Professional Documents
Culture Documents
JUSTINE MANANGAN
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T I SS UE I N TE G R IT Y
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Tissue Integrity
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Skin and mucous membrane protection to support secretion, excretion and healing.
Intact healthy skin protects all our other body organs and their functions.
Any break in the skin integrity makes the body susceptible to infection.
Age
Underweight or overweight
Wound care
Hydration
Hygiene
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Factors Aecting Tissue Integrity and Wound Healing
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1 OF 3
Chronic illness
Anemia
Type of Wound
Smoking
Infection
Substance abuse
Stress
Rest
Infection
Pain
Hematoma
Incontinence
Fistula formation
Sexual dysfunction
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Episiotomy
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- A surgical incision made in the perineum and the posterior vaginal wall to expand the opening of the vagina during
childbirth
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Benefits
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JUSTINE MANANGAN
Prevention of lacerations
Indications
- Risk of serious tearing
- Large baby
- Preterm baby
- Breech delivery
- Vulvoedema
- Fetal distress
- Shoulder dystocia
Episiotomy Types
- Median or midline- a midline incision down to, but not, including the external anal sphincter
Episiotomy Types
- Mediolateral- incision extending from the midline of the fourchette mediolaterally at 5 or 7 oclock towards the
direction of the ischial tuberosity
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- Less extension to anal sphincter
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2 OF 3
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Lacerations
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3 OF 3
First degree- involves only skin and superficial structures above muscle
Labial
Vaginal
Cervical
Periuretheral
Clitoral
Nursing Care
Frequent assessment of perineum immediately after birth and then every 8 hours
Analgesics
Stool softeners
Encourage ambualtion
Maintain hydration
Encourage rest
Kegel exercises
Discharge teaching
JUSTINE MANANGAN