Although it is our local wound care methods that heal the wound, we caution that improper topical treatment for example, using betadine on a clean, healing wound or an occlusive dressing on a moist wound can impede wound healing. The following are important factors to consider when determining which product is appropriate for a given wound care patient. Ppt wound dressings powerpoint presentation free to view. Dressing selection the choice of dressing is influenced by many factors, but for practical purposes we need only consider three of them woundrelated issues, clinical effectiveness. Choosing an appropriate dressing for chronic wounds denise bell bsc, rgnand dot hyam rgn, diphe chronic wounds are nonhealing with a sometimes complex aetiology, and dressing such wounds can be difficult and time consuming. Dressing selection and wound healing it is the false shame of fools to try to conceal wounds that have not healed. A type of wound dressing that totally covers the wound bed, sealing it off from the environment. Wound care treating a wound 3 4 5 use the following procedure when treating a wound wash hands and apply gloves.
National clinical leader healthcare rehabilitation ltd. With so much variety available, including different styles, core materials and basic usage, it can be difficult to choose the right dressing for your. A wide variety of advanced wound care products are available to treat wounds, from simple dressing materials to sophisticated products. This article, the fifth in a sixpart series on wound management, discusses wound dressings. Wound dressings facilitate the bodys natural healing mechanisms and provide an optimal healing environment. Factors that should be considered when choosing a dressing include. Because hydrocolloids can be worn for 3 to 5 days, fewer dressing changes are needed. No further dressings are needed, if only to protect the site from recurrent injury or to further try to reduce scarring.
Wound healing is a dynamic, complex and highly regulated mechanism of tissue repair and regeneration involving cellular and molecular processes that include. Choosing the right dressing depends on your wound assessment and characteristics of the wound bed. Wound dressings have been used to clean, cover, and protect the wound from the external environment. There are a multitude of dressings to choose from and selecting. Division of plastic surgery, department of surgery, faculty of medicine vajira hospital, navamindradriraj university. Choosing an appropriate dressing for chronic wounds wiley online. Choosing a wound dressing based on common wound characteristics.
Dressing up your wound alice malecha, aprn, cnp, msn, cwon. Systematic way to approach wound management, focusing on goals of treatment, proper wound bed preparation, and dressing. Advanced wound products make use of the concept of moist wound healing and utilize moisture retentive dressi. A chronic wound does not does not progress through the normal stages of healing.
Choosing the proper wound dressing assists with wound healing. A reimbursement table also facilitates the decisionmaking process. Selecting a wound dressing from more than 2000 wound care products on the market for your patient can be a bit overwhelming. Discuss dressing selection based on the 9 principles of wound healing. With so many choices in wound dressings and bandages, its easy to become confused. A free powerpoint ppt presentation displayed as a flash slide show on id. The type of dressing used for dressing a wound should always depend on various factors, including the type of injury, the size, location, and severity. Ppt wound dressings powerpoint presentation free to. Selecting a wound dressing requires the clinician to be knowledgeable in both the process of tissue repair during wound healing and the intended use of the dressing product selected to treat the wound. Use these for prepping, not for dressing the actual wound. The theory that a moist wound environment is ideal for healing chronic wounds emerged in the 1960s. Choosing the correct wound dressing is an important adjunct to the healing of chronic wounds. Pdf choosing a wound dressing based on common wound. Best practice choosing an appropriate antibacterial dressing.
Nov 28, 2015 wound, whether it is a minor cut or a major incision, it is important to care for it properly, part of this process includes wound dressing. Scroll down to read the article or download a printfriendly pdf here. Prudence lennox national clinical leader healthcare. Tips for using honey antimicrobial wound dressings use a secondary dressing with all forms of honey wound dressings. Topical antimicrobial use in diabetic wound healing. Jan 01, 2016 the theory that a moist wound environment is ideal for healing chronic wounds emerged in the 1960s. With more than 2000 wound care products on the market, choosing an appropriate dressing for the geriatric patient can prove to be a difficult task. Which statement is correct about wound measurement. Selecting the correct dressing for a wound is a complicated process that. The dressing must support a moist environment as drying of the wound bed increases ph, making the wound more alkaline australian wound management association, 2010. The use of wound dressings to protect the wound and provide an. Request pdf choosing the correct wound care dressing. How to select a wound dressing the pharmaceutical journal.
Choosing the ideal dressing pornthep sirimahachaiyakul, m. Learning the types of wound dressings is the first. An overview almost one adult in 20 in the uk has a wound 4. Choosing the right dressing to fit the various types of wound bed characteristics is key. The latter two are usually tackled via the use of local formularies or trust guidelines and these should be adhered to wherever possible. Selecting the right wound dressing for your patient. Healing requires moisture in the wound bed, but what kind and how much. Research into the mechanisms of wound healing has enhanced our ability to heal chronic wounds at a faster rate through the use of moistureretentive dressings. Dressing is designed to be in contact with the wound, which is different from a bandage that holds the dressing in place. The dressing also is selfadherent, conformable, and provides thermal insulation. Horace bc 658 latin lyric poet historical role of dressings objectives after completing this module, the participant should be able to. Dressing selection for wound care can be overwhelming for health care providers, but the choice is simplified by asking specific questions about the wound, the dressing type, and the patient or caregiver. How do i choose a dressing ask what do i want the dressing to do. A wound with a large amount of bioburden will need to be debrided and most often sharp debridement is the best for rapid removal.
A consensus statement on skin tears and best practice cme 1 ama pra category 1 credittm ancc 3. Sep 24, 20 i think anyone who deals with patients with wounds will agree that selecting the right wound dressings and bandages is crucial to wound healing. Choosing a wound care product alginate dressings alginates are made of soft nonwoven fibers derived from seaweed. A variety of concepts have been devised to structure and simplify the process involved in selecting a wound dressing, including the concept of wound bed preparation wbp. There are a multitude of dressings to choose from and selecting the right one is crucial to promoting healing, as the wrong dressing can significantly hinder a wound from healing.
How to choose the right treatment and dressing for the wound. A wound with a large amount of bioburden will need to be debrided and most often sharp. Decisions about how to cleanse a wound and which dressing to use are often complicated by unexpected changes in. The number of different wound dressings has increased considerably in recent years and this has made selecting a dressing for a specific wound more complicated. When it comes to wound dressings, there are numerous types available. A holistic approach to assessment is essential before choosing a wound dressing. Wound care presents a particular challenge in the critical care setting. Aug 25, 2010 chronic wound dressing selection duration. Select a dressing or dressing combination that supports autolytic debridement and can absorb excess exudate. A table summarising dressing options for different wound types is available pdf 920k wound healing is a complex process, yet in healthy individuals its efficacy is rarely questioned. Choosing the correct dressing decreases time to healing, provides costeffective care, and improves patient quality of life. Dressing selection the choice of dressing is influenced by many factors, but for practical purposes we need only consider three of them woundrelated issues, clinical effectiveness and economic factors. If youve ever spoken with your doctor, or even browsed through your local medical supply store, you might already be aware of the options patients have for wound dressings.
Although it is our local wound care methods that heal the wound, we caution that improper topical treatment for example, using betadine on a clean, healing wound or an. Wound, whether it is a minor cut or a major incision, it is important to care for it properly, part of this process includes wound dressing. Discuss dressing selection based on the 9 principles of wound. Choosing the right wound dressing dermarite industries, llc. Alcohol preps arent a type of wound dressing but are necessary when preparing to dress a wound. How to select a wound dressing pharmaceutical journal. Drives treatment plan and expected outcomes length of time to heal preventing and treating factors affecting wound healing a wound is a result of the disruption of the normal structure, skin function and skin architecture. A wound dressing must provide a moist environment, remove the excess of. Key considerations with dressing selection in wound care. Most of the people in the uk with a wound are managed in primary care by nurses guest et al, 2015. Chronic wounds are frequently dynamic in presentation, and the numerous wound dressings available make dressing selection. Selecting the correct dressing for a wound is a complicated process that requires knowledge of the various wound types and their differing characteristics, the dressing types available and.
Dressing types as noted above, many types of dressings will reduce wound bacteria, debride and promote an ideal healing environment. Selecting the right dressing is vital for optimum wound healing and. Choosing an appropriate dressing for chronic wounds. Selecting the correct dressing for a wound is a complicated process that requires knowledge of the various wound types and their differing characteristics, the dressing types available and any specific needs of the patient. They are usually in the forms of pads, ropes or ribbons. The odor they produce can be mistaken for infection, and some dressings may leave a. I think anyone who deals with patients with wounds will agree that selecting the right wound dressings and bandages is crucial to wound healing. Agerelated changes in skin structure and decreased resistance to noxious stimuli in the environment place the elderly patient at higher risk for wound complications. Mar 08, 2017 systematic way to approach wound management, focusing on goals of treatment, proper wound bed preparation, and dressing choice based on the type of wound. This is where your clinical decision skills come into play. A wound care nurse can carry a few dressings that will provide the best of moist wound healing for a majority of wounds. There are several ideas to keep in mind when choosing wound dressings. Ensure all honey is washed out of the wound with normal saline or soap and water with dressing changes.
Flexible secondary dressing to secure primary dressings. However, certain chronic illnesses such as diabetes, raynauds disease, heart disease and rheumatoid arthritis and ageing make the skin more vulnerable to. It may also be the most challenging part of wound management. Whenever you have a wound, whether its a minor cut or a major incision, its crucial to care for it properly. What are the different types of wound care dressings. Identify management strategies for basic wound types.
Choosing an appropriate dressing for chronic wounds denise bell bsc, rgnand dot hyam rgn, diphe chronic wounds are nonhealing with a sometimes complex aetiology, and dressing. The following wound dressing guidelines have been developed by the trust formulary group and comprise a list of specific dressings for use in ruh appendix 1. Division of plastic surgery, department of surgery, faculty of medicine vajira hospital, navamindradriraj university i have. Jul 11, 2017 a wide variety of advanced wound care products are available to treat wounds, from simple dressing materials to sophisticated products. Here the authors describe how to select the appropriate wound dressing according to wound characteristics. Jan 12, 2016 choosing the correct dressing decreases time to healing, provides costeffective care, and improves patient quality of life. A wound dressing must provide a moist environment, remove the excess of exudate, avoid maceration, protect the wound from infection and maintain an adequate exchange of gases.
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