WOUNDED

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The Bodies in Person. Looking for More Great Reads? Almost 24 million Americans—one in every twelve—are diabetic and the disease is causing widespread disability and death at an epidemic pace, according to the Centers for Disease Control and Prevention. Of those with diabetes, 6. Associated with inadequate circulation, poorly functioning veins, and immobility, non-healing wounds occur most frequently in the elderly and in people with diabetes—populations that are sharply rising as the nation ages and chronic diseases increase. Although diabetes can ravage the body in many ways, non-healing ulcers on the feet and lower legs are common outward manifestations of the disease.

Also, diabetics often suffer from nerve damage in their feet and legs, allowing small wounds or irritations to develop without awareness. Given the abnormalities of the microvasculature and other side effects of diabetes, these wounds take a long time to heal and require a specialized treatment approach for proper healing.

If not aggressively treated, these wounds can lead to amputations. It is estimated that every 30 seconds a lower limb is amputated somewhere in the world because of a diabetic wound. Amputation often triggers a downward spiral of declining quality of life, frequently leading to disability and death.

The Wounded

In fact, only about one third of diabetic amputees will live more than five years, a survival rate equivalent to that of many cancers. Many of these lower extremity amputations can be prevented through an interdisciplinary approach to treatment involving a variety of advanced therapies and techniques, such as debridement, hyperbaric oxygen treatment therapy, dressing selection, special shoes, and patient education. When wounds persist, a specialized approach is required for healing. To heal a wound, the body undertakes a series of actions collectively known as the wound healing process.

A wound may be recorded for follow-up and observing progress of healing with different techniques which include: The overall treatment depends on the type, cause, and depth of the wound, and whether other structures beyond the skin dermis are involved. Treatment of recent lacerations involves examining, cleaning, and closing the wound.

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Minor wounds, like bruises, will heal on their own, with skin discoloration usually disappearing in 1—2 weeks. Abrasions , which are wounds with intact skin non-penetration through dermis to subcutaneous fat , usually require no active treatment except keeping the area clean, initially with soap and water. Puncture wounds may be prone to infection depending on the depth of penetration. The entry of puncture wound is left open to allow for bacteria or debris to be removed from inside. Evidence to support the cleaning of wounds before closure is scant.

If a person presents to a healthcare center within 6 hours of a laceration they are typically closed immediately after evaluating and cleaning the wound. After this point in time, however, there is a theoretical concern of increased risks of infection if closed immediately. If closure of a wound is decided upon a number of techniques can be used. These include bandages , a cyanoacrylate glue, staples , and sutures.

Absorbable sutures have the benefit over non absorbable sutures of not requiring removal. They are often preferred in children. The wound opens at a slightly higher rate but there is less redness. Adhesive glue should not be used in areas of high tension or repetitive movements, such as joints or the posterior trunk. In the case of clean surgical wounds, there is no evidence that the use of topical antibiotics reduces infection rates in comparison with non-antibiotic ointment or no ointment at all.

The effectiveness of dressings and creams containing silver to prevent infection or improve healing is not currently supported by evidence. There is moderate evidence that honey is more effective than antiseptic followed by gauze for healing wounds infected after surgical operations. There is a lack of quality evidence relating to the use of honey on other types of wounds, such as minor acute wounds, mixed acute and chronic wounds, pressure ulcers, Fournier's gangrene, venous leg ulcers, diabetic foot ulcers and Leishmaniasis.

There is no good evidence that therapeutic touch is useful in healing.

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From the Classical Period to the Medieval Period , the body and the soul were believed to be intimately connected, based on several theories put forth by the philosopher Plato. Wounds on the body were believed to correlate with wounds to the soul and vice versa; wounds were seen as an outward sign of an inward illness.

Thus, a man who was wounded physically in a serious way was said to be hindered not only physically but spiritually as well.

If the soul was wounded, that wound may also eventually become physically manifest, revealing the true state of the soul. Wounds acquired in war, for example, told the story of a soldier in a form which all could see and understand, and the wounds of a martyr told the story of their faith. In humans and mice it has been shown that estrogen might affect the speed and quality of wound healing. From Wikipedia, the free encyclopedia.

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This article is about wounds in humans and other animals. For wounds in plants, see Plant pathology.