TIME TOWA
•
4 likes•2,338 views
This document discusses wound assessment tools and the TIME concept for wound bed preparation. It describes the Triangle of Wound Assessment (TOWA) tool, which assesses three areas: Tissue type, Infection or inflammation, and Moisture imbalance. The document provides an example application of the TOWA tool to assess a chronic leg wound. It finds sloughy and granulating tissue types, possible infection due to high exudate and edema, and full periwound maceration. The TOWA is presented as a simple yet comprehensive tool for wound assessment.
Report
Share
Report
Share
Download to read offline
Recommended
Wound management by saumya agarwal
Wound management by saumya agarwalCentral Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
This document provides an overview of wound management. It discusses wound classification, the wound healing process, factors affecting wound healing, wound assessment, types of wound drainage, complications of wound healing, and various wound dressing techniques. The three main phases of wound healing are the inflammatory phase, proliferative phase, and maturation phase. Wound classification includes factors like the mechanism of injury, degree of contamination, and wound depth. Proper wound management requires assessing these classifications and factors to determine the appropriate treatment approach.Negative pressure wound therapy
1. Negative pressure wound therapy uses subatmospheric pressure to remove fluid from wounds and draw the edges together to promote healing.
2. It was developed in 1989 and works through fluid removal, increased blood flow, and mechanical stresses that stimulate tissue growth.
3. The wound is cleaned, a sponge or foam is placed inside, and a vacuum pump applies continuous or intermittent negative pressure.
4. It benefits wounds by preparing the wound bed, managing infection, and reducing time to closure or further reconstruction.
Wound Assessment
This document provides an overview of wound assessment techniques. It discusses assessing the patient's history, examining the wound itself using techniques like TIME (tissue, infection, moisture, epithelial edges) and PQRST (provocation, quality, radiation, severity, time) for pain. The document outlines investigating further with tests and making a diagnosis. It also discusses implementing a treatment plan using wound bed preparation principles to manage tissue, infection, moisture and epithelial edges. The goal of wound care is a healed wound through this assessment and treatment cycle approach.
Blood transfusion in surgery
The document provides an overview of blood transfusion, including donor selection, blood components and their indications, pre-transfusion handling, administration principles, massive transfusion, autologous transfusion, complications and their management, and blood substitutes. Donor selection involves medical history screening and health assessments. Key blood components discussed are packed red blood cells, platelet concentrates, fresh frozen plasma, and cryoprecipitate. Proper storage, grouping, compatibility testing and administration procedures are outlined to ensure safety. Complications can be immediate or delayed, including infections transmitted and reactions to plasma proteins. Blood substitutes under development aim to replace functions of plasma, red cells and platelets.
Wound ppt
in this PPT content is meaning of wound, classification, types, healing process and factor affecting healing process.
Basic surgical skills
This document provides an overview of basic surgical skills including objectives, incision techniques, suturing, wound closure methods, suture materials, staples, clips, tissue glues, needles, and knot tying. The key points covered are skin incision using scalpels, gaping wound edges for swelling, interrupted versus continuous suturing, absorbable versus non-absorbable suture materials, and tying secure knots using instruments to avoid injury.
Wound management
This document discusses wound management and healing. It covers the goals of wound care including facilitating hemostasis, decreasing tissue loss, promoting healing, and minimizing scarring. The three main types of wound healing - primary, secondary, and tertiary intention - are described. Factors that affect wound healing like diabetes, infection, drugs, nutrition, tissue necrosis and hypoxia are summarized. The basics of wound evaluation, preparation, closure, and aftercare are outlined, including debridement, reducing bioburden, optimizing blood flow and oxygen supply, and using dressings appropriately.
Cesarean section hennawy
This document provides information on performing a Cesarean section (C-section). It begins by defining a C-section and explaining the different types based on gestational age. It then discusses techniques to reduce operating time and costs. Common causes of C-sections are listed, along with reasons for increasing C-section rates. Preoperative testing, positioning, catheterization, skin preparation, draping, and abdominal entry techniques are outlined. Regional versus general anesthesia options are presented. The document concludes by describing uterine incision techniques and addressing central placenta praevia.
Recommended
Wound management by saumya agarwal
Wound management by saumya agarwalCentral Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
This document provides an overview of wound management. It discusses wound classification, the wound healing process, factors affecting wound healing, wound assessment, types of wound drainage, complications of wound healing, and various wound dressing techniques. The three main phases of wound healing are the inflammatory phase, proliferative phase, and maturation phase. Wound classification includes factors like the mechanism of injury, degree of contamination, and wound depth. Proper wound management requires assessing these classifications and factors to determine the appropriate treatment approach.Negative pressure wound therapy
1. Negative pressure wound therapy uses subatmospheric pressure to remove fluid from wounds and draw the edges together to promote healing.
2. It was developed in 1989 and works through fluid removal, increased blood flow, and mechanical stresses that stimulate tissue growth.
3. The wound is cleaned, a sponge or foam is placed inside, and a vacuum pump applies continuous or intermittent negative pressure.
4. It benefits wounds by preparing the wound bed, managing infection, and reducing time to closure or further reconstruction.
Wound Assessment
This document provides an overview of wound assessment techniques. It discusses assessing the patient's history, examining the wound itself using techniques like TIME (tissue, infection, moisture, epithelial edges) and PQRST (provocation, quality, radiation, severity, time) for pain. The document outlines investigating further with tests and making a diagnosis. It also discusses implementing a treatment plan using wound bed preparation principles to manage tissue, infection, moisture and epithelial edges. The goal of wound care is a healed wound through this assessment and treatment cycle approach.
Blood transfusion in surgery
The document provides an overview of blood transfusion, including donor selection, blood components and their indications, pre-transfusion handling, administration principles, massive transfusion, autologous transfusion, complications and their management, and blood substitutes. Donor selection involves medical history screening and health assessments. Key blood components discussed are packed red blood cells, platelet concentrates, fresh frozen plasma, and cryoprecipitate. Proper storage, grouping, compatibility testing and administration procedures are outlined to ensure safety. Complications can be immediate or delayed, including infections transmitted and reactions to plasma proteins. Blood substitutes under development aim to replace functions of plasma, red cells and platelets.
Wound ppt
in this PPT content is meaning of wound, classification, types, healing process and factor affecting healing process.
Basic surgical skills
This document provides an overview of basic surgical skills including objectives, incision techniques, suturing, wound closure methods, suture materials, staples, clips, tissue glues, needles, and knot tying. The key points covered are skin incision using scalpels, gaping wound edges for swelling, interrupted versus continuous suturing, absorbable versus non-absorbable suture materials, and tying secure knots using instruments to avoid injury.
Wound management
This document discusses wound management and healing. It covers the goals of wound care including facilitating hemostasis, decreasing tissue loss, promoting healing, and minimizing scarring. The three main types of wound healing - primary, secondary, and tertiary intention - are described. Factors that affect wound healing like diabetes, infection, drugs, nutrition, tissue necrosis and hypoxia are summarized. The basics of wound evaluation, preparation, closure, and aftercare are outlined, including debridement, reducing bioburden, optimizing blood flow and oxygen supply, and using dressings appropriately.
Cesarean section hennawy
This document provides information on performing a Cesarean section (C-section). It begins by defining a C-section and explaining the different types based on gestational age. It then discusses techniques to reduce operating time and costs. Common causes of C-sections are listed, along with reasons for increasing C-section rates. Preoperative testing, positioning, catheterization, skin preparation, draping, and abdominal entry techniques are outlined. Regional versus general anesthesia options are presented. The document concludes by describing uterine incision techniques and addressing central placenta praevia.
Fasciotomy
compartment syndrome, causes, compartments of legs,compartments of forearm,compartments of hand,compartments of foot, compartments of arm,compartments of thigh,fasciotomy of leg,fasciotomy of forearm, fasciotomy of hand,fasciotomy of foot, fasciotomy of thigh, fasciotomy of arm
Orthopedic emergency 7
1. Open fractures require prompt treatment including wound debridement, antibiotic prophylaxis, fracture stabilization, and early wound coverage to prevent infection.
2. Gustilo's classification system grades open fractures based on wound size, soft tissue damage, and contamination. Higher grades have higher risks of infection and amputation.
3. Proper treatment of open fractures includes thorough wound irrigation and debridement of all dead tissue, stabilization of the fracture, and temporary or permanent wound closure depending on the severity of soft tissue damage.
Haemostasis in surgery
Surgical hemostasis is one of the pillars of modern surgery. Adequate hemostasis in a surgical patient involves a detailed perioperative clinical evaluation and investigation, and various intra operative techniques and options. Ensuring adequate surgical hemostasis reduces morbidity and mortality by modulating the metabolic response to trauma, decreasing the incidence of post operative anemia, reduces rates of surgical site infection and ultimately improving wound healing
SSI SURGICAL SITE INFECTION
Surgical site infections are a risk in perioperative care. Key components to reduce this risk include appropriate hair removal before surgery, using intranasal Mupirocin antibiotic ointment, providing perioperative antimicrobial coverage with antibiotics, maintaining normal blood sugar levels perioperatively, keeping patients normothermic during surgery, and changing gloves intraoperatively.
Post operative wound complications
POST-OPERATIVE WOUND COMPLICATIONS
Dear Viewers,
Greetings from “Surgical Educator”.
Today I have uploaded a video on “POST-OPERATIVE WOUND COMPLICATIONS”. I have discussed about seroma,hematoma,wound infection,wound dehiscence,entero-cutaneous fistula and necrotizing fasciitis- about which all surgeon’s must have a working knowledge. I have restricted my discussion to the essential minimum an undergraduate medical student must know. You can watch all my surgical teaching video casts in the following link:
Surgicaleducator.blogspot.com
Thank you for your support.
Haemosthesis in surgery
Academic presentation at Aminu Kano Teaching Hospital Kano Teahing Hospital Surgery Department. by
Dr Kabiru SALISU
kbmed2003@yahoo.com
management of open fracture
This document provides a history and overview of open fractures. It defines open fractures as fractures where there is a breach in the soft tissue envelope exposing the fracture. It discusses classifications of open fractures including the Gustilo-Anderson classification. It notes that open fractures often have high rates of infection, delayed healing, and amputation. The document traces historical approaches to treatment and how understanding of microbiology and use of antibiotics has improved outcomes over time.
Surgical drains
This document discusses surgical drains, including their ideal properties, classifications, indications for use, and care. Surgical drains are appliances used to drain fluid collections and can be passive or active. Passive drains rely on gravity while active drains use suction. Drains have therapeutic, diagnostic, prophylactic, monitoring, and palliative indications. Ideal drains are firm but not rigid, smooth, and resistant to blockage. Care includes proper placement, securing, and monitoring drainage output until removal when drainage decreases. Complications can include infection, displacement, and injury.
Negative pressure wound therapy
This document outlines negative pressure wound therapy (NPWT), also known as vacuum assisted closure (VAC). It discusses the mechanism of action, components, indications, contraindications, application process, advantages, monitoring considerations, potential complications, and conclusion regarding NPWT. NPWT applies sub-atmospheric pressure to a wound through a sealed dressing to promote healing in acute or chronic wounds by removing excess fluid, increasing blood flow, and stimulating the growth of new tissue. It is indicated for various open wounds where closure is not possible, such as pressure ulcers, surgical wounds, diabetic ulcers, and more. Contraindications include wounds with necrotic tissue or exposed anatomy. Monitoring includes pressure levels, drainage
Surgical Site Infection (Obstetrics and Gynaecology)
This document discusses surgical site infection (SSI) prevention and management in obstetrics and gynecology. It provides information on wound classification, risk factors, microbiology, prevention strategies like antimicrobial prophylaxis and intraoperative practices, and management of SSIs. For incidental findings of bacterial vaginosis prior to surgery, it is recommended to treat for 5-7 days and proceed with the planned surgery. Prevention strategies aim to reduce bacterial load and include measures like skin preparation with chlorhexidine, antimicrobial prophylaxis administration within 60 minutes of incision, tight glycemic control and smoking cessation for patients. For management of established SSIs, broad-spectrum antibiotics are used along with drainage of abscesses
VACUUM ASSISTED WOUND THERAPY
This document provides an overview of wound healing and vacuum assisted closure (VAC) therapy. It discusses the standard process of wound healing, novel wound dressing concepts, and how VAC therapy works by applying negative pressure to wounds to promote granulation tissue formation, blood flow, and wound contraction. The document outlines the methodology for VAC application and reviews its uses for different wound types as well as advantages like reduced dressing changes and bacteria. It also discusses future developments and concludes that VAC is a new and improved tool to help convert complicated wounds into simpler wounds.
Wound management
Lecture on wound management for medical students. Encompasses basic sciences, classifications and principles of management.
Wound management
This document discusses the management of non-healing wounds, which requires a multidisciplinary approach involving thorough assessment and wound bed preparation. It outlines the key factors in assessment including patient history, wound characteristics, and factors affecting healing. Wound bed preparation principles of debridement, control of inflammation and infection, and maintenance of moisture balance are explained. Various debridement methods and appropriate dressings to promote healing are also described.
Wound Debridement
Debridement is an important component of the wound bed preparation (WBP) management Model.
Cause of the wound and patient-centered concerns, debridement is a necessary step in local wound care.
Debridement is the removal of necrotic tissue, exudate, bacteria, and metabolic waste from a wound in order to improve or facilitate the healing process
Wound products.ppt ppt
This document discusses wound dressings and wound bed preparation techniques. It provides information on the aims of wound dressings, factors to consider in product selection, and different types of wound debridement techniques including sharp, surgical, mechanical, enzymatic, autolytic, and biodebridement. It also summarizes various wound dressing products including films, foams, hydrogels, hydrocolloids, alginates, hydrofibres, zinc pastes, nanocrystalline silver dressings and honey/cadexomer iodine dressings. Application techniques and important considerations are described for each dressing type.
History, Evolution & Scope of surgery.pptx
Surgery has evolved significantly from ancient times to modern practice. Originally performed by barbers with basic tools, surgery is now a precise medical specialty. Key developments include improved anatomical knowledge, safe anesthesia in the 19th century, aseptic techniques, and specialty areas. The 20th century saw advances like organ transplantation, minimally invasive techniques using laparoscopy, robotics, and fiber optics. Once risky, many surgeries are now low-risk due to these technological and medical advances. The future will likely see more minimally invasive options and subspecialization within the field of surgery.
SURGICAL SITE INFECTIONS PREVENTION AND CARE
Surgical site infections are infections that occur after surgery in the part of the body where surgery took place. They can range from minor superficial infections to more serious deep tissue infections. Surgical site infections account for around 20% of all healthcare-associated infections and at least 5% of patients who undergo surgery will develop a surgical site infection. The risk factors include patient characteristics like age, diabetes, and obesity as well as surgical factors like long duration of surgery, improper skin preparation, and poor aseptic technique. Preventing surgical site infections requires strategies like proper patient skin preparation before surgery, appropriate use of antimicrobial prophylaxis during surgery, and careful wound care after surgery.
Surgical Site Infection by Doctor Saleem Plastic Surgeon
Surgical site infection definition, Classification, risk factors,,Asepsis score, southampton scoring, colonization,bacteria causing SSI, Management of SSI
Wound healing lecture
The document provides information on wound healing and the anatomy and function of skin. It discusses the phases of wound healing (inflammation, proliferation, and maturation) and risk factors for surgical wound infection. It also covers topics like burns, pressure ulcers, scar formation, skin lesions (seborrheic keratoses, hemangiomas, verrucae, actinic keratoses), and melanoma.
Fracture of Femur
Fractures of the femur, especially the femoral shaft, are among the most common fractures seen by orthopedists, with an incidence of 1.33 fractures per 10,000 people in the United States. Proximal femoral fractures, which include femoral neck, trochanteric, and subtrochanteric fractures, require careful classification to determine appropriate treatment. Surgical fixation is generally preferred but conservative treatment with traction may be used in some cases. Complications can include avascular necrosis, non-union, and osteoarthritis.
Recommended Practices for Surgical Attire
Learn about AORN's recommended practices for surgical attire in the perioperative setting. This presentation is from a webinar on August 8, 2012. Listen to the webinar for free to learn more, and you can also earn 1.0 contact hour: www.aorn.org/PreviouslyRecordedWebinars
Difficult airway guidelines paeds
1) The document provides guidelines for managing difficult airways in pediatrics, outlining a 3-step approach including laryngoscopy and intubation, use of a supraglottic airway device, and emergency surgical access if ventilation fails.
2) It discusses the anatomical and physiological differences between children and adults that increase airway management challenges in pediatrics.
3) Adjuvants like video laryngoscopy, passive oxygenation, and ultrasound guidance are reviewed as tools that can help extend the safe apnea time and improve visualization or placement of airway devices in children.
More Related Content
What's hot
Fasciotomy
compartment syndrome, causes, compartments of legs,compartments of forearm,compartments of hand,compartments of foot, compartments of arm,compartments of thigh,fasciotomy of leg,fasciotomy of forearm, fasciotomy of hand,fasciotomy of foot, fasciotomy of thigh, fasciotomy of arm
Orthopedic emergency 7
1. Open fractures require prompt treatment including wound debridement, antibiotic prophylaxis, fracture stabilization, and early wound coverage to prevent infection.
2. Gustilo's classification system grades open fractures based on wound size, soft tissue damage, and contamination. Higher grades have higher risks of infection and amputation.
3. Proper treatment of open fractures includes thorough wound irrigation and debridement of all dead tissue, stabilization of the fracture, and temporary or permanent wound closure depending on the severity of soft tissue damage.
Haemostasis in surgery
Surgical hemostasis is one of the pillars of modern surgery. Adequate hemostasis in a surgical patient involves a detailed perioperative clinical evaluation and investigation, and various intra operative techniques and options. Ensuring adequate surgical hemostasis reduces morbidity and mortality by modulating the metabolic response to trauma, decreasing the incidence of post operative anemia, reduces rates of surgical site infection and ultimately improving wound healing
SSI SURGICAL SITE INFECTION
Surgical site infections are a risk in perioperative care. Key components to reduce this risk include appropriate hair removal before surgery, using intranasal Mupirocin antibiotic ointment, providing perioperative antimicrobial coverage with antibiotics, maintaining normal blood sugar levels perioperatively, keeping patients normothermic during surgery, and changing gloves intraoperatively.
Post operative wound complications
POST-OPERATIVE WOUND COMPLICATIONS
Dear Viewers,
Greetings from “Surgical Educator”.
Today I have uploaded a video on “POST-OPERATIVE WOUND COMPLICATIONS”. I have discussed about seroma,hematoma,wound infection,wound dehiscence,entero-cutaneous fistula and necrotizing fasciitis- about which all surgeon’s must have a working knowledge. I have restricted my discussion to the essential minimum an undergraduate medical student must know. You can watch all my surgical teaching video casts in the following link:
Surgicaleducator.blogspot.com
Thank you for your support.
Haemosthesis in surgery
Academic presentation at Aminu Kano Teaching Hospital Kano Teahing Hospital Surgery Department. by
Dr Kabiru SALISU
kbmed2003@yahoo.com
management of open fracture
This document provides a history and overview of open fractures. It defines open fractures as fractures where there is a breach in the soft tissue envelope exposing the fracture. It discusses classifications of open fractures including the Gustilo-Anderson classification. It notes that open fractures often have high rates of infection, delayed healing, and amputation. The document traces historical approaches to treatment and how understanding of microbiology and use of antibiotics has improved outcomes over time.
Surgical drains
This document discusses surgical drains, including their ideal properties, classifications, indications for use, and care. Surgical drains are appliances used to drain fluid collections and can be passive or active. Passive drains rely on gravity while active drains use suction. Drains have therapeutic, diagnostic, prophylactic, monitoring, and palliative indications. Ideal drains are firm but not rigid, smooth, and resistant to blockage. Care includes proper placement, securing, and monitoring drainage output until removal when drainage decreases. Complications can include infection, displacement, and injury.
Negative pressure wound therapy
This document outlines negative pressure wound therapy (NPWT), also known as vacuum assisted closure (VAC). It discusses the mechanism of action, components, indications, contraindications, application process, advantages, monitoring considerations, potential complications, and conclusion regarding NPWT. NPWT applies sub-atmospheric pressure to a wound through a sealed dressing to promote healing in acute or chronic wounds by removing excess fluid, increasing blood flow, and stimulating the growth of new tissue. It is indicated for various open wounds where closure is not possible, such as pressure ulcers, surgical wounds, diabetic ulcers, and more. Contraindications include wounds with necrotic tissue or exposed anatomy. Monitoring includes pressure levels, drainage
Surgical Site Infection (Obstetrics and Gynaecology)
This document discusses surgical site infection (SSI) prevention and management in obstetrics and gynecology. It provides information on wound classification, risk factors, microbiology, prevention strategies like antimicrobial prophylaxis and intraoperative practices, and management of SSIs. For incidental findings of bacterial vaginosis prior to surgery, it is recommended to treat for 5-7 days and proceed with the planned surgery. Prevention strategies aim to reduce bacterial load and include measures like skin preparation with chlorhexidine, antimicrobial prophylaxis administration within 60 minutes of incision, tight glycemic control and smoking cessation for patients. For management of established SSIs, broad-spectrum antibiotics are used along with drainage of abscesses
VACUUM ASSISTED WOUND THERAPY
This document provides an overview of wound healing and vacuum assisted closure (VAC) therapy. It discusses the standard process of wound healing, novel wound dressing concepts, and how VAC therapy works by applying negative pressure to wounds to promote granulation tissue formation, blood flow, and wound contraction. The document outlines the methodology for VAC application and reviews its uses for different wound types as well as advantages like reduced dressing changes and bacteria. It also discusses future developments and concludes that VAC is a new and improved tool to help convert complicated wounds into simpler wounds.
Wound management
Lecture on wound management for medical students. Encompasses basic sciences, classifications and principles of management.
Wound management
This document discusses the management of non-healing wounds, which requires a multidisciplinary approach involving thorough assessment and wound bed preparation. It outlines the key factors in assessment including patient history, wound characteristics, and factors affecting healing. Wound bed preparation principles of debridement, control of inflammation and infection, and maintenance of moisture balance are explained. Various debridement methods and appropriate dressings to promote healing are also described.
Wound Debridement
Debridement is an important component of the wound bed preparation (WBP) management Model.
Cause of the wound and patient-centered concerns, debridement is a necessary step in local wound care.
Debridement is the removal of necrotic tissue, exudate, bacteria, and metabolic waste from a wound in order to improve or facilitate the healing process
Wound products.ppt ppt
This document discusses wound dressings and wound bed preparation techniques. It provides information on the aims of wound dressings, factors to consider in product selection, and different types of wound debridement techniques including sharp, surgical, mechanical, enzymatic, autolytic, and biodebridement. It also summarizes various wound dressing products including films, foams, hydrogels, hydrocolloids, alginates, hydrofibres, zinc pastes, nanocrystalline silver dressings and honey/cadexomer iodine dressings. Application techniques and important considerations are described for each dressing type.
History, Evolution & Scope of surgery.pptx
Surgery has evolved significantly from ancient times to modern practice. Originally performed by barbers with basic tools, surgery is now a precise medical specialty. Key developments include improved anatomical knowledge, safe anesthesia in the 19th century, aseptic techniques, and specialty areas. The 20th century saw advances like organ transplantation, minimally invasive techniques using laparoscopy, robotics, and fiber optics. Once risky, many surgeries are now low-risk due to these technological and medical advances. The future will likely see more minimally invasive options and subspecialization within the field of surgery.
SURGICAL SITE INFECTIONS PREVENTION AND CARE
Surgical site infections are infections that occur after surgery in the part of the body where surgery took place. They can range from minor superficial infections to more serious deep tissue infections. Surgical site infections account for around 20% of all healthcare-associated infections and at least 5% of patients who undergo surgery will develop a surgical site infection. The risk factors include patient characteristics like age, diabetes, and obesity as well as surgical factors like long duration of surgery, improper skin preparation, and poor aseptic technique. Preventing surgical site infections requires strategies like proper patient skin preparation before surgery, appropriate use of antimicrobial prophylaxis during surgery, and careful wound care after surgery.
Surgical Site Infection by Doctor Saleem Plastic Surgeon
Surgical site infection definition, Classification, risk factors,,Asepsis score, southampton scoring, colonization,bacteria causing SSI, Management of SSI
Wound healing lecture
The document provides information on wound healing and the anatomy and function of skin. It discusses the phases of wound healing (inflammation, proliferation, and maturation) and risk factors for surgical wound infection. It also covers topics like burns, pressure ulcers, scar formation, skin lesions (seborrheic keratoses, hemangiomas, verrucae, actinic keratoses), and melanoma.
Fracture of Femur
Fractures of the femur, especially the femoral shaft, are among the most common fractures seen by orthopedists, with an incidence of 1.33 fractures per 10,000 people in the United States. Proximal femoral fractures, which include femoral neck, trochanteric, and subtrochanteric fractures, require careful classification to determine appropriate treatment. Surgical fixation is generally preferred but conservative treatment with traction may be used in some cases. Complications can include avascular necrosis, non-union, and osteoarthritis.
What's hot (20)
Surgical Site Infection (Obstetrics and Gynaecology)
Surgical Site Infection (Obstetrics and Gynaecology)
Surgical Site Infection by Doctor Saleem Plastic Surgeon
Surgical Site Infection by Doctor Saleem Plastic Surgeon
Similar to TIME TOWA
Recommended Practices for Surgical Attire
Learn about AORN's recommended practices for surgical attire in the perioperative setting. This presentation is from a webinar on August 8, 2012. Listen to the webinar for free to learn more, and you can also earn 1.0 contact hour: www.aorn.org/PreviouslyRecordedWebinars
Difficult airway guidelines paeds
1) The document provides guidelines for managing difficult airways in pediatrics, outlining a 3-step approach including laryngoscopy and intubation, use of a supraglottic airway device, and emergency surgical access if ventilation fails.
2) It discusses the anatomical and physiological differences between children and adults that increase airway management challenges in pediatrics.
3) Adjuvants like video laryngoscopy, passive oxygenation, and ultrasound guidance are reviewed as tools that can help extend the safe apnea time and improve visualization or placement of airway devices in children.
Verucca vulgaris
The document discusses cryosurgery techniques for treating common warts. It recommends using a liquid nitrogen spray gun with the timed-spot freeze technique, freezing the wart for 10 seconds and treating in 2-3 sessions spaced 3-4 weeks apart. For plantar warts, it advises using the spray gun with a double freeze-thaw cycle to fully destroy the wart. Margin sizes of 2mm for common warts are sufficient.
Smart mind
This document discusses traditional theories of disease occurrence, including supernatural, contagious, and germ theories. It provides definitions of disease and outlines factors that were traditionally believed to cause illness such as punishment from gods, witchcraft, or moral failings. The document also summarizes the germ theory and its role in establishing microbes as the cause of many diseases. Additionally, it introduces the multiple causation theory which recognizes an interplay between agents, hosts, and environments in disease development.
Hospital pillows - Infection control risks and measures to reduce them.
The document discusses hospital pillows as potential vectors for infection transmission in healthcare settings. It provides evidence from multiple studies that found reusable hospital pillows often become contaminated with pathogens like MRSA, C. difficile, and E. coli. The interior of pillows can harbor bacteria that match organisms found in colonized or infected patients. The document then introduces SleepAngel pillows, a CE marked medical device pillow with a nanopore filter membrane that has been shown in trials to prevent internal contamination, last longer than standard pillows, and help reduce healthcare-associated infections at hospitals that have implemented their use. Using fewer, longer-lasting SleepAngel pillows can also save hospitals money on laundry, disposal, and product replacement costs over
Unveiled: Lifting the Mask Behind Viruses with Christine Fisher
On May 19th, Christine Fisher joined us for our i.e., webinar in discussing her work as a vaccine researcher in infectious diseases.Ms. Fisher's research focuses on improving vaccines against rabies-related viruses. She has also contributed to vaccine development for ebolavirus and other hemorrhagic fever diseases. Prior to her graduate work, Christine earned a BS in Biological Sciences at Drexel University and worked on therapeutic antibody development in the pharmaceutical and biotech industries.
The discussion will include:
- Vaccine development in general and what’s being done with the coronavirus in unprecedented times.
- Why is coronavirus so difference from other virus?
- What are the common traits amonst virus and infections?
- Why are masks and regular hygiene so important during an outbreak versus regular times?
- The origins of virus from animals.
Infection controle in dentistry
This document discusses infection control in dentistry. It begins by defining infection and infection control. It then discusses the history and objectives of infection control. The main modes of disease transmission in a dental setting are through airborne contamination, contact transmission, and cross-contamination. The document outlines various exposure risks for patients and dental personnel and infection control programs. It discusses sterilization and disinfection techniques as well as infectious diseases of concern in dentistry such as viral, bacterial, fungal, and parasitic infections. The principles of universal precautions like hand hygiene and protective barriers are emphasized.
375171980-Amnio-Infusion.pptx
Amnioinfusion involves instilling fluid into the amniotic cavity and can be performed transcervically during labor or transabdominally. Potential indications for amnioinfusion include prevention and treatment of repetitive variable fetal heart rate decelerations, prevention of meconium aspiration, reduction in cesarean deliveries for fetal heart rate issues, improved visualization for procedures, treatment of chorioamnionitis with premature rupture of membranes, and to aid in external cephalic version. Complications can include uterine hypertonus, abnormal fetal heart rate tracings, and amnionitis. There is no standard technique and protocols vary, with no evidence any one method is superior.
Journal.pone.0147743
This clinical trial assessed the safety, acceptability, and adherence of a dapivirine vaginal ring for HIV prevention in sub-Saharan Africa. 280 women from Kenya, Malawi, South Africa, and Tanzania were randomized to either a dapivirine ring or placebo ring, inserted every 4 weeks for 12 weeks. No safety concerns were found between the groups. Self-reported adherence to ring use was very high, with 96% finding the ring comfortable and 97% willing to use it if proven effective. Plasma drug levels suggested consistent ring use, though residual drug levels in returned rings did not correlate well with plasma levels. The dapivirine ring showed a favorable safety and acceptability profile for HIV prevention
Journal.pone.0147743
This clinical trial evaluated the safety, acceptability, and adherence of a dapivirine vaginal ring compared to a placebo ring. 280 women from Kenya, Malawi, South Africa, and Tanzania were enrolled and randomized to receive either the dapivirine ring or placebo ring for 12 weeks. Results showed no safety concerns between the two groups. Self-reported adherence to ring use was very high. At the end of the trial, most women found the ring comfortable and said they would be willing to use it if proven effective against HIV. The dapivirine vaginal ring was found to have a favorable safety and acceptability profile.
Handwashing & ppe ebp final
This document discusses the importance of proper hand washing and use of personal protective equipment (PPE) in healthcare settings. It provides objectives and a PICO question regarding the use of these practices reducing nosocomial infections. Background, history, guidelines and techniques for effective hand washing and proper PPE use are outlined. Statistics on healthcare-associated infections and the impact of these practices on costs, patient and healthcare worker health are also presented. Finally, challenges, research and conclusions supporting the use of hand washing and PPE to prevent infection spread are summarized.
Cross infection control in dentistry (Few basic points)
The document discusses cross infection control in dentistry. It defines cross infection as the transfer of infectious agents between people, directly or indirectly, and cross infection control as measures taken to prevent cross infection. It describes various pathogens that can be transmitted and discusses ways of transmission including direct contact and indirect transmission between patients, dental workers, and through dental office equipment. It outlines standard precautions for personal protection, maintaining an aseptic environment, and basic cross infection control. It also discusses cleaning, disinfection, and sterilization procedures for dental instruments and the environment.
Upper Respiratory Infections
This document summarizes evidence-based management of upper respiratory infections. It begins with an overview of evidence-based medicine and establishes rules for risk-stratifying patients and aggressively treating symptoms. The majority of the document then focuses on specific upper respiratory conditions like the common cold, otitis media, sinusitis, pharyngitis, and bronchitis. For each condition, it discusses the evidence on etiology, microbiology, recommendations on antibiotic treatment or withholding, and complications to avoid. It emphasizes that most upper respiratory infections are viral in nature and do not require antibiotics. The document uses clinical case examples and trivia questions to engage learners.
HERPES ZOSTER - SHINGLES , CHICKENPOX - VARICELLA
Herpes zoster, also known as shingles, is caused by the reactivation of the varicella zoster virus which causes chickenpox. It results in a painful skin rash with blisters in a limited area, usually on the torso, that is supplied by a single nerve. After a person has chickenpox, the virus remains inactive in the nervous system. Herpes zoster occurs when the virus becomes reactivated, often many years later. Risk factors include older age, immunosuppression, cancer, and HIV infection. The rash usually heals within 2-4 weeks but pain may persist longer.
Infection control
This document discusses infection control in dental clinics. It begins with terminology related to infection control, including definitions of infection, sterilization, disinfection, asepsis, antiseptics, and more. It then covers the history of infection control practices dating back to Joseph Lister's pioneering work in the late 19th century. The objectives, modes of transmission in dental clinics, and guidelines for infection control are outlined. Methods of sterilization like heat, chemicals, and newer technologies are described. Factors that impact the efficacy of sterilization processes are also summarized.
LESSON 5- OCCUPATIONAL HEALTH AND SAFETY.pptx
The document discusses identifying hazards and risks in the workplace. It defines key terms and describes different types of hazards like physical, biological, ergonomic, chemical, and psychological hazards. It emphasizes that occupational health and safety aims to provide a safe working environment and protect workers. When identifying hazards, one should consider how likely harm is, how serious it could be, and how many workers are exposed. Hazards can be controlled through elimination, substitution, engineering controls, administrative controls, or personal protective equipment. Proper handwashing, use of protective gowns, and evaluating ergonomic risks are some best practices discussed.
Low Grade Infection after Shoulder Surgery
Young male patients are at greatest risk for low-grade infections following arthroscopic and open non-arthroplasty shoulder surgery. Propionibacterium acnes was the most prevalent organism. Patients presented with classical post-operative frozen shoulder symptoms, resistant to usual treatments. 80% of patients with negative cultures improved with empirical treatment.
Lesson plan on surgical wound dressing
The document outlines a lesson plan for teaching nursing students about surgical wound dressing, including defining surgical wounds, explaining the purpose and principles of wound dressing, demonstrating the nursing process and documentation for wound dressing, and listing the necessary supplies. The plan includes objectives, content, teaching methods, and an evaluation for a lecture on surgical wound dressing covering topics like wound assessment, cleaning, and dressing application and documentation.
Jessica Rockwood-Enfermedades transmitidas por vectores
El 12 de mayo de 2017 celebramos en la Fundación Ramó Areces una jornada con IS Global y Unitaid sobre enfermedades transmitidas por vectores, como la malaria, entre otras.
OGIJ-02-00052
This document discusses techniques for immediate postpartum insertion of intrauterine devices (IUDs) during Cesarean sections to reduce expulsion rates. Early attempts to modify IUD designs were not effective. More recent techniques involving anchoring the IUD to the uterus with biodegradable materials have significantly reduced expulsion rates to around 4% in clinical trials. However, removal was difficult with earlier anchoring materials. The authors describe a newly optimized technique using absorbable sutures that has shown no expulsions and is easy to perform with minimal training. Immediate postpartum IUD insertion could provide contraception to prevent unintended pregnancies if expulsion risks can be further lowered.
Similar to TIME TOWA (20)
Hospital pillows - Infection control risks and measures to reduce them.
Hospital pillows - Infection control risks and measures to reduce them.
Unveiled: Lifting the Mask Behind Viruses with Christine Fisher
Unveiled: Lifting the Mask Behind Viruses with Christine Fisher
Cross infection control in dentistry (Few basic points)
Cross infection control in dentistry (Few basic points)
Jessica Rockwood-Enfermedades transmitidas por vectores
Jessica Rockwood-Enfermedades transmitidas por vectores
More from wan zuraini
The old army do you apply it right
This document provides an overview of common dressing materials used in different medical disciplines such as orthopedics, surgery, ENT, A&E, oncology, and more. It discusses traditional/conventional dressings including gauze, gamgee, elastic bandages, povidone, and chlorhexidine. It also discusses modern/advanced dressings like wound bed hydrants, antimicrobial solutions, and antimicrobial primary and secondary dressings. Adjunctive treatments like HBOT, topical oxygen therapy, and growth factors are also mentioned.
The Old Army vs New Army
This document compares the old methods of wound dressing (conventional dressings) to modern wound dressing materials. The old methods, referred to as "The Old Army", include commonly used antiseptics like chlorhexidine, hydrogen peroxide, potassium permanganate, povidone iodine, acetic acid, silver sulfadiazine, alcohol, methylated spirit, and acriflavine solution. The mechanisms of action, efficacy, cytotoxicity, and limitations of each are discussed. "The New Army" refers to over 100 modern dressing products on the market that provide moisture control, interactive properties, and other advanced features compared to traditional gauze dressings.
Home Care Wound Care
This document discusses wound care as an integrated service within Domiciliary Care Service (DCS) in Malaysia.
The DCS aims to provide holistic nursing care, palliative care, and community-based rehabilitation to stable patients in their homes. The DCS team includes family medicine specialists, medical assistants, nurses, and allied health professionals.
As part of DCS, wound care focuses on best practices for home wound care, including assessing wounds, using appropriate dressings and devices, educating patients and caregivers, and documenting wound status. Integrating wound care into DCS allows for continued treatment of wounds at home following hospital discharge.
Chronic Wound Management Strategy
This document summarizes a presentation on chronic wound management in primary care. It discusses identifying the etiology of chronic wounds, assessing systemic factors, executing basic treatment including wound bed preparation and dressing selection, providing patient education, and establishing long term management plans. Specific guidance is provided on managing common chronic wound types like diabetic foot ulcers, venous leg ulcers, and pressure injuries. Data on chronic wound cases in one primary care setting is also presented, showing most wounds are chronic and related to diabetes. The full presentation is accessible online for free.
Role of Wound Debridement
The document provides information on different types of wound debridement. It defines debridement as the removal of foreign material and devitalized or contaminated tissue from a wounded area. Various debridement methods are described, including sharp, mechanical, enzymatic, and larval therapies. Factors to consider when selecting a debridement method are outlined in an algorithm, such as time required, patient pain tolerance, environment, and caregiver skill level. The overall conclusion is that debridement should be performed when needed according to the algorithm guidelines and contraindications.
Wound Care Home Care
This document discusses wound care within the context of domiciliary care services. It begins with defining domiciliary care services and outlining their objectives and scope. It then discusses best practices in home wound care, including recommendations for healthcare professionals' knowledge and skills as well as products, devices, and materials used for wound prevention and management. Common wounds seen in home care are presented along with potential equipment-related injuries. The document emphasizes the importance of comprehensive wound assessment and management within domiciliary care services to ensure holistic patient care. It concludes by highlighting some limitations of home wound care and calling for adequate resources to properly implement best practices.
Wound Management in Domiciliary Palliative Care
Basic teaching on wound management seen in home care / domiciliary palliative care in Malaysia. Spesifically describe management of pressure ulcer at home.
More from wan zuraini (7)
Recently uploaded
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Valuable Content of Human Anatomy and Physiology of Urinary system as per PCI Syllabus for Pharmacy and PharmD Students.
Light House Retreats: Plant Medicine Retreat Europe
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
micro teaching on communication m.sc nursing.pdf
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Knee anatomy and clinical tests 2024.pdf
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Physiology of Chemical Sensation of smell.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
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
PPT RELATED TO ARTHROLOGY ACCORDING TO NCISM AYURVEDA
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Recently uploaded (20)
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
TIME TOWA
- 1. Dr Wan Zuraini, 9TH Oct 2017
- 4. • • • • TIME
- 5. Approved in 2004 Wound bed preparation: science applied to practice, V Falanga 2004
- 6. TIME TIME ACRONYM TERMS PROPOSED BY EWMA CLINICAL PRACTICE T = TISSUE, NON-VIABLE OR DEFICIENT TISSUE MANAGEMENT DEBRIDEMENT I = INFECTION OR INFLAMMATION INFECTION CONTROL TOPICAL ANTIMICROBIAL, ANTIBIOTIC M = MOISTURE IMBALANCE MOISTURE BALANCE MOISTURE BALANCE DRESSING, EDEMA MANAGEMENT E = EDGE OF WOUND, NON- ADVANCING, UNDERMINED EPITHELIAL ADVANCEMENT PATIENTS RISK FACTOR, CORRECTION THERAPY
- 8. Extending the TIME concept: what have we learned in the past 10 years? David J Leaper, Gregory Schultz, Keryln Carville, Jacqueline Fletcher, Theresa Swanson, Rebecca Drake, 2014
- 9. TIME T I M E
- 11. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. TRIANGLE OF WOUND ASSESSMENT (TOWA) 13. Assessment of wound healing: validity, reliability and sensitivity of available instruments, Pillen & Miller 2009
- 13. Position Document from World Union Wound Healing Societies, 2016
- 14. Greatrex-White S, Moxey H. Wound assessment tools and nurses’ needs: an evaluation study. Int Wound J 2013: doi: 10.1111/iwj.12100.
- 15. Dowsett C et al. Triangle of Wound Assessment Made Easy. Wounds International 2015
- 16. TRIANGLE OF WOUND ASSESSMENT (WBP) TIME • • • The Triangle of Wound Assessment Dowsett C et al. Triangle of Wound Assessment Made Easy. Wounds International 2015
- 21. Dowsett C et al. Triangle of Wound Assessment Made Easy. Wounds International 2015
- 22. Dowsett C et al. Triangle of Wound Assessment Made Easy. Wounds International 2015
- 23. Dowsett C et al. Triangle of Wound Assessment Made Easy. Wounds International 2015
- 24. Dowsett C et al. Triangle of Wound Assessment Made Easy. Wounds International 2015
- 25. TRIANGLE OF WOUND ASSESSMENT CASE EXAMPLE
- 30. Answer Tissue type Sloughy (at the border), granulating, epithelializing Exudate Highly exuding, purulent Infection Possible infection with oedema, erythema, high exudate at the border
- 31. Maceration Yes, around the whole wound edge Dehydration No, the wound edges do not appear dehydrated Undermining Maybe on the bottom of the photo Thickened/rolled edges No
- 32. Maceration Yes, maceration extending throughout the whole periwound skin Excoriation No Dry skin No Hyperkeratosis No Callus No Eczema No Copyright of Coloplast
- 35. THANK YOU