Wound Healing: A Case Study

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WOUND HEALING Three influences of inflammation on wound healing. A wound has to go through four stages to heal; hemostasis, inflammation, proliferation, and remodeling, with each phase being precise, in the proper order and time. If there is any abnormal interference in any of these stages wound healing will not occur. Hemostasis is stage one where blood is limited, and protein (fibrin) is produced to form a clot, where the release of pro-inflammatory cytokines becomes the proliferative stage. Once this stage is complete, the remodeling will begin, which can take years to complete (Guo and DiPietro, 2010). One factor that will influence inflammation on wound healing is obesity. Obese people have a higher incidence rate of complicated infection due to subcutaneous adipose tissues because of decreased blood flow to the wound site. In these individuals, there is more pressure on the edges of the wound; thereby the layers of the …show more content…
Maple et al. (2015) found stress in patients, who were kidney donors, experienced delayed wound healing in preoperative and postoperative setting, utilizing ultrasound as their method of measurement. In addition, having optimism and emotional stability made the difference in more rapid wound healing (Maple et al., 2015). Another effect on wound healing is pain. Pain contributes to negative emotions which slow healing of the wound (Solowiej, 2010). Solowiej (2010) reports many types of stresses are involved in wound healing; physiological, social, and psychological which will increase the level of pain experienced and perceived. A third factor on wound healing would be anxiety. Upton (2014) reports anxiety related to wound dressing changes impedes healing. He goes on to report that clinicians need to be more sensitive to this and encourages empathy and psychological interventions to assist wound healing. An experiment in stress and wound