Wound Care Management

Introduction to Wound Healing

What is Skin?

diagram of skin

  • A barrier between internal organs and the external environment
  • The body’s largest organ contributing to one sixth of the total body weight
  • A sensory organ for pain, temperature, and touch
  • A protective barrier against disease-causing organisms


Structure and Function of the Skin

structure of the skin diagram

A. Structure


  1. Keratinocytes - Most abundant; Produces keratin which provides mechanical and physical protection as well as producing enzymes and antibiotics that detoxify chemicals that are harmful to the skin
  2. Melanocytes - Produce melanin which imparts color to skin and hair
  3. Merkel Cells - Play a role in transmission of sensory messages
  4. Langerhan Cells – These cells police the outer body surface to take up foreign proteins (antigens) that invade the epidermis; They can travel to a nearby lymphnode where they present the antigens to a type of immune cell called Killer T lymphocyte.
  • The external layer is almost completely replaced every three to four weeks
  • Dermis

    • Immediately below the epidermis
    • Largest portion of the skin
    • Composed of two layers:
    1. Papillary
      – Lies directly below the epidermis and contains fibroblasts that form collagen (a component of connective tissue)
    2. Reticular
      – Lies beneath the papillary layer and produces collagen and elastin
  • Provides tensile strength, mechanical support and protection to the underlying muscles, bones, and organs
  • Made up of blood and lymph vessels, nerves, sweat and sebaceous glands and hair roots
  • Often referred to as true skin
  • Hypodermis/Subcutaneous

    • Innermost layer of the skin
    • Composed of fat, blood vessels, and connective tissue
    • Anchors to deep tissue
    • Regulates body and skin temperature
    • Stores energy in the form of fat

    B.  Function

    • Facilitates perception of environment – pain, pressure, touch, and temperature
    • Provides a barrier against friction, chemicals, heat/cold, pressure, radiation, and microorganisms
    • Plays a role in fluid balance, thermal regulation, and facilitates in Vitamin D synthesis

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