Advanced wound healing Centers
-
Upload
karen-pulido -
Category
Health & Medicine
-
view
961 -
download
2
Transcript of Advanced wound healing Centers
![Page 1: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/1.jpg)
![Page 2: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/2.jpg)
TOPICAL WOUND CARE
WHAT TO PICK?
![Page 3: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/3.jpg)
![Page 4: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/4.jpg)
PHASES OF WOUND HEALING
1) Inflammatory (0 – 4 days). Vasoconstriction, clot formation and hemostasis.
2) Proliferative (2-3 days to 30 days). Fibroblasts lay framework for ECM and new granulation. Angiogenesis connects new granulation and epithelialization progresses across wound base.
3) Remodeling (3 weeks to 2 years). Completion of wound contraction with crosslinking of collagen and reduction in scar size. Tensile strength ultimately becomes appro. 80% of original.
![Page 5: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/5.jpg)
WOUND CARE FUNDAMENTALS
Maintain moist wound environment Remove eschar, debris and necrotic tissue from
wound bed Control exudate Prevent trauma and further wounding Identify and treat infection Manage edema “Back to basics”
![Page 6: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/6.jpg)
MOIST WOUND CARE
Moist wound environment facilitates healing Wounds that are too wet or too dry cannot
progress through normal phases of healing Products to absorb and dry if too wet Products to maintain and add moisture if too dry Should be a part of essentially every wound care
regimen No air drying or soaking!
![Page 7: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/7.jpg)
HYDROCOLLOIDS
![Page 8: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/8.jpg)
HYDROCOLLOIDS
Impermeable to bacteria Facilitates autolytic debridement Self adhesive As exudate is absorbed, forms a colloidal gel Not for use in heavily exudating wounds Common uses are pressure ulcers, burns Ex: Duoderm, Tegaderm, Replicare, Restore
![Page 9: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/9.jpg)
![Page 10: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/10.jpg)
CALCIUM ALGINATES
![Page 11: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/11.jpg)
CALCIUM ALGINATES Use in exudating wounds Absorbs drainage and turns it into gel Fills dead space Prevents wound base from being too wet but yet
prevents drying Commonly used in exudating cavity and tunnel
wounds as well as venous insufficiency ulcers Secure with secondary dressing
![Page 12: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/12.jpg)
![Page 13: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/13.jpg)
HYDROGELS
![Page 14: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/14.jpg)
HYDROGELS Soothing and pain reducing Rehydrates wound and maintains moist
environment Prevents dressing adherence Can fill small voids or dead spaces Comes in gels and sheets Requires secondary dressing Can cause peri-wound maceration
![Page 15: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/15.jpg)
![Page 16: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/16.jpg)
FOAMS
![Page 17: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/17.jpg)
FOAMS
Highly Absorptive Non-adherent Conformable Protects wound and peri-wound from trauma Thermal insulation Common uses are pressure (decubitus) ulcers Can use under compression for venous ulcers
![Page 18: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/18.jpg)
![Page 19: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/19.jpg)
SILVER PRODUCTS
![Page 20: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/20.jpg)
SILVER PRODUCTS
Documented antimicrobial activity thru history Effective against MRSA and VRE Available in a wide variety of dressing substrates Products containing silver that also absorb
drainage, ie, silver alginates, tend to perform the best
Common uses are CVI and diabetic ulcers
![Page 21: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/21.jpg)
![Page 22: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/22.jpg)
COMBINATIONS
22
![Page 23: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/23.jpg)
COLLAGEN DRESSINGS
Stimulate and recruit cells for healing Provide gridwork or matrix for new tissue Available as synthetic or bioengineered Common uses are in well granulated wounds.
Not of value over eschar or slough
![Page 24: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/24.jpg)
![Page 25: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/25.jpg)
COLLAGEN DRESSINGS
![Page 26: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/26.jpg)
FILM DRESSINGS
Semi-permeable Waterproof (also retain moisture) Transparent for visualization Can tear fragile skin Not for infected or exudating wounds Common uses are lacerations, skin tears and IV
sites.
![Page 27: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/27.jpg)
![Page 28: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/28.jpg)
BIOENGINEERED SKIN SUBSTITUTES
Useful for relatively shallow, well granulated wounds
Surface area; small to large wounds Speeds up wound closure remarkably Grafts must be offloaded and carefully protected
![Page 29: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/29.jpg)
29
![Page 30: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/30.jpg)
![Page 31: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/31.jpg)
GAUZE
Wet to dry leads to non-selective mechanical debridement
Stimulates F.B. reaction frequently Good bacterial growth medium. 7.1% infection
rate vs 1.3% for hydrocolloid dressing Readily permeable to gas and bacteria Lots of good evidence that we should not use
anymore as a primary dressing Effective and economical as secondary or cover
dressing
![Page 32: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/32.jpg)
![Page 33: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/33.jpg)
Betadine
Peroxide
Dakins
Neosporin
N.S Gauze
Air
![Page 34: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/34.jpg)
Soaking
Air Drying
![Page 35: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/35.jpg)
PRODUCT SELECTION
1) What does the wound need? 2) Does the product accomplish that 3) Does it need more than one product? 4) What is available (Insurance?) 5) What is practical 6) What can the patient/caregivers apply 7) What can the patient afford? 8) Is it cytotoxic
![Page 36: Advanced wound healing Centers](https://reader037.fdocuments.us/reader037/viewer/2022102805/554b21eab4c90562098b5592/html5/thumbnails/36.jpg)
THANK YOU !
QUESTIONS ???