This document discusses various wound dressing options and principles of wound care. It provides details on moist wound healing and compares different dressing types including transparent films, hydrocolloids, hydrogels, foams, and calcium alginates. Key factors in dressing selection are discussed such as wound characteristics, goals of care, and clinician competencies. The benefits and proper use of different dressing categories are outlined.
a piece of soft material that covers and protects an injured part of the body.
A cloth pad or dressing(with or without medication) applied firmly to some part of the body (to relieve discomfort or reduce fever)
WOUNDS and Dressings
Joel Arudchelvam
MBBS (COL), MD (SUR). MRCS (ENG)
Consultant Vascular and Transplant Surgeon
Definition
Anatomy
Stages of healing
Causes for non-healing ulcers
Treatment for chronic ulcers
Wound dressings
Ideal dressing
What to avoid
WOUNDS AND DRESSINGS
Definition
Skin Anatomy
Wound healing
Primary intention,Secondary intention,Tertiary intention
Non healing ulcers / chronic ulcers
Causes for non-healing ulcers
Treatment for chronic ulcers
Wound dressings
When to change dressings
Things to Avoid in chronic wounds
Can a small cut in the skin lead to life threatening wound infection? Underst...Med724
Almost each one of us has or will experience an open wound at some point in life. Cut with sharp objects or tools, falls, accidents involving vehicles are some of the common causes of wounds. An injury which breaks the surface of skin (break in body tissue) leads to an open wound.
Most of us don’t bother to take care or care minimum (unless it’s a major injury) if there is a cut or injury to the skin as this a very normal thing associated with our daily life. But an open wound unattended whether minor or major can lead to serious complications. So watch out!
Let’s explore to understand wound infection better and prevent serious health complications
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
a piece of soft material that covers and protects an injured part of the body.
A cloth pad or dressing(with or without medication) applied firmly to some part of the body (to relieve discomfort or reduce fever)
WOUNDS and Dressings
Joel Arudchelvam
MBBS (COL), MD (SUR). MRCS (ENG)
Consultant Vascular and Transplant Surgeon
Definition
Anatomy
Stages of healing
Causes for non-healing ulcers
Treatment for chronic ulcers
Wound dressings
Ideal dressing
What to avoid
WOUNDS AND DRESSINGS
Definition
Skin Anatomy
Wound healing
Primary intention,Secondary intention,Tertiary intention
Non healing ulcers / chronic ulcers
Causes for non-healing ulcers
Treatment for chronic ulcers
Wound dressings
When to change dressings
Things to Avoid in chronic wounds
Can a small cut in the skin lead to life threatening wound infection? Underst...Med724
Almost each one of us has or will experience an open wound at some point in life. Cut with sharp objects or tools, falls, accidents involving vehicles are some of the common causes of wounds. An injury which breaks the surface of skin (break in body tissue) leads to an open wound.
Most of us don’t bother to take care or care minimum (unless it’s a major injury) if there is a cut or injury to the skin as this a very normal thing associated with our daily life. But an open wound unattended whether minor or major can lead to serious complications. So watch out!
Let’s explore to understand wound infection better and prevent serious health complications
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
4. Moist wound healing
wound healing must take place in a moist environment. Epithelial
cells require moisture to migrate from the wound edges to re-
epithelialize or close the wound. This process is likened to “leap-
frogging” of the cells. In a dry wound, these cells have to burrow
down underneath the wound bed to find a moist area upon
which to “march” or move forward.
5. wound dressings were primarily used to protect the wound from secondary
infection by forming a barrier against bacteria and absorbing wound fluid
The most commonly used dressing for all types of wounds was
1. dry gauze
2. No dressing (that is, an uncovered wound) was the second most common
3. and saline-moistened gauze was third.
Wound treatment decisions must be patient centered.
6. Clinician competencies for dressing
selection
Conduct a thorough wound assessment to identify wound
characteristics and treatment options.
1. Know the principles of wound care.
2. Be able to differentiate among the different types of
dressings.
3. Know the characteristics of an ideal dressing.
4. Consider the patient's health care coverage, financial abilities,
and access to appropriate products.
Take advantage of conferences, seminars, and self-study
opportunities to keep abreast of the latest treatment techniques
and products.
7. The case against gauze dressings
A gauze dressing can impair wound healing because it lowers the wound temperature
and impedes fluid evaporation.
Wet-to-dry gauze dressings are a nonselective mechanical debridement method.
Removal of healthy tissue causes injury to the wound and pain.
Clinical studies have shown higher infection rates in wounds for which gauze dressings
were used compared to wounds dressed with transparent films or hydrocolloids.
Changing a dressing more than once per day isn't always effective for patient outcomes.
Research has shown that bacteria are released into the air when gauze dressings (wet
or dry) are removed from the wound.
Semiocclusive dressings are more financially feasible from a total cost perspective
8. Treatment decisions
Why are gauze dressings still
used?
1. Gauze dressings have a long tradition in wound
care
2. Gauze is perceived as being inexpensive
3. Most advanced dressings are of discrete
dimensions and can't always be adjusted for
wounds of different sizes, requiring health care
facilities to stock multiple sizes. Gauze, on the
other hand, is easily tailored to fit the wound.
9. Treatment decisions
Many practitioners are unaware of the broad array
of alternative dressing products available and the
way they work. The variations in appearance and
performance of new types of dressings may initially
confuse the health care provider
10. Principles of care: The MEASURES
Minimize trauma to wound bed
Eliminate dead space (tunnels, tracts, undermining)
Assess and manage the amount of exudate
Support the body's tissue defense system
Use non-toxic wound cleansers
Remove infection, debris, and necrotic tissue
Environment maintenance, including thermal insulation
and a moist wound bed
Surrounding tissue, protect from injury and bacterial
invasion
11. GOALS
Treatment goals may aim to achieve a
1. clean wound,
2. heal the wound,
3. maintain a clean wound bed.
goal of care then becomes using the right product
on the right wound at the right time
12. Characteristics of an ideal dressing
The ideal dressing should:
maintain a moist environment
facilitate autolytic debridement
comfortable for the range of use needed (such as to
fill tunneling, undermining, or sinus tracts to
eliminate dead space)
come in numerous shapes and sizes
13. Characteristics of an ideal
dressing
be absorbent
provide thermal insulation
act as a bacterial barrier
reduce or eliminate pain at the wound
site and not cause pain on dressing
removal
14. The following considerations can
be used to evaluate the dressing
number of days the dressing can remain in place
reason for change or removal
appearance of dressing (soiled or intact)
ease of dressing application
ease of dressing removal
ease of dressing maintenance
ease of teaching about dressing to caregiver
16. Using wound healing biology to select
treatment
use of growth factors.
Growth factors are now available either derived from a
patient's own platelets or in a drug form dispensed in a tube
to apply to diabetic wounds.
Yet another way technology is providing new options for
wound management is in the use of tissue-engineered skin
equivalents for healing chronic wound.
17. Major dressing categories
Transparent film dressings
Thin polyurethane membranes
They are coated with an adhesive that allows them to adhere to the wound
margins without sticking to the actual wound
Transparent films have no absorptive capacity but do transmit moisture vapor and
are semipermeable to gases.
These dressings imitate the outer skin layer to provide a moist environment.
This covering allows epithelial cells to migrate over the surface of the wound.
Fluid may accumulate under these dressings. This fluid is sometimes mistaken for
pus, a sign of infection
18.
19. Transparent film dressings
The fluid create an autolytic environment, thereby inducing a
cleaner wound surface. When excess fluid accumulates or
leaks out from the sides of the dressing, it needs to be
changed. Maceration of periwound skin can occur if not
changed in a timely manner.
Transparent films also provide protection from friction and aid
in autolytic debridement and pain control.
20. Transparent film dressings
Transparent films can be used on a variety of wound types, such as
stages I and II pressure ulcers,
superficial wounds,
minor burns,
lacerations;
over sutures,
catheter sites,
donor sites, and
superficial dermal ulcers;
and for protection of the skin against friction.
21. Practice essentials
Apply transparent film dressings to healthy skin; use with caution on aging and fragile
skin. These dressings aren't recommended for infants and small children.
These dressings may be used on dry to minimally moist wounds.
Don't use transparent film dressings on exudating wounds.
Transparent film dressings make excellent secondary dressings.
Not all film dressings can be used on infected wounds.
Change the dressing when fluid reaches the edge of the dressing, when the seal is
broken, or as needed
22. Practice essentials
When removing the dressing, lift the corner and pull the film
toward the outside of the wound to break the adhesive
barrier.
Avoid roughness when pulling the film off; gently stretch the
dressing and support the skin as you're removing the dressing.
Skin protective wipes and sprays can be used on the
periwound area before applying the dressing. Skin wipes also
provide an additional seal to prevent the dressing edges from
rolling
23. Hydrocolloid dressings
New wafer-shaped dressings
Hydrocolloids are impermeable to gases and water vapor.
Hydrophilic particles within the dressing react with the wound fluid to form a soft
gel over the wound bed
some hydrocolloid dressings provide an acidic environment and some act as a
bacterial or viral barrier.
Their translucent appearance allows for viewing of the amount of exudate
absorbed and fluid accumulation under the dressing
24.
25. noticeable odor
Correct application requires the dressing to be bigger then the actual wound
size
Dressing change could be from 3 to 7 days
Hydrocolloids are indicated for minimally to moderately heavy exudating
wounds, abrasions, skin tears, lacerations, pressure ulcers, dermal wounds,
granular, or necrotic wounds and under compression wraps.
provide a moist environment conducive to autolytic debridement.
26. Practice essentials
Change the dressing every 3 to 7 days
Not all hydrocolloid dressings can be used on infected wounds.
These dressings aren't recommended for undermining, tunnels, or sinus tracts.
Hydrocolloid dressings may be cut to fit the wound area, such as on an elbow or
heel.
27. These dressings may be used as primary or secondary
dressings or over other wound filler products.
Remove the dressing by starting at a corner and gently
rolling it off the wound; don't pull to remove.
Flush out any residue with saline.
Skin protective wipes or sprays may be used on the
periwound area to enhance adherence
28. Hydrogel dressings
Hydrogel dressings means to hydrate dry wound beds.
They entraps water and reduces the temperature of the
wound bed by up to 5° C. This moist environment
facilitates autolysis and removal of devitalized tissue.
29.
30. Hydrogel dressings
The main application for hydrogels is hydrating dry wound beds and softening and
loosening slough and necrotic wound debris.
They can be used for many types of wounds, including
pressure ulcers,
partial- and full-thickness wounds,
and vascular ulcers.
The soothing and cooling properties also make them excellent choices for use in skin tears,,
dermal wounds, donor sites, and radiation burns.
31. Hydrogel dressings
One of the benefits of a hydrogel is the ability to be
used with topical medications or antibacterial agents.
Hydrogels are packaged as sheets, tube gels, sprays, and
impregnated gauze pads or strips for packing tunneling
and undermined areas within the wound bed.
32. Practice essentials
Don't use hydrogels with heavily draining wounds or on intact skin.
Daily dressing changes may be necessary
Some sheet hydrogels may last for several days.
Protect the surrounding skin with a skin barrier ointment, wipe, or spray.
33. Foam dressings
Foam dressings are permeable to both gases and water vapor,
and their hydrophilic properties allow for absorption of exudate
into the layers of the foam
34. They are indicated for wounds
with moderate to heavy exudate,
prophylactic protection over bony prominences or friction areas,
partial- and full-thickness wounds,
granular or necrotic wound beds,
skin tears, donor sites,
under compression wraps,surgical or dermal wounds
They can also be used on infected wounds, if changed daily.
35. Foams shouldn't be used on dry eschar. Foams may be used in combination with
topical treatments and or enzymatic debriders.
Foams are available in many sizes and shapes, and as cavity (pillow type) dressings.
Many foams don't have an adhesive border, so they'll need to be secured with
tape. Caution with fragile skin may be warranted
36. Practice essentials
Foam dressings can be left in place for up to 7 days, depending on the amount of
exudate absorption.
Removal of these dressings is trauma-free.
Foam dressings can be cut to fit the size of the wound.
Skin wipes or sprays can be used to protect the periwound area from maceration.
Nonadhesive border dressings will require taping or wraps to secure.
Make sure you put the correct side of the foam dressing in contact with the wound
bed.
37.
38. Calcium alginate dressings
Calcium alginate dressings, highly exudative
wounds.
Alginate dressings are absorbent, nonadherent,
biodegradable, nonwoven fibers derived from
brown seaweed.
39. When alginate dressings come in contact with sodium-rich solutions such as
wound drainage, the calcium ions undergo an exchange for the sodium ions,
forming a soluble sodium alginate gel. This gel maintains a moist wound bed
and supports a therapeutic healing environment.
Alginates can absorb 20 times their weight
They are extremely beneficial in managing large draining cavity wounds,
pressure ulcers, vascular ulcers, surgical incisions, wound dehiscence, tunnels,
sinus tracts, skin graft donor sites, exposed tendons, and infected wounds.
useful on bleeding wounds.
.
40. They are usually changed daily or as indicated
by the amount of drainage.
Alginates are contraindicated for dry
wounds, eschar covered wounds, surgical
implantation, or on third-degree burns
41. Practice essentials
Calcium alginate dressings provide easy application and trauma-free removal.
These dressings are a good choice for undermined or tunneled, draining wounds.
These dressings require a secondary dressing.
These dressings may leave fiber residue, which may be flushed with saline to
remove.
Calcium alginate dressings facilitate autolytic debridement.
These dressings are cost-effective if used appropriately.