Tunneling involves a small percentage of the wound edges (if any) and is caused by separation of the fascial planes leading to a sinus tract; it is long, narrow and may connect to another open area.

Jun 30, 2022 · Wound edges can become rolled (epibole), have tunneling or undermining, and may become dry, scaly, calloused, or hyperkeratotic. All of these conditions can impede wound healing and must be addressed before the wound can progress toward closure.

Undermining of the edge of the wound must be identified by digital examination or use of a probe. The depth and extent of sinuses and fistulas should be identified. Undermining areas and sinuses should be packed with an appropriate dressing to facilitate healing.

Unlike moisture-associated skin damage, a pressure ulcer usually has distinct edges. Boots, boot straps, oxygen/endotracheal tubes, stockings, and other devices can also lead to pressure-induced ischemia on the skin. These are counted separately for incidence and prevalence.

Oct 9, 2024 · Wound edges: well-defined, not rolled. Treatment: wound cleansed with normal saline; topical hydrogel applied then absorbent dressing applied and secured with paper tape. Client Response: tolerated procedure well, reports decreased pain following dressing application.

Wound assessment requires a multifaceted approach; this guide includes topics ranging from patient interview questions to wound bed preparation, and assessment of wounds for signs of infection.

What is the resident’s body type? Is the resident exposed to mechanical stress? Is there debris in the wound? What is the temperature of the wound? Is the wound bed dry (desiccated) or wet (macerated)? Is the wound infected? Is the wound exposed to chemical stress? Is …

Proper assessment includes location, shape, extent of tissue injury, dimensions (size and depth), presence of undermining or tunneling, wound base characteristics, amount of exudate, wound edges, and periwound skin (surrounding skin) condition. Additional considerations include presence of pain and/or infection.

Acceptable types of adjunctive therapies (i.e. therapies with robust, quality research to support their use in wound healing) include: In a ‘healable’ wound, “if the edge is not migrating, and the wound is not getting smaller, a full reassessment of cause and …

Different types of wounds have different types of edges. Rounded edges, undermining, and tunneling may all indicate that the wound extends under the skin farther than the eye can see, thus impacting more anatomical structures.