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The Basics of Identifying and Caring for Problem Wounds
 

The Basics of Identifying and Caring for Problem Wounds

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Pressure Ulcers, Chronic Wounds, Arterial Ulcers, Venous Ulcers, Hyperbaric, Wound Care Products, treatment for wounds

Pressure Ulcers, Chronic Wounds, Arterial Ulcers, Venous Ulcers, Hyperbaric, Wound Care Products, treatment for wounds

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    The Basics of Identifying and Caring for Problem Wounds The Basics of Identifying and Caring for Problem Wounds Presentation Transcript

    • Pressure on anterior tibialis tendon from compression wrap applied incorrectly
    • Purple or very dark areas that are surrounded by profound redness, edema, or induration suggest that deep tissue damage has already occurred and additional deep tissue loss may occur.
    • The deepest level of tissue must be visible in order to stage a pressure wound.
    • Offload Nutrition Dress Debride Protect
    • Grade 3 Deep Ulcer With Abscess/Osteo
    • Charcot Hammer Toe Callus Formation
    • Blood sugar control Debride Off Loading Manage Bacteria Dress Re- Vascularize HBOT (if criteria met)
    • Eliminate Cause Pain Control Debridement Moist Wound Care HBOT
    • • Vasodilators & Decrease Plaque Formation ACE Inhibitors—(Lisinopril, Captopril, etc) end in “il” • Relaxes smooth muscle & vasodilates Pletal (Cilostazol)
    • Eliminate Cause sutures mesh infection Heal Debride Moist Wound Care Specialist
    • Injury Hemostasis Inflammation Proliferation Maturation
    • Pros: Come in all shapes, sizes, and thicknesses Cons: Must be applied correctly or will roll—choose appropriate size, thickness for location of wound
    • Pros: Hydrogel pads are great for burns, can be very soothing Hydrogels come in all forms Cons: Can be difficult to find and can be costly depending on brand
    • Highly absorptive fiber layers such as cellulose, cotton or rayon Pros: Non-adherent, easy to use, absorbent Cons: May be costly
    • Pros: Lots to choose from, provides moist environment, effective with hypergranulation Cons: Can be expensive if exudate requires daily changes
    • Damaged tissue Cytokines Excess proteases
    • Stasis Dermatitis
    • Arterial
    • Stage 1 pressure
    • This is usually 2 to 2.4 absolute atmospheres (the equivalent of the pressure exerted by a 33-45 foot dive into sea water)
    • Radionecrosis from treatment for Cancer of Laranyx 05/02/02 Same neck, 07/09/02 after 40 hyperbaric treatments
    • Tissue Hypoperfusion Hypoxia Infection
    • Left Lower Extremity Ulcer, before and after 40 treatments