B. The Wound Healing Process
and Malnutrition
Wound healing may be defined as the process by which an injured tissue is repaired, resulting in regeneration of the cell lining of the tissue and the reorganization of tissue components into scar.
Although the type of wound and timing of wound closure may vary, the process of healing and the factors affecting the healing process are basically the same for all wounds. There are 5 major components to the healing process:a) inflammation
b) cellular proliferation
c) connective tissue formation
d) wound contraction
e) wound remodeling
Each component must occur in sequence and each must be clearly understood by the care provider for wound healing to progress.
Each process is dependent on:1) Adequate energy for cell proliferation, cell movement, and protein synthesis
2) Adequate protein, amino acids, and peptides for the protein synthesis required for each stage
3) Adequate anabolic stimuli in the form of growth factors and anabolic hormones to drive the process forward
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