So Many Dressings So Little Time - AAWC Pressure …...SO Many DRESSINGS SO Little TIME! Mary Haddow...
Transcript of So Many Dressings So Little Time - AAWC Pressure …...SO Many DRESSINGS SO Little TIME! Mary Haddow...
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SO Many DRESSINGS SO Little TIME!
Mary Haddow RN, CWCN – ©2019
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“The medical profession eradicated polio and smallpox, but often
ignores the most basic evidence on how to heal wounds”
Bolton LL 2004
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Features of an appropriate dressing
Maintain body temperature ComfortableProtect periwound Reduce painAutolytic debridement Moisture balance Prevent contamination Cost effectiveUser friendly Readily available
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gauze fillercontact layer
honey foamhydrogel
collagen siliconehydrofiber
cellular tissue productcalcium alginate
antimicrobial super absorbent
negative pressure composite
transparent film compression
hydrocolloid antiseptic
KNOW your OPTIONS
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Barriers to Healing
➢ Inadequate PATIENT Assessment➢ Poor wound bed prep➢ Failure to address CAUSE➢ Inappropriate product use➢ Limited Formulary➢ Unrealistic Goals/Expectations
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The role of Normal Saline and Cotton Gauze
in 21st Century Wound Care
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If the wound is WET…If the wound is DRY and PAINFUL…If the wound is DEEPIf the wound is STALLED
WHAT would YOU choose-and WHY?
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Dressings do not HEAL wounds!The right dressing supports the
BODY’s ability to HEAL
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Patients can be very ‘HARD OF LISTENING’
• Blissfully content with the status quo• Good intentions ≠ Lifestyle Changes• Oblivious to impact of sub-optimal environment• Incapable of realistic self evaluation• Irrational Expectations based on behavior patterns
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Complications occur -Even with a “Compliant” Patient
BEFORE YOU RE-INVENT THE TREATMENT PLAN:Re-Assess the Patient: has anything changed?Re-Visit Patient Centered GoalsRe-Confirm Availability of SuppliesRe-Enforce Need for Lifestyle ChangesRe-Appraise Patient Technique and Commitment
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When all else fails, FREE your inner MacGyver
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When all else fails, FREE your inner MacGyver
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When all else fails, FREE your inner MacGyver
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THANK YOU!
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References:1. Ovington LG. Hanging wet to dry dressings out to dry. Home Healthc Nurse 2001; 19(8):477–483
2. Aviles F. Wound Dressing Selection is More Than a Choice. Today’s Wound Clinic 2019; Volume 13 Issue 6: 30-32
3. LeBlanc K, Baranoski S, Christensen D, Langemo D, Edwards K, Holloway S, et al. The art of dressing selection: A consensus statement on skin tears and best practices. Advances in Skin and Wound Care. 2016;29(1):32–46
4. Bolton LL. Moist Wound Healing from Past to Present. In: Rovee DT, Maibach H, eds. The Epidermis in Wound Healing. Boca Raton, FL: CRC Press; 2004: 90-101.
5. Winter GD. Formation of the scab and the rate of epithelization of superficial wound in the skin of the young domestic pig. Nature 1962;193: 293-4.
6. Cowan LJ, Stechmiller J. Prevalence of Wet to Dry Dressings in Wound Care. Advances In Skin and Wound Care. 2009;12: 567-573