Eliminating

Uraemia inhibits fibroblast activity, but how this occurs is not yet understood (Lawrence & Payne, 1984). McDermott et al. (1971) also found that epithelial cell division is depressed. Patients undergoing long-term peritoneal dialysis have a high wound complication following surgery which was seen to be related to poor nutrition and a high urea (Moffat etal, 1982). Barton and Barton (1981) found that a blood urea above 7 mmol/1 seriously delayed both granulation and epithelial-isation.

Incontinence, either urinary or faecal, causes problems of contamination in wounds in the perianal area. They are problematic to dress because of the constant soiling of the dressing.

Was this article helpful?

0 0

Post a comment