by Tom Graham | Dec 5, 2023
PSYCHOLOGICAL AND PHYSIOLOGICAL STRESS As well as delaying wound healing through raised serum levels of corticosteroids, stress also delays wound healing due to stimulation of the sympathetic nervous system. In both animals and humans, it is well accepted that chronic...
by Tom Graham | Dec 5, 2023
RAISED PLASMA LEVELS OF CORTICOSTEROIDS The practitioner should always check to see if the patient is taking steroids, as this may result in raised plasma levels of the corticosteroids. Raised plasma levels of corticosteroids occurs in Cushing’s syndrome, steroid...
by Tom Graham | Dec 5, 2023
Ageing As we age, the risk of nutritional deficiency increases. The older population are disproportionately burdened with risk of nutritional deficiency due to medical, psychological, physiological, social and economic difficulties associated with increased age...
by Tom Graham | Dec 5, 2023
DIABETES MELLITUS Impaired wound healing in patients with diabetes has been well established. Wound repair in patients with diabetes mellitus is characterised by reduced collagen synthesis and deposition, decreased wound-breaking strength, defective granulocytic...
by Tom Graham | Dec 5, 2023
Dehydration Dehydration can have a negative effect on wound healing and can result in electrolyte imbalance. Fluid and nutritional loss may increase in patients with heavily exuding wounds (Gunnewicht & Dunford, 2004).Any patient is at risk of having a poor...