AP401+Wound+Care

= AP401 Wound Care =

Resources

 * **Subject** || **Lecture Notes** || **mp3** ||
 * Wound Care || [|2008a] [|2008b] [|2007] || [|2008a] [|2008b] ||

Outline
Date: Friday, October 12 Handouts: Wound Care - Handout Slides: Wound Care - Slides Audio: No audio is available for this presentation At the conclusion of this lecture students should be able to: • Discuss the basic physiology of wound healing and moist wound healing principles • Describe typical wound types and where/why they are most community seen in the community • Understand the importance of appropriate referral for wound care • Familiarise themselves with wound care products in various settings including community pharmacy • Describe the value of basic and developed wound care dressings and products for various types of wounds
 * Wound Care: Carmen George**
 * The detailed material covered in this lecture series is not explicitly examinable in this course. Although, an understanding of the basic principles covered in the lectures may be required to provide full contextual answers in some case based examination questions.***

- grazes, minor burns, IV sites, suture lines, simple injuries || slight || - non-durable (good if low friction/movement) - for small cut (allows moisture out) - difficult to apply || - burns, pressure, simple, leg ulcers and graft sites || low to high || - thick and protective - bony and weight-bearing area (foot) - should require a secondary dressing || - enhances autolytic debridement || best if low || - clear gel (throw out if not clear) - requires a secondary dressing - chemically loosens inherent tissue || - effective blister dressing || light to moderate (holds in exudate) || - desloughs areas and protective - water permeable - stays on for 3-7 days - not for infected wounds - not on plantar surface of foot (turns into a ball) || - a lot spongier than hydrocolloid - requires a protective dressing || - haemostasis action (good if bleeding) || moderate to high || - fibres soluble in saline - transforms from dry to gel layer of high salt - painful || - leg ulcers, burns, pressure ulcers and donor sites || high || - no pain unlike alginates - can combine with silver || - reduce bacteria load on surface - small wounds only || moderate to high || - can produce pain - don't use if iodine-sensitive, thyroid problems || - don't use saline to activate ||
 * **Dressing type** || **Type of Wounds** || **Amount of Exudate** || **Practice Points** ||
 * Films || dry
 * Foam Dressings || superficial or cavity
 * Hydrogels || for rehydration of sloughy or necrotic tissue
 * Hydrocolloid || leg ulcers, burns, pressure ulcers, donor sites
 * Hydroactive Dressings || minor burns, grazes, laceration, pressure wounds, leg ulcers, and cavity wounds || moderate to high || - not for infected wounds
 * Alginates - seaweed || leg ulcers, pressure ulcers, cavity wounds, or donor sites
 * Hydrofibre || absorb high amounts of fluid
 * Cadexomer Iodine || sloughy, chronic wounds
 * Silver Dressings || recognised antibacterial agent (even against MRSA) || low to moderate (high if combine with alginates or hydrofibres) || - some may require moistening with water to activate (wear in shower)