RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling

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RCS 6080 Medical and Psychosocial Aspects of
Rehabilitation Counseling

• Wound Healing Plastic Surgery

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Wounds

• Any breach in the surface of the body or any
  tissue disruption produced by the application of
  energy
• Usually physical injury
• Abrasion, degloving injury
• Contusion, crush injury
• Incision, laceration

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Skin content refresher
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Wound Healing

• As wound heals
• Fluid and cells drain from damaged tissue
• Exudate may be
• Clear
• Bloody
• Pus-containing
• Proper wound healing
• Cleanliness and care of lesion
• Proper circulation
• Good general health and nutrition

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Phases of healing

• Inflammatory
• Bleeding/clotting
• Migration of WBCs
• Cell swelling
• Reparative
• Laying down of collagen migration of epith.
  cells
• New capillary loops
• Proliferation of fibroblasts?strands of collagen
• Consolodative
• reorientation contraction of collagen
• collagen synthesis?degradation
• ? vascularity

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Complications

• Hypertrophic scar continued production of
  collagen
• Keloid .with extension into surrounding
  tissues
• Scar contracture

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Plastic surgery

• Scar Revision
• Laser resurfacing/dermabrasion
• Z-plasty
• Skin-grafting/flap surgery
• Tissue expansion