2. DR NOR SUNIHALIZA BINTI
SALIMUAN @ SULAIMAN
MEDICAL OFFICER, MBBS (IMU)
WOUND CARE COORDINATOR
KLINIK KESIHATAN SENAWANG
SEREMBAN, NEGERI SEMBILAN
INTRODUCTION TO THE WORLD OF WOUND
AND PHYSIOLOGY OF WOUND HEALING
3. HOW DID WOUND CARE START IN KLINIK
KESIHATAN SENAWANG?
INITIALLY, BELIEVE IT OR
NOT?
I HAVE ZERO KNOWLEDGE
ABOUT WOUND CARE!!
MY EXPERIENCES ARE JUST FROM 8MONTHS HOUSEMANSHIP
AT HTAA KUANTAN IN ORTHOPEDIC AND SURGICAL
DEPARTMENT (2009-2011)
START
UP!
4. MY WOUND CARE JOURNEY
TRANSFERED FROM
KK LUKUT TO KK
SENAWANG.
GIVEN THE
RESPONSIBILITY TO
BE IN CHARGE OF
WOUND CARE BY
FMS
AUGUST 2016
OFFICIALLY APPOINTED AS
“ WOUND CARE
COORDINATOR” FOR
SEREMBAN DISTRICT
REVISE WOUND CARE
CLERKING SHEET
SEPTEMBER 2017
NOW I AM HERE, SHARING MY KNOWLEDGE
WITH YOU GUYS
DECEMBER 2018
HELD A BASIC WOUND CARE
COURSE FOR 2DAYS AT JKNNS
BY DR MARIAM FMS AND THE
JKNNS PRIMER UNIT.
INVITED WOUND CARE TEAM
FROM KOTA TINGGI AND
ENCIK HAMIZAL
JANUARY 2017
AFTER HAVING SECOND
THOUGHTS ABOUT PURSUING
MASTER IN FAMILY MEDICINE,
STARTED TO FULLY CONCENTRATE
IN WOUND CARE
JUNE 2018
I AM BORN TO BE A
WOUND CARE CLINICIAN!!
I’VE DISCOVERED MY
PASSION
6. WHAT IS THE SKIN?
6
THE OUTER COVERING OF THE BODY AND THUS PROVIDES PROTECTION
THE LARGEST ORGAN IN OUR BODY IN TERMS OF WEIGHT AND SURFACE AREA
THICKNESS RANGES FROM 0.5MM TO 4MM DEPENDING ON LOCATION
CONSISTS OF DIFFERENT TISSUES THAT ARE JOINT TOGETHER TO
PERFORM SEVERAL ESSENTIAL FUNCTIONS
DYNAMIC ORGAN IN A CONSTANT CHANGES; THE OUTER LAYER ARE
CONTINUOUSLY SHED REPLACED BY THE INNER CELLS MOVING TO
THE SURFACE.
7. THREE PRINCIPAL LAYERS OF SKIN
7
EPIDERMIS
DERMIS
MIDDLE LAYER, THIICKER AND
CONSISTS OF CONNECTIVE TISSUES
OUTER MOST LAYER, THINNER
PORTION AND COMPOSED OF
EPITHELIUM.
SUBCUTANEOUS / HYPODERMIS
DEEPEST LAYER CONSISTS OF AREOLA AND
ADIPOSE TISSUES.
8. WHAT IS WOUND?
“A wound is defined as
a disruption of the
integrity and function
of tissues in the body”
- WOUND CARE ESSENTIALS PRACTICE PRINCIPLES (THIRD EDITION)
9. WOUND DEFINITION BY WOUND CARE
MANUAL
“A wound is an injury to the
integument or to the underlying
structures”
It is visible result of individual cell
death or damage; that may or may not
result in a loss of skin integrity
whereby physiological function of the
tissue is impaired.
10. ULCER
“AN INTERRUPTION OF
CONTINUITY OF AN
EPITHELIAL SURFACE
WITH AN INFLAMED
BASE”
IT IS USUALLY A RESULT
OF AN UNDERLYING OR
INTERNAL ETIOLOGY
-WOUND CARE MANUAL-
12. TIMING
01
02
03
ACUTE
SUDDEN DISRUPTION OF SKIN INTEGRITY USUALLY
DUE TO TRAUMA OR SURGERY
CHRONIC
WOUND THAT FAILED TO PROCEED THROUGH AN
ORDERLY AND TIMELY PROCESS TO PRODUCE
ANATOMIC AND FUNCTIONAL INTEGRITY.
NON-HEALING WOUND
ANY WOUND THAT HAS NO SIGNS OF HEALING
PROCESS WITHIN 4-6 WEEKS AFTER APPROPRIATE
INTERVENTION.
22. TYPE OF WOUND HEALING
2
1
3
WHEN A CLEAN SURGICAL OR
TRAUMATIC WOUND IS CLOSED
PRIMARILY; HEALING WITH
MINIMAL SCAR FORMATION
PRIMARY HEALING
CLOSURE OF WOUND 3-5DAYS
AFTER THE INITIAL DEBRIDEMENT
AND DRESSING OF THE WOUND
(BEFORE GRANULATION TISSUE
FORMATION)
DELAYED PRIMARY
HEALING
WHEN THERE IS EXTENSIVE TISSUE
LOSS WITH INABILITY TO OPPOSE
EDGES. HEALING WITH
GRANULATION, CONTRACTION
AND RE-EPITHELISATION
SECONDARY HEALING
WOUND HEALING BY
PRIMARY INTENTION
AND SECONDARY
INTENTION
27. 5 KEYWORDS TO SUCCESS IN A
TEAM
Good deed is far better teaching than any book
or any wise philosopher's saying
28. GET IT IN TOUCH
THANK YOU FOR YOUR ATTENTION
Address
KLINIK KESIHATAN SENAWANG,
JALAN PERSIARAN SENAWANG 2,
70450 SENAWANG,
SEREMBAN. N.S.
Phone & Fax
Direct Line: 06-6766000
Social Media
Email me at :
sunihaliza@gmail.com