Presentation on theme: "Wound Care Dressings and Their Uses"— Presentation transcript:
1Wound Care Dressings and Their Uses Carolyn Watts MSN, RN, CWONVanderbilt University Medical CenterNashville, TN
2Topical Therapy: Principles Remove necrotic tissue and foreign bodies or particlesIdentify and eliminate infectionObliterate dead spaceAbsorb excess exudateMaintain a moist wound surfaceProvide thermal insulationProtect the healing wound from trauma and bacterial invasionDoughty, Acute and Chronic Wounds, 1992
3Wound Care Product Selection Wounds are dynamic and will require different approaches during healing processContinually reassess patient and woundTopical therapy is one part of the nurses role - must eliminate cause and support hostContinually educate self on products to make informed choices
4Wound Care Product Selection: Other Considerations Frequency of changeEase or difficulty of procedureCare giverAvailability of productsCost or reimbursement factors
5Wound Care Product Selection: Other Considerations Is wound partial or full thickness?Is wound dry or draining?Is wound superficial or deep?Need to develop treatment protocols based on wound characteristics rather than wound type.
6Types of Topical Wound Dressings Hydrocolloid dressingsHydrogel dressingsAlginate dressingsHydrofiber dressingsTransparent film dressingsFoam dressingsAbsorption dressingsGauze dressingsComposite dressingsBiologic dressingsOther
8Hydrocolloid Dressings Made up of pectin based wafer materialAbsorb minimal to moderate exudateOcclusive – should not be used on infected woundsCome in various shapes and sizesShould not be used if you need to change more than q 2-3 days
13Hydrogel DressingsMade up of primarily water in a polymer to maintain moist wound baseCome in amorphous or sheet formulationsShould be used in dry woundsShould not be used in more than minimally exudating woundsShould not be used with an absorbant dressing, e.g. hydrocolloid, foam, etc.
19Alginate Dressings Made up of seaweed from the North Sea Absorb moderate amounts of drainageDry formulation, that becomes a gel when it comes into contact with wound fluid through Calcium/Sodium ion exchangeShould not be used with hydrogels
20Hydrofiber DressingsWork the same as alginates but absorb ~ 30 % more exudate.Use with caution in mildly draining wounds.
24Foam Dressings Made up of polyurethane foam Absorbs moderate to large amounts of drainageAvailable in various sizes and shapesSome types my macerate periwound skin if it allows drainage to wick laterally