1. Prepared by: Dr. Irene Roco
WOUND CARE
Prepared by:
Dr. Irene Roco

2. Outline Definition , types of Wound Purposes of Wound Dressing
Types of Wound dressing
Practice Guidelines
Things to remember

3. Wound
an injury to living tissue caused by a cut, blow, or other impact, typically one in which the skin is cut or broken.
Types of Wounds:
A – Intentional – therapeutic
Surgical operations
Venipuncture
B – Unintentional – accidental; caused by trauma
Open – skin or mucous membranes surface is broken
closed – tissues are traumatized without a break in the skin

4. Purposes of Wound Dressing
Protect wound from mechanical injury and microbial contamination
Provide or maintain moist wound healing
Provide thermal insulation
Absorb drainage or debride a wound
Prevent hemorrhage
Holding medication in place

5. Types of Wound Dressing
Types and sizes of dressing differ depends on:
Location, size and type of wound
amount of exudate
Whether the wound requires debridement or is infected
Frequency of dressing change, ease or difficulty of dressing application and cost
1. Gauze dressing: highly absorbent nature makes them ideal for covering fresh wound (bleeding)

6. 2. Transparent dressing: (OP-Site) allow to assess wounds including ulcerated or burned skin areas. Commonly are used to cover peripheral &central IV.
Advantages:
Act as temporary skin
Non porous, non absorbent; self adhesive, does not require changing; often left in place until healing has occurred or as long as it remains intact
Wound can be assessed
Wound remains moist
Can be placed over a joint because it is elastic
Adhere only to the skin around the wound, not on the wound itself
Client can shower or bath without removing the dressing

7. 3. Hydrocolloid dressing: (DuoDerm) air-and water-occlusive coverings; used over pressure ulcer. Keep wound moist which is help in healing process. May left for 1week.
Advantages:
Limitations
Lasts 3-7 days
Occlusive, opaque, obscure wound visibility
Water resistant; don’t need a cover
Limited absorption capacity
Act as temporary skin
Can be molded to uneven skin
Can facilitate aerobic microbial growth
Decrease pain reducing the need for analgesics
Can soften and wrinkle the edges with wear and tear movement
Difficult to remove and may leave a residue on the skin
Should not be used for infected wounds or those with deep tracts or fistulas

8. Practice Guidelines
Follow standard precautions for personal protection.
Use solutions (isotonic saline, wound cleanser) to clean or irrigate wounds
Use gauze squares. Avoid using cotton balls and other products that shed fibers onto the wound surface
To retain wound moisture, avoid drying a wound after cleaning it
Hold cleaning sponges with forceps or with a sterile gloved hands
Clean the wound in an outward direction
Consider not cleaning the wound at all if it appears to be clean

9. Things to remember
▪ Keep unused dressings in the original package or other closed plastic package
▪ Store dressings in a clean, dry place
▪ Throw out the entire package if any dressings get wet, contaminated, or dirty
▪ Place soiled gloves and wrappers in disposal bag, tie or seal the bag, and discard
▪ Clean scissors and forceps with alcohol before and after each use

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