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Published byMarybeth McDowell
Modified about 1 year ago
Jeannie Randles RN Grad cert wound care PG Cert & PG Dip Primary Health
Patient outcomes Wound outcomes Cleansing Products On going assessment documentation
Work in partnership Expectations General health Palliative wound care Curative wound care
To heal palliative To treat infection To reduce exudates To protect Remove Escher To create wound healing environment To control odour To control pain
Devitalised tissue Slough Escher Dry/wet Granulation Epithelial islands Bacterial burden
Moisture balance Too wet? (macerated) Too dry? (desiccated) Moist healing required?
What is happening at the margins Rolled Epethelialising Granulating Punched out undermining
Consider why cleansing is required How to cleanse i.e. aseptic or clean Products used to cleanse Temperature of cleansing fluid Environment patient is in
Think about goal Debriding Protection Pressure Pressure relief Moisture control Bacterial control
Example above is allevyn non adhesive Variety of dressings available for use with low to heavily exudating wounds Available with antimicrobial additives Check absorption of dressing
Inadine Iodosorb AG dressings Honey Polyhexamethylene biguanide
Used to protect Waterproof Avoid multiple layers Used to secure primary dressings Monitor for folliculitis Damaged skin easy to monitor
Vertical wicking Moderate to heavy exudating wounds Protects periwound Available added to waterproof backings Available as antimicrobial
Seaweed dressing Haemostatic Available in sheets or ropes Available with antimicrobial addition Moderate to heavy exudating wounds Horizontal wicking properties
Occlusive dressing creating bacterial and viral barrier Maintains moisture preventing desiccation Patient can shower Pain reduction due to moist environment
Comfort Absorption Compression Cosmetic appearance Compliance Hygiene
Compression Pressure relief Medication Psychological support Education Financial support
73 year old female Congestive heart failure COPD Diabetic Venous hypertension Ulcer present 6 weeks Now necrotic
63 year old male Dementia Smoker 10/day Dietary intake poor #patella after fall Developed pressure ulcer to heal whilst in hospital
34 year old female Depression Lichen planus (inflammatory condition) Oedema to lower limb
Think about goal of care Tissue Infection or inflammation Moisture control Edges or epithelialisation Document
Hard-to-heal wounds: a holistic approach (May 2008) Hard-to-heal wounds: a holistic approach (May 2008) Topical negative pressure in wound management (May 2007) Topical negative pressure in wound management (May 2007) Management of wound infection (spring 2006) Management of wound infection (spring 2006) Identifying criteria for wound infection (fall 2005) Identifying criteria for wound infection (fall 2005) Focus Document: Lymphoedema bandaging in practice (fall 2005) Focus Document: Lymphoedema bandaging in practice (fall 2005) Wound bed preparation in practice (spring 2004) Wound bed preparation in practice (spring 2004) Understanding compression therapy (spring 2003) Understanding compression therapy (spring 2003) Pain at wound dressing changes (spring 2002) Pain at wound dressing changes (spring 2002)
ewma.org/english/ position - documents.html wounds.com wounds.com www. wounds international.com Wound care education resources Also remember courses at CPIT include wound assessment and management courses! www. wounds -uk.com/pdf/content_9364.pdf
Jeannie Randles RN Grad cert wound care PG Cert &PG Dip Primary Health.
CHRONIC WOUNDS Ann Moody TVN & Leg Ulcer Specialist Nurse NHS Cumbria.
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Pressure sores What are they How do you prevent them How do you treat them.
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Pressure Ulcer Management By Susan Yap, PT. Anatomy of the Skin Epidermis Dermis Subcutaneous Tissue Fascia Muscle Tendon and Bone.
Calciphylaxis Induced Ulcerations. John M. Lavelle, 1 DO; Paul Liguori MD 2 1. Boston University Medical Center, Rehabilitation Department 2. Whittier.
ASEPSIS SHARON HARVEY 28/7/05. ASEPSIS MEDICAL MEDICAL USED DURING DAILY ROUTINE CARE TO BREAK THE INFECTION CHAIN USED DURING DAILY ROUTINE CARE TO BREAK.
Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.
By Mark Vance, RN WCC. Non-healing wounds Eschar Odor Caregiver support Environment Nutrition and hydration Supply management and understanding.
Properties and functions of wound care products. Important facts to consider It is not your role to assess the wound and select suitable products. It.
Slides current until 2008 Diabetic neuropathy Wound healing.
DRESSINGS. Provides ideal environment for wound healing Mimics the barrier role of epithelium and prevents further damage Provides hemostasis and limits.
Skin Integrity and Wound Care Management By. Responsibilities Identify patients “at-risk” for wound healing problems Initiate appropriate interventions.
Function of bandages Protection from trauma/infection/self mutilation Support for healing wounds and skeletal injuries Compression bandages to reduce.
There are three main steps in the process by which surgical wounds heal: Inflammation – this lasts for a short time as the blood flow is increased to.
The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong.
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Wound Assessment and Dressing Selection Noreen Campbell RN BScN MA IIWCC Lt CSW TCS Systems North Saanich, BC, Canada.
South West Regional Wound Care Program’s Dressing Selection and Cleansing Enabler – MAINTENANCE/NON-HEALABLE WOUNDS Wound Appearance DescriptionEscharPrimarily.
WOUND CARE Prepared by: Dr. Irene Roco. Outline Definition, types of Wound Purposes of Wound Dressing Types of Wound dressing Practice Guidelines Things.
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Nursing Assistant Monthly Copyright © 2011 Delmar, Cengage Learning. All rights reserved. March 2012 Wound care What you need to know.
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