BEDSORES (Pressure Ulcers)

  • Evaluation / cause assessment – risk factors and conditions, pressure relief, nutrition, moisture, friction, mobility
  • Patient centered concerns – pain, quality of life, family concerns / caregiver
  • Tests and Treatment – Debridement: devitalized tissue only in non-healing wound, debridement method consistent with wound and needs of the patient
  • Inflammation and infection control – antimicrobials, antimicrobial dressings, systemic antibiotics, osteomyelitis
  • Moisture balance – absorptive dressings, fillers, occlusive dressings
  • Edge of the wound – biologically active dressings, skin grafts and substitutes, optional therapies, surgical flaps
 
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POST OPERATIVE WOUNDS

  • Keep wounds clean (dressing & cleaning the wound, Antibiotic treatment, debridement)
  • Timely review of the wound, appropriate cleansing and dressing, early recognition and intervention of wound complications.
 
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DIABETIC ULCERS / DIABETIC FOOT

  • Cause assessment – vascular flow, awareness of neuropathic changes, pressure redistribution, glycemic control, lipid control
  • Debridement – callus and necrotic tissue
  • Prevent ulcer from getting infected – inflammation and infection control – treat osteomyelitis
  • Moisture balance – control exudates
  • Edge of the wound – biological dressings, optional therapies
  • Keep the ulcer clean and bandaged - Cleanse the wound daily, using a wound dressing or bandage / apply medication or dressing to the ulcer.
 
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VENOUS ULCERS

  • Cause assessment – vascular flow, joint mobility, venous reflux
  • Patient centered concerns – quality of life, issues related to lifestyle changes, pain
  • Compression therapy
  • Wound debridement – remove necrotic tissue and bacterial burden through debridement, support autolytic debridement
  • Apply dressings and antibiotics, inflammation and infection control / treatment
  • Moisture balance – control exudates
  • Edge of the wound – biological agents, optional therapies
  • Patient education
 
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ARTERIAL ULCERS

  • Patient education
  • Debridement
  • Use of occlusive dressings
  • Pain control
  • Improve circulation
 
 
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OTHER WOUNDS

  • First aid for superficial wounds (require cleansing and dressing), in order to prevent complications and preserve function.
  • Prevent infection; assure there are no associated injuries.
  • Control bleeding.
 
 
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