NON-HEALING WOUND CARE Wound Treatment Specialist
Non - healing wound treatment, non - healing wound care. Wound care and wound treatment specialist.
A wound is any kind of damage caused by a physical or chemical factor that disrupts the integrity of the body.
Skin or mucous membrane integrity due to biological, physical and chemical reasons, destruction, destruction of tissues as a result of the cut, the physical or temporary loss of tissue is called a wound.
It does not only mean deterioration of skin integrity; For example, a blunt stroke may not cause skin disruption, but bone fracture or internal organ rupture may occur.
How is wound care done and what kinds of wounds?
Acute wounds
If the anatomical and functional integrity of the wound is restored in a timely and regular manner, these wounds are acute wounds. for example; surgical incision wounds.
Chronic wounds
Such wounds are chronic wounds that do not heal on time, ie if the wound is worn during inflammation and / or proliferation.
Chronic wounds
Pressure sores (such as bed sores),
Diabetic foot wounds.
Venous and arterial ulcers (such as leg sores)
Pressure Sores (Bed Sores)
Pressure ulcer; and localized skin and / or subcutaneous tissue damage, usually on bone protrusions, caused alone or in combination with rupture pressure. (NPUAP EPUAP)
Stages of Pressure Sores
Professional Wound Care
Wound Healing Stages
Diabetic foot
Diabetic foot, disruption of nerves and vessels extending to the feet due to diabetes; It is caused by open wounds, gangrene and severe microbial infections that do not heal in the feet as a result of weakening of the immune system.
Venous ulcer
Venous ulcers are usually wound around the ankle and leg due to insufficiency in the veins of the leg veins. It is also known as varicose vein wounds. These wounds usually heal very hard and can recur.
What is Bed Sores?
For any reason, people with limited mobility (such as depression, excess weight, etc.) and patients (comatose, paralyzed patients, end-stage cancer patients) for long periods of bed-related sores that occur due to bed sores called pressure sores. Bed wounds can be prevented with good patient care and skin care.
If it is formed it can heal with professional wound care. It is much easier to avoid bed breaks. Positioning (placing the patient on the right, left side if he can lie down) is very important.
Adequate and balanced nutrition with plenty of protein is very important both for preventing the formation of wounds and for the fast closure of opened wounds.
Skin cleaning and care should be done with care.
The skin should not be too dry and should not remain wet. The bed-dependent patient should be evaluated once a day for skin integrity and the risk of bed sores. As soon as redness starts, precautions should be taken. If no intervention is required during the redness phase, further wounds may occur.
Please contact us for further information, training and maintenance.
How to Prevent Bed Sores (Pressure Sores)?
Bed dependent patients should be evaluated for daily skin appearance.
Particularly in areas of bone protrusions and areas under pressure should be observed for redness.
If redness is not taken into account, bed sores may develop which are very difficult to care for.
First of all, nutrition of the patient is very important. It should be fed with high protein and high color foods.
Drink at least 2-2.5 liters of water per day.
The structure of the bed is important, pipe-type air beds and visco mattresses can prevent wound opening according to studies. However, regular position change and patient care are also very important.
A position should be given every 2 hours. After 2 hours of pressure, the tissue begins to die and the wound is formed.
The skin should be kept clean;
The skin should not be too dry or wet, a moisturizer can be used to protect the skin's natural moisture.
Treatment and Wound Care Services.
Diabetic foot care
Pressure ulcer wounds
Venous ulcer wounds
Wounds after radiotherapy
Postoperative wounds
Traumatic wounds cause rheumatologic diseases
Induced wounds-ischemic wounds due to circulatory disorders
Lymph edema
Burn wounds
Wound Care Treatment Methods Non-Healing Wound Care
Negative pressure vacuum therapy
Hyperbaric oxygen
Topical oxygen
Medical ozone treatment
Maggot (larva) treatment
Amniotic membrane treatment
Prp application
Compression Bandage
Mesenchymal stem cell application
Modern wound care products and methods
Skin Control
Temperature control (hot and cold control) Color control (pale, purple, red) Edema control Finger fungus control Sweat loss, dryness Check for standing ulcers
What is Diabetes?
It is a chronic disease that occurs when the pancreas cannot produce enough insulin or the body cannot use the produced insulin effectively.
Effects of Diabetes on Feet
Damage to the nerves (heat, cold and no pain) Damage to blood vessels
delay in recovery
Why does a foot wound occur?
Inability to feel the sinking objects and to be understood that the shoes are squeezed,
Insufficient circulation
Deformations, calluses and hardening,
Unsuitable shoe selection,
Toenails and ingrown toenails,
cracks due to dryness of minds.
What is diabetic foot?
Wounds and deformities seen in the feet of diabetic patients are called diabetic feet.
Foot Wound and Types
Neuropathic foot (due to numbness)
Ischemic foot (due to insufficient blood circulation)
Neuro-ischemic foot (for both reasons)
Symptoms of diabetic neuropathy
Tingling Combustion Hot, cold sensory loss Touch sense loss Difficulty in walking
Symptoms of diabetic ischemia
Pain shedding thinning in the skin shine bristles
Symptoms of diabetic ischemia
The toenails should be cut straight while softening after bathing.
Even at home, you should never walk around barefoot.
No hot water bag should be placed on the feet.
Clean socks should be worn every day.
Standing warts, calluses, water collection and so on. should not be played with.
Suitable shoes should be worn (shoes should not be large or small).
In case of any wound formation in the foot, consult a doctor.
Long walks should not be done. Smoking should be avoided.
Self-examination of the feet should not be neglected.
Skin should be kept moist to avoid calluses and cracks.
Diabetic Foot Wound Protection
The toenails should be cut straight while softening after bathing.
Even at home, you should never walk around barefoot.
No hot water bag should be placed on the feet.
Clean socks should be worn every day.
Standing warts, calluses, water collection and so on. should not be played with.
Suitable shoes should be worn (shoes should not be large or small).
In case of any wound formation in the foot, consult a doctor.
Long walks should not be done. Smoking should be avoided.
Self-examination of the feet should not be neglected.
Skin should be kept moist to avoid calluses and cracks
The patient should be positioned in such a way that it does not overlap the bone protrusions per hour. network, left (30 degrees), supine, and if prone, prone, if necessary, the patient should be turned over every hour. 15 min if necessary. pressure-relieving movements should be carried out.
The waist and head should not be idle and should be supported. A small towel-cushion should be placed between the knees and a wooden board should be used to prevent foot fall. Ring or bagel-shaped tools should not be used under the hip of the patient.
The risk areas are evaluated for redness, abrasions, bullae, fracture and lesion at each position change.
The patient should not be pulled from the armpit while being pulled up or sideways in the bed and moved through an intermediate sheet.
While the patient is in bed, care should be taken not to fall under the materials such as urinary catheter and feeding catheter which may be attached. Otherwise, their pressure may cause a scar on the skin.
Powder is not used in skin care. Massage on sensitive and dry skin.
When giving the bolt, the skin is not irritated. The patient should not be kept on the bolt for longer than necessary. Patient nutrition and diet should be done, high-calorie and protein foods should be given.
Non-Healing Wound Care; If the patient has pain, a physician should be consulted. If pressure sores are observed, PROFESSIONAL ASSISTANCE MUST BE TAKEN.
More:
Wound Care and Wound Treatment
Who is Halime Aydın?
Wound Care Certificates
Wound Healing Processes
What is Pressure Sores (Bed Sores)?
Pressure (bed sores) is usually localized tissue damage caused by the effect of friction and tear associated with pressure or pressure in the skin and subcutaneous tissues above the bone protrusions.
PRESSURE WOUNDS is a preventable maintenance problem without simple precautions and good radiation.
HOW DO WE PREVENT PRESSURE WOUND (BED WOUND)? CAUTIONS
Non-Healing Wound Care
Wash hands before and after patient care. Non-healing wound care The mattress is very important if your patient is bed-bound and cannot stand up at all. Use visco-elastic foam mattresses that delay bed wound opening.
Your patient's bed linen should be changed daily, always dry, clean and wrinkle-free. Make sure that there are no foreign objects in the bearing. Sweat-absorbing cotton sheets should be preferred.
Urine and fecal incontinence patients should be checked at frequent intervals (30 minutes), six wet and dirty should not be left.
It is ensured that the patient's clothing is always clean, dry, non-perspiring and absorbent. Garments should not be too stitched, adhesive tapes should be preferred instead of buttons.
In cases where the head of the patient's bed is raised more than 30 degrees, the bed wound may develop as a result of sliding downwards and applying pressure to the sacrum and opaque of the patient while positioning the patient.
For this reason, the head of the patient should not be raised more than 30 degrees, the heels should be supported with a foot support board and protective edges should be used against the friction points (heel, elbow).
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