Healing Stages

Wound healing is a complex process that involves replacing damaged tissue and cellular structures. It can be divided into three or four stages.


Signs that a wound is healing may include:


  • Decrease in pain or tenderness,
  • Smaller wound size,
  • Normal skin color without redness or swelling, and
  • No foul-smelling fluid (pus) draining out.
SEE RESULTS SEE RESULTS


HEMOSTASIS

     ACTIVITIES

  • Hemostasis is the first stage in wound healing that occurs immediately and can last for two days.
  • When an injury occurs, the initial phase is always an outpouring of lymphatic fluid and blood.
  • Blood vessels constrict to stop bleeding, called vasoconstriction.
  • Your body activates its blood clotting system to prevent loss of blood.


INFLAMMATION. 

     ACTIVITIES

  • The inflammatory phase begins with hemostasis and chemotaxis.
  • Inflammation both controls bleeding and prevents infection.
  • The fluid engorgement allows healing and repair cells to move to the site of the wound.
  • During the inflammatory phase, damaged cells, pathogens, and bacteria are removed from the wound area.




PROLIFERATION

     ACTIVITIES

  • The proliferative or granulation phase does not occur at a discrete time, but is ongoing all the time in the background.
  • In the proliferation phase, the provisional wound matrix formed during hemostasis is replaced by granulation tissue.
  • The fibroblasts have started to lay down new collagen and form the core of the wound to partially recover the structure and function of the wounded skin.


MATURATION

     ACTIVITIES

  • Maturation, or remodeling, is the final phase of wound healing.
  • This phase involves remodeling of collagen from type III to type I and the wound fully closes.
  • Cellular activity reduces and the number of blood vessels in the wounded area regress and decrease.


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