Sample interview questions: Can you explain your knowledge of different types of wound healing and factors influencing wound closure?
Sample answer:
Types of Wound Healing
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Primary intention healing: Occurs when wound edges are approximated and closed with minimal tissue loss. Healing progresses by direct apposition of cells across the wound bed.
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Secondary intention healing: Occurs when wound edges are not approximated and the wound bed fills with granulation tissue before epithelialization. Requires more time and resources.
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Tertiary intention healing: Also known as delayed primary closure, involves approximating wound edges after a period of time, allowing for the removal of devitalized tissue and debris.
Factors Influencing Wound Closure
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Intrinsic factors:
- Tissue type: Vascularization, presence of collagen and growth factors
- Age: Older adults have slower healing rates
- Nutritional status: Protein and vitamin deficiencies impair healing
- Systemic diseases: Diabetes, hypertension, and immunosuppression delay wound closure
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Extrinsic factors:
- Infection: Delays healing and increases risk of complications
- Wound size and location: Larger and deeper wounds take longer to heal
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