that are unable to regulate normal death of scar tissue. Hypertrophic scars on the other hand occur in genetically normal individuals when the inflammation is too big or the phase lasts for too long. This may be caused by mechanical tension on the injury or by high amounts of bacteria in the wound. Both have shown tendencies to enlarge and recede with time and during biological phases like pregnancy.
Wound Healing and Scarring
When a body tissue is injured, the body’s defense mechanism starts initiating the healing process by sending blood to the injured location. This blood combines with the proteins around the injured tissue to cause an inflammation. This process involves fibroblasts producing collagen and is initiated to block bacteria from entering the wound by closing the wound (Sciencedaily, 2007. Next, the neighboring tissue cells increase as new vessel...
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...Material may be used for Facial Reconstruction.
Available at: http://scartreatments.wordpress.com/2011/08/04/facial-reconstruction-new-composite-material/
ScienceDaily, 2007. New Mechanical Insights into Wound Healing and Scar Tissue Formation.
Available at: http://www.sciencedaily.com/releases/2007/12/071217092914.htm
Sian E. Harding, 2008. Myocardial Tissue Engineering. British Medical Bulleting. pp 31-45
Available at: http://bmb.oxfordjournals.org/content/87/1/31.full
Viera, M. H., Amini, S., Valins, W. and Berman B.; 2010. Innovative Therapies in the Treatment
Of Keloids and Hypertrophic Scars. Journal of Clinical and Aesthetic Dermatology. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922716/
Virtualmedialcentre.com, 2011. Scar Treatments. Available at:
http://www.virtualmedicalcentre.com/treatments.asp?sid=171&title=Scar-Treatments
Margination and adhesion to the endothelium, in which accumulation of leukocytes occurs along the endothelial wall for adhesion. Afterward, these adhesions cause the separation of endothelial cells, allowing the leukocytes to extend and Transmigrate through the vessel walls. Followed by the response of chemical mediators(chemotaxis) that influence cell migration via an energy directed process which triggers the activation of Phagocytosis, in which monocytes, neutrophils, and tissue macrophages are activated to engulf and degrade cellular debris and
The purpose statement from my articles ( Arnetz et al., Berry at al., and Khadjehturian,) all helped to comprehensively answer both my PICOT and Clinical questions.
Inflammation: the response to injured tissue that stops bleeding and causes swelling and warmth as the tissue prepares to repair itself
couple of authors on the subject. Wells (1982) states that, “Short -term treatment, as I shall use the
Wechsler, Henry, PhD, Jae Eun Lee, DrPH, Toben F. Nelson, MS, and Meichun Kuo, ScD.
Whenever an injury cannot be avoided, however, it activates a series of mechanisms to repair the organism. Evidence of these systems comes from blood platelets that clot wounds to prevent bleeding out.
Turner, B. J., Newschaffer, C. J., Zhang, D., Fanning, T., & Hauck, W. W. (1999). Translating clinical trial results into practice. Annals of Internal Medicine, 130(12), 979-986.
The normal wound healing process mainly consists of four main stages being haemostasis, inflammation, proliferation or new tissue formation, and tissue remodeling or resolution. For a wound to heal well the above mentioned stages should occur in a sequential and orderly manner. Disturbances, abnormalities and delays in any of the above stages may lead to impaired healing or even chronic wounds. In adults, this process of normal healing takes place in the following steps (1)rapid haemostasis (2)appropriate inflammation (3)mesenchymal cell differentiation, proliferation, and migration to the wound site (4)suitable angiogenesis (5)prompt re-epithelialization and (6) proper synthesis, cross-linking, and alignment of collagen to provide strength to the healing tissue.
One of the most basic principles of nursing is bringing the patient back to optimal functioning. Assisting in healing a wound is one of the most elementary tasks, but can be complicated by many factors. The patient must be assessed for all factors that could affect wound healing. Giving the best care must begin with the knowledge of wounds, wound healing, and available equipment.
Wood, W. M., Karvonen, M., Test, D. W., Browder, D., & Algozzine, B. (2004). Promoting
JAMA: Journal of the American Medical Association. 14 Nov. 2001: 2322. Academic Search Complete. Web.
Question: 4.1- Discuss and appraise your approach to managing wounds that are classified as either healable, non-healable or maintenance. Comment on the differences of care approaches between these classifications.
Cosmetic Surgery has been around ever since the early wars to repair scars and injuries but, “today, cosmetic plastic surgeries outnumber reconstructive ones in many countries.” (Edmonds, 2012, p. 134). Cosmetic surgery continues to grow in popularity all around the world. It has now evolved to beautify an unattractive physical appearance. In 2013, Americans spent more than seven billion dollars on cosmetic surgery according to a website titled, Healthline. Cosmetic surgery may sound ideal to someone who is unhappy with a physical appearance but it can be very dangerous. According to “The Culture of Beauty”, “analysts agree that because
Ed. David Zieve. U.S. National Library of Medicine, 26 Feb. 2014. Web. The Web.
Moreover to changes the media has cause us to make, cosmetic surgery been the gateway to our body dissatisfaction. The difference between cosmetic and plastic is for aesthetic purposes. Cosmetic surgery is to change the appearance of facial features and body dissatisfactions. Plastic surgery is to demolish any flaws that are scars, burns or areas where it dysfunction. Cosmetic surgery has been highly influenced by the media. The first plastic surgery was during the world war 1. The surgery was commonly performed on soldiers to restore their faces after the war. We adapted the cosmetic and plastic surgery as a norm activity when we don’t like our features. People are pressured to be wrinkle-free, thin and beautiful (Bawdon para. 4). Magazine