Certified Wound Ostomy Nurse (CWON) Practice Test

What is a key characteristic of sickle cell ulcers in terms of healing?

1. Rapid healing within days

2. Slow healing and may persist for months to years

3. Persistent itching

4. Always bilateral presentation

The correct answer is: Slow healing and may persist for months to years

Sickle cell ulcers are characterized by their slow healing process, often taking months to years to resolve fully. This prolonged healing time is primarily due to the underlying pathophysiology associated with sickle cell disease, which includes impaired circulation and tissue oxygenation. The sickling of red blood cells can lead to vaso-occlusive crises, where blood flow to certain areas of the body is restricted, subsequently causing ischemia and ulcers to form. These ulcers can be chronic and frequently recur, complicating treatment. The persistence of these wounds poses significant challenges for management and underscores the importance of appropriate wound care interventions. Factors like inadequate blood supply and potential infections further contribute to the difficulty in healing, making it essential for healthcare professionals to apply targeted approaches in their care for patients with sickle cell ulcers. Understanding that these ulcers typically do not heal rapidly, but rather may be persistent and long-standing, is crucial in managing and planning treatment strategies effectively.