Teaching Plan On Skin Grafting

Teaching Plan on Grafting
General Objective: Impart knowledge to the patient regarding Grafting its definition, types, risk, sources and the procedure as a
means of health promotion and disease prevention.
Learning
Objectives
At the end of 10-15
minutes of thorough
discussion on the
definition, types, risk,
sources, and the
procedure of Grafting,
the group will be able
to:
Define Grafting.
Distinguish the
different types of
Skin Grafting
Familiarize the
different sources
for skin grafting
Determine the
risks of skin
grafting
Content
Skin grafting is done in a surgical procedure that consists of:
The removal of injured tissue, Selection of a donor site, an area
from which healthy skin is removed and used as cover for the
cleaned burned area, Harvesting, where the graft is removed
from the donor site and Placing and securing the skin graft
over the surgically-cleaned wound so it can heal.
Types of Skin grafting
Split-Level Thickness Grafts
A split-level thickness graft involves removing only the top two
levels of the skinthe epidermis and the dermisfrom the
donor site. These grafts are used to cover large areas. Splitlevel grafts tend to be fragile and have a shiny or smooth
appearance. They may also appear paler than the adjoining
skin. Because they do not grow with the rest of the skin, a child
who receives a split-level graft may need additional grafts as
he or she gets older.
Full-Thickness Grafts
A full thickness graft involves removing the muscles and blood
vessels as well as the top layers of skin from the donor site.
Full-thickness grafts are generally used for small wounds on a
highly visible part of the body, such as the face. Unlike splitlevel thickness grafts, they blend in well with the skin around
Time
Allotment
10-15
minutes
Methods/Strategie
s
A
lecture
or
discussion will be
conducted for the
group of clients in
the ward.
Evaluation
The group of
clients
should
be
able
to
answer certain
questions
regarding
the
content of the
discussion and
they should also
be
able
to
explain
the
same content.
them and usually grow with the individual.

Sources of Skin grafting
Temporary wound covering
Allograft, cadaver skin or homograft is human cadaver

skin donated for medical use. Cadaver skin is used as a
temporary covering for excised (cleaned) wound
surfaces before autograft (permanent) placement.
Cadaver skin is put over the excised wound and stapled
in place. After surgery, the cadaver skin may be covered
with a dressing. This temporary covering is removed
before permanent autografting.
Xenograft or heterograft is skin taken from a variety of

animals, usually a pig. Heterograft skin became popular
because of the limited availability and high expense of
human skin tissue. Wound coverage using heterograft is
a temporary covering used until autograft.
Permanent wound covering
Autograft is skin taken from the person burned, which is

used to cover wounds permanently. Because the skin is
a major organ in the body, an autograft is essentially an
organ transplant. Autograft is surgically removed using a
dermatome (a tool with a sharp razor blade). Only the
top layer of skin is used for donor skin. The site the skin
is taken from will heal on its own. There are two types of
autografts used for permanent wound coverage:
Sheet graft is piece of donor skin harvested from an

unburned area of the body. The size of the donor skin is
about the same size as the burn wounds. The donor

sheet is laid over the cleaned wound and stapled in
place. The donor skin used in sheet grafts does not
stretch; it takes a slightly larger size of donor skin to
cover the same burn area because there is slight
shrinkage after harvesting. When the body surface area
of the burn is large, sheet grafts are saved for the face,
neck and hands, making the most visible parts of the
body appear less scarred. When a burn is small and
there is plenty of donor skin available, a sheet graft can
be used to cover the entire burned area.
Meshed skin grafts Very large areas of open wounds are

difficult to cover because there might not be enough
unburned donor skin available. It is necessary to enlarge
donor skin to cover a larger body surface area. Meshing
involves running the donor skin through a machine that
makes small slits that allow expansion similar to fish
netting. In a meshed skin graft, the skin from the donor
site is stretched to allow it to cover an area larger than
itself. Healing occurs as the spaces between the mesh
fill in with new skin growth. The disadvantages of
meshing are that it is less than a sheet graft and that
the larger the mesh, the greater the permanent scarring.
Meshing allows blood and body fluids to drain from
under the skin grafts, preventing graft loss, and it allows
the donor skin to cover a greater burned area because it
is expanded.
Risk of Skin grafting

Risks for this surgery are:
Bleeding
Chronic pain (rarely)
Infection
Loss of grafted skin (the graft not healing, or the graft

healing slowly)
Reduced or lost skin sensation, or increased sensitivity
Scarring
Skin discoloration
Uneven skin surface
References:
#https://www.regionshospital.com/rh/specialties/burn-center/skin-grafting.html
http://www.healthline.com/health/skin-graft#Types3
https://www.nlm.nih.gov/medlineplus/ency/article/002982.htm

Teaching Plan On Skin Grafting

Uploaded by

Copyright:

Available Formats

Teaching Plan On Skin Grafting

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Teaching Plan On Skin Grafting

Uploaded by

Copyright:

Available Formats

Teaching Plan on Grafting

them and usually grow with the individual.

Allograft, cadaver skin or homograft is human cadaver

Xenograft or heterograft is skin taken from a variety of

Permanent wound covering

Autograft is skin taken from the person burned, which is

Sheet graft is piece of donor skin harvested from an

about the same size as the burn wounds. The donor

Meshed skin grafts Very large areas of open wounds are

Risk of Skin grafting

Chronic pain (rarely)

Loss of grafted skin (the graft not healing, or the graft

Reduced or lost skin sensation, or increased sensitivity

Uneven skin surface

You might also like