Wound care guide - Dressing overview
When confronted with a complex wound care pattern, many times or new clinicians say, yara What wound? Which dressing should I use? How does this wound heal? '
One aspect of wound care management is to identify the wound itself, which is often overlooked. The guiding principles of wound care have always focused around defining the wound, identifying related factors that may affect the healing process, then selecting the appropriate wound dressing or treatment device to achieve the goal. healing process.
This structural approach is essential because the most common error in the management of wounded treatment is the hurry to select the newest and largest new wound dressings without thinking about wound etiology, tissue type and immediate purpose.
An overview of wounds and dressings will identify some of the most common types of wounds and will help you determine your care goal and select a product or device to achieve this goal.
HEIDI Holistic Assessment
The first thing to do before handling any wound is to make an overall assessment of the patient. An acronym used to guide this process, step by step, HEIDI:
history
Medical, surgical, pharmacological and social history of the patient
exam
The patient as a whole; then focus on the wound
investigations
What blood, x-rays, scans do you need to help…
Diagnosis
Application
Maintenance plan
So with this in mind and after completing a comprehensive general assessment, the wound assessment can now be performed.
Wound Care Assessment Overview
The 5 parameters to be considered in the wound assessment are:
Texture type
Wound exudate (type, volume and consistency)
Periwound condition (area extending four centimeters from the edge of this wound)
Pain level (intermittent or continuous during dressing)
SIZE (length, width and depth)
Surgical Wounds Dressing
Surgical Wounds
Most surgical wounds heal normally:
Inflammation
Proliferation (a very small process in a wound with healed suture)
epitelizas-
Ripening / shrinking
Most surgeries can be divided into two groups: elective ('pine') and emergency (this is often referred to as 'dirty'). A second category of surgical wound has a higher incidence of dehiscence or complications.
açılma Separation of a surgical wound may be completed partially or completely by superficial or total separation and total deterioration ((Miller-Keane Encyclopedia and Medical Dictionary, Nursing and Allied Health 2003).
There are a number of well-defined risk factors that can lead to wound dehiscence. Being overweight, increased / advanced age, Poor nutrition, diabetes, Smoking and having previously received radiation therapy in the area. The elective case has the possibility to correct some of these risk factors, but the emergency may not have such an opportunity.
Administration
The simple, simple suture line is generally treated with a small amount of dressing that is expected to handle the early inflammatory exudate and form a waterproof cover.
Simple suture line
All surgical wounds require support and this is an important factor both to reduce edema and to ensure patient comfort. Such dressings are generally left intact for five to seven days and then removed for inspection of the staple line or suture line for the intended removal of sutures.
The recommended dressings to achieve the objectives for simple suture lines are Opsite ™ and Mepore Pro ™. Maintenance of this simple suture line then requires continuous support and hydration. For this, some surgeons prefer Fixomull ™ and Mefix ™ for continued scar hydration with a flexible adhesive tape with supportive adhesive.
The surgical wound removed requires a thorough assessment of the presence of involved cavities or structures, as well as foreign bodies, infection and / or necrotic tissue. Given these parameters, an objective can be determined.
Removal of necrotic tissue and management of infection are important to proceed to the wound healing stage. Surgical debridement may leave large cavities or areas of raw tissue that are ideally treatable with bacteria. Topical Negative Pressure device. This wound care 'vacuum cleaner' will remove excess exudate and keep it away from the wound surface in a canister. Due to the negative pressure, the wound surfaces are pulled and help to reduce the wound surface immediately. This also reduces an important consideration that should be considered in all instances of wound care.
28AXX
Band-Aid Brand Hydro Seal Large Waterproof Adhesive Bandages for Wound Care and Blisters, 6 ct
