FAQ Some of the most common conditions evaluated and treated in the center include:
Necrotic Tissue Ideally the quickest and often safest way to remove necrotic tissue is to involve a surgeon who will Wound care surgically debride the offending tissue.
If this is not possible, then a skilled clinician may be able to conservatively sharp debride the tissue to just above the viable base. Antibiotics need to be prescribed when the wound is causing systemic infection.
Another consideration if Wound care is of concern, is to use generalised body skin-antiseptic cleansers to reduce the possibility of bacteria colonising from one area to another.
A dressing that maintains a minimally moist environment and protects the tissue, is generally required. Granulation tissue in an infected wound.
Hypergranulation This soft, gelatinous, highly exuding tissue requires specific treatment. It has been my experience that an approach to bacterial load, direct pressure and dressings that will manage moisture are more acceptable.
The general approach is to use an antimicrobial and exudate-management dressing.
This tissue responds poorly to too much moisture and in most cases a dressing that protects this tissue from the effects of moisture is used.
The use of barrier agents ensures this. Wound Staging With the above information, it is now time to undertake wound care specific to the type of wound.
A surgical wound of the latter category has a higher incidence of dehiscence or complications. A simple suture line. Dehiscence is defined as: The elective case has the opportunity to correct some of these risk factors, however the emergency case may not have such an opportunity.
Management The simple, straightforward suture line is generally treated with a dressing that will manage a small amount of anticipated, early inflammatory exudate and provide a waterproof covering.
All surgical wounds do require support and this is an important factor both for reducing oedema and ensuring patient comfort. Suggested dressings to achieve the aims for simple suture lines include: Care of this simple suture line then involves continued support and hydration.
Once these parameters have been considered, an aim can be set. Surgical debridement may leave large cavities or areas of raw tissue which can ideally be managed with a Topical Negative Pressure device.
Due to the negative pressure, the wound edges are drawn in, helping to promptly reduce wound surface.
This also reduces oedema, an important aspect to consider in all instances of wound care. Abrasions These wounds are generally acute and in most circumstances go on to heal almost regardless of what is done. Simple abrasions in particular, if not managed by a health professional, form a scab which eventually will drop off, revealing a healed area beneath.
The best management of an abrasion is to stop the bleeding, give the area a good clean with an antiseptic and then apply a mesh dressing that will protect the superficial raw area and allow new tissue to form quickly without being damaged when the first dressing is attended.
Mesh dressings for this purpose include: A secondary waterproof dressing is generally not recommended for this first dressing due to the risk of infection — the excessive heat and moisture will create an environment conducive to bacterial growth.
At the next dressing change, if there are no signs of infection, then a waterproof dressing can be used as the secondary dressing. More complex lacerations may be referred to an acute care facility or surgeon after initial assessment.
Foreign bodies and penetrating, deep lacerations may involve tendons and nerves, which will require specific specialised care. The post-surgical wound will then need to be well managed to avoid infection. An antimicrobial dressing that is also absorbent and protective would be ideal. Choosing a Wound Dressing: The two newly-added classifications are: More information on pressure injury prevention and management can be found at the Wounds Australia website.
Stage One A stage one pressure injury is an intact area of damage, so protection of the tissue and providing an environment for recovery is the aim. A stage one pressure wound. Stage Two Stage two pressure injuries are relatively clean, superficial, partial-thickness injuries.
Once again, protection is important, however due to the break in the integument, the chosen dressing must also have some absorbent capabilities. Adhesive foams are generally appropriate here, unless the wound is located very close to the anus, in which case a thick barrier cream is often used.Developed by renowned wound care clinical professionals and educators, WoundCareMD is a truly innovative, full-featured, cloud-based EHR solution designed specifically for wound care and hyperbaric medical centers and practices.
Our patients are evaluated by one of our highly skilled physicians trained in wound care, hyperbaric medicine and podiatry. They review the patient’s medical history and medication usage, perform an in-depth physical exam, review or order appropriate diagnostic tests, provide education about the condition diagnosed and share a plan for .
This wound care article is designed to present information on wounds involving mainly the skin; it is not meant to cover all wounds (for example, gunshot, degloving wounds, tendon lacerations, and others).
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Wound, ostomy and continence nursing is a nursing tri-specialty involved with the treatment of patients with acute and chronic wounds, patients with an ostomy (those who have had some kind of bowel or bladder diversion), and patients with continence conditions (those with bladder and bowel control and associated skin care issues).
. Wound Care: A Collaborative Practice Manual for Health Professionals (Sussman, Wound Care): Medicine & Health Science Books @ pfmlures.com