Wound and care
Chronic wound is most commonly seen in bed-dependent patients with diabetes or varicose veins. In fact, the basic principle is to take precautions to prevent such injuries. However, it is not always possible to avoid it. Care and follow-up after the wound is a special issue.
1-What should be considered in wound management?
Regardless of the cause of the wound, it is necessary to approach through five main themes. a) Management of wound nutrition: correction of arteriosclerosis or venous dilatation, b) Infection management: reduction of bacterial burden, c) Load recovery: reduction of pressure in bed sores with appropriate splint / wand etc. in diabetic patients, d) Dead tissue in wound cleaning: surgical or enzymatic cleaning, e) Stimulation of wound healing: providing an environment suitable for the release and functioning of tissue growth factors in addition to the moist environment.
2-Why is wound healing so late in some patients and is it possible to accelerate it? The wound healing process depends on many factors. However, the most common delaying reasons are; inflammation of the wound (bacteria), the presence of diabetes (vascular nutrition problem), the presence of varicose veins (circulatory disorders, skin edema, ulcer development), bed-dependent patients gravity and body pressure, as well as the wrong positions can be counted. All of these factors can be one or all of the listed factors. In order to speed up the healing process, it is important to control which factor is more dominant. The most effective method of this is active frequent wound care dressings.
3-Wound care and dressing where and how should be done? Since almost all wounds have bacterial load, the first strategy should be to remove them. To this end, sterile conditions should be provided as far as possible. The biggest challenge here is that these dressings sometimes have to be done on site (in the patient's home, in the bed). If possible, dressing should be performed in the outpatient clinics in the hospital, and if possible, at home, as much as possible in compliance with hygiene. It is necessary to decide the product and frequency used in wound care and dressing according to the condition of the wound. The main purpose is to close the wound as soon as possible. If the wound closes by size and location will take a long time, appropriate surgical procedures should be the first decision stage.
4-How can I get the wound care of my patient? Home health services across Turkey to the Ministry of Health that his team needed and deemed appropriate group of patients to provide this service. In addition, wound care is not defined by a specific area of expertise in the health field. For example, there are multiple units providing these services in 18 Mart University Research and Application Hospital.
5-Is there any SSI payment for wound care products? Unfortunately, there are very limited repayment products in Turkey. Most wound care products are not covered by reimbursement. Most patients are able to obtain these products at an additional cost.
6-What is the effectiveness of wound healing applications?
a-Hyperbaric oxygen therapy: increase the oxygenation of the wound by taking the patient to the pressure chamber. It is especially effective in patients with dead tissue. b-Negative pressure wound closure (VAC): in wounds with vacuum in the tissue under the wound with the effect of vacuum withdrawal, stimulates filling. It is an effective method as it reduces bacterial load in case of washing. c-Larva (worm) treatment: based on the principle of removing the dead tissue of the larvae placed on the wound. It is a recommended method for restricted and selected patient groups. d-Intermittent positive pressure: usually useful in varicose veins. It can be applied to any wound with edema. e-Electrical stimulation: It is the application made by applying electricity to the wound bed at the current. Rapidly stimulates healing tissue. f-Growth factor transfer: the person's own or external growth factor is obtained by the application. The results are quite successful. Epidermal growth factor, both gel form and the form of intravenous injection is one of the commonly used methods in recent years. g-Stem cell therapy: is the production of individual stem cells and subsequent transfer to the wound site. The effect of large wound surfaces has also been studied and is quite expensive.
24AXX
Band-Aid Brand Kids Adhesive Bandages for Minor Cuts & Scrapes, Pok?mon, Assorted Sizes, 20 ct
