Selecting the Right Wound Care Dressing

To select the appropriate dressing for a given wound, ask yourself the following questions:

How is the wound being cleansed each dressing change?
Whether you are using normal saline or a non-cytotoxic wound cleanser, we must be consistent with wound cleansing for wound bed preparation.

Is the wound partial- or full-thickness, with or without tunneling and undermining?
Dead space of a wound must be packed, but not over packed. Will the dressing maintain its shape to keep direct contact with the wound bed? Will the dressing fray or come apart?

Is the wound dressing going to complement the type of wound?
Use dressings that conform, and/or are easy to apply and remove. Heel wounds are a good example. You may need to design or select a heel cup dressing to avoid bulkiness.

How much is the wound draining?
Use dressings that will keep the wound warm, and that absorb the amount of drainage you have assessed. There are many longer wear time dressings available such as foams, self-adaptive, and hydrocolloid dressings.

How big of a dressing should I use?
Most dressings are to be 1-2 inches larger than the wound. Protecting the periwound is as important as the wound. Prevent maceration to avoid further skin impairments.

Who will be changing the dressing?
The patient and/or their caregiver(s) should be able to demonstrate the dressing application. Educate your patients and caregivers.

How often should the dressing be changed?
If the wound is draining a scant amount, you can stretch the wear time. Research shows wounds heal faster when the wound bed is covered, keeping temperature consistent

A chronic wound is one that has failed to progress through the phases of healing in an orderly and timely fashion and has shown no significant progress toward healing in 30 days. Factors contributing to the chronicity of the wound may include:
•Pressure, trauma and/or lower extremity wounds
•Increased bacterial load
•Excessive proteases: Degraded growth factors, matrix metalloproteinases (MMPs), degraded cell surface structures
•Senescent/Aberrant cells
•Inappropriate treatment

Symptoms:

Chronic wounds are typcially identified by a raised, hyperproliferative, yet nonadvancing wound margin. The area around the wound will be inflamed and this inflammation may be affect healing negatively.

Etiology

Types of chronic wounds may include, but are not limited to the following etiologies: venous ulcers, diabetic ulcers and pressure ulcers.

Venous ulcers occur primarily in the legs of elderly patients and are caused by problems with blood circulation due to dysfunctional blood valves.

Diabetic ulcers often start as small scratches or bruises which patients with diabetes fail to notice due to nerve damage and limited sensitivity. Compromised immune systems and damaged capillaries lead to these formerly small and benign wounds becoming dangerously infected.

Pressure ulcers primarily afflict patients who are bedridden or of limited mobility. The constant pressure on the tissue over powers the pressure of the capillaries, affecting blood flow. Areas at the greatest risk for pressure ulcers are the sacrum, shoulder blades and heels. Correctly identifying the cause of a chronic wound as well as the local and systemic factors that may be contributing to poor wound healing is critical to successful wound treatment.

Risk factors:

There are several factors that can increase a patient's risk of developing a chronic wound. Bariatric patients and those with diabetes or venous insufficiency are at elevated risk as well as older patients.

Treatments & Interventions
The treatment of chronic wounds, once again, varies based on the type of wound. Often underlying causes must be addressed first before wound healing can progress. Diabetic patients will need to improve their nutrition and vascular health and both diabetic and pressure ulcers will require offloading for the affected area. Arterial ulcers will require revascularization while venous ulcers will benefit from compression therapy. The Wound Healing Society advocates use of the acronym TIME to remember factors that contribute to poor wound healing:
•T: Tissue, such as the presences of necrotic tissue in a wound
•I: Inflammation or infection.
•M: Moisture, i.e. whether the wound is macerated or dessicated.
•E: (Wound) Edge - whether reepithelializing or nonadvancing.

How are pressure ulcers prevented?
1. Inspect the skin at least daily, checking all bony prominences

2. Relieve pressure from bony prominences by:
•Using beds, mattresses, and cushions that maximize redistribution of the patient’s weight over the whole body taking the extra stress off bony prominences
•Using offloading boots to relieve pressure on the heels by not letting them touch the bed
• Turning and repositioning every 2 hours minimum

3. Keep head of the bed at a 30 degree angle or below if possible to reduce friction and shear forces on the skin

4. Give good skin care by:
•Using gentle bathing technique and cleansers with warm (not hot) water • Moisturizing the skin after bathing and additionally throughout the day
•Cleaning the skin with each incontinent episode as soon as possible and using barrier creams to prevent moisture associated skin damage
•Using paste barriers on the skin that has become compromised due to incontinence so that damaged skin has an opportunity to heal
•Paying attention to skin folds. Reduce moisture and use antifungal powder to treat yeast and fungal infections. Good Skin Care Use gentle bathing technique and cleansers with warm (not hot) water

5. Manage moisture with the following products:
•Underpads to wick moisture away from the skin. Be careful to use only one, because too many layers under the patient can wrinkle and cause pressure. If a specialty bed is in use too many layers under the patient keep the bed from being able to protect the skin
•Incontinence products to keep the skin dry.
•Match the product to the patient’s need. Not everyone needs a brief. Some may need pull-ups or pant liners.


6. Provide adequate nutrition by evaluating the patient’s:
•Food likes and dislikes
•Food consumption
•Need for assistance in eating
•Oral cavity
•Does the patient wear dentures? Do they have dentures and are not wearing them or they do not fit well?
•Are there any lesions or sores in the mouth, lips or corners of the mouth making it too painful to eat?

Is a wound care center a viable in Nigeria? for Common types of non-healing wounds e.g.
•Pressure sores
•Surgical wounds
•Radiation sores
•Foot ulcers due to diabetes, poor blood flow, or swollen legs

Service Offer include:

-Wound Dressing, changing, cleansing and treatment
-Diagnostic Procedures
-Debridement(Removal of dead & damaged tissues)
-Hyperbaric oxygen therapy
-Infection control
-Physiotherapy
-Follow up care
-Nutritional counselling

I will appreciate your feedback.

For a wide range of wound dressings(Principal and secondary), and wound equipment call 08188334514

How to Select the Right Wound Care Dressing

To select the appropriate dressing for a given wound, ask yourself the following questions:

How is the wound being cleansed each dressing change?
Whether you are using normal saline or a non-cytotoxic wound cleanser, we must be consistent with wound cleansing for wound bed preparation.
Is the wound partial- or full-thickness, with or without tunneling and undermining?
Dead space of a wound must be packed, but not over packed. Will the dressing maintain its shape to keep direct contact with the wound bed? Will the dressing fray or come apart?
Is the wound dressing going to complement the type of wound?
Use dressings that conform, and/or are easy to apply and remove. Heel wounds are a good example. You may need to design or select a heel cup dressing to avoid bulkiness.
How much is the wound draining?
Use dressings that will keep the wound warm, and that absorb the amount of drainage you have assessed. There are many longer wear time dressings available such as foams, self-adaptive, and hydrocolloid dressings.
How big of a dressing should I use?
Most dressings are to be 1-2 inches larger than the wound. Protecting the periwound is as important as the wound. Prevent maceration to avoid further skin impairments.

Who will be changing the dressing?
The patient and/or their caregiver(s) should be able to demonstrate the dressing application. Educate your patients and caregivers.
How often should the dressing be changed?
If the wound is draining a scant amount, you can stretch the wear time. Research shows wounds heal faster when the wound bed is covered, keeping temperature consistent.
We not only provide dressing category and usage information, but we also encourage the clinician to truly understand the technology behind the dressing, or the "how to" apply the product. We do not want our clinicians coming down with a big case of "Product Confusion"!

MULTIDEX

Action - What does it do?
-Maintains a moist environment
-Controls odor
-Decreases purulent exudate
-Penetrates / fills all wound areas
-Non-toxic and not absorbed systemically
-Effective on infected or non-infected wounds
-Gel - softens eschar to aid debridement

Clinical Findings
-Is bactericidal and bacteriostatic to aerobic and anaerobic, gram negative and gram positive bacteria in-vitro.
-Is chemotactic to fibroblasts which produce healthy new collagen in the wound
-High D-Glucose Polysaccharide content limits the amount of water available to the microorganisms and the low protein content deprives bacteria of nitrogen, two essential elements for bacterial growth. Multidex Gel and Powder exhibits these properties

Indicated For:
-Diabetic Wounds
Pressure Ulcers
Superficial Wounds
Burns
Dermal Ulcers
Infected Wounds
Partial and Full thickness wounds
Venous Statis Ulcer

Call 07044405763

Op the price please.

vanvick247:
Op the price please.

89grams gel: N4,500
6g powder:N900
12g powder:N1,100

Finally, a new advance in wound healing. Working with patients that suffer chronic wounds has always been difficult for us in the healthcare industry. Patients with diabetes, vascular insufficiencies, and plain old bed sores have had a heck of a time dealing with trying to resolve open wounds that simply will not close. These cases just become a chronic condition where you simply continue to keep the area clean and re-bandage. Many people suffer from open wounds for years. Imagine the difficulty of that.

Multidex Gel and powder has the ability to resolve chronic wounds, burns etc

darf:

89grams gel: N4,500
6g powder:N900
12g powder:N1,100

Are the prices not negotiable? And plz how can I get this?

by Martin D. Vera, LVN, CWS

Wound bed preparation has become the gold standard model for proper wound assessment. It allows us clinicians to identify and breakdown local barriers to wound healing. Throughout our health care careers, we have seen it over and over again: the collective emphasize on standards of care, evidence-based practice, and cost-effectiveness in order to achieve positive outcomes for our patients.The wound bed preparation model supports all of these aspects of care delivery.

Wound bed preparation is not only the basis for clinicians to be successful in treatment, but more importantly, to achieve faster and better results for our patients afflicted by wounds. Achieving better wound healing results for our patients is the number one reason why we must continue to educate ourselves and our wound team members in order to be successful in this field. Believe me when I say, it takes a village to a heal a wound.

What is Wound Bed Preparation?
By definition, wound bed preparation is “the management of a wound in order to accelerate endogenous healing or to facilitate the effectiveness of other therapeutic measures” 1, 2 It allows clinicians to provide wound management by identifying barriers that affect the patient with the wound, and not just the wound itself.
The Principles of TIME

To facilitate wound bed preparation, a group of wound care experts developed the mnemonic TIME. The concept was created in 2002 and since then has been providing wound care clinicians with tool needed to promoting wound bed preparation in a simpler way. Following is explanation of the TIME framework:


T – (tissue)

Is the tissue non-viable or deficient in the wound? If there is a presence of non-viable tissue, necrosis, slough or eschar, then the next step is to determine the best type of debridement that would be the most appropriate for this patient (enzymatic, autolytic, sharps, surgical, mechanical, etc.). If all tissue is viable, then choose a dressing that maintains optimal moisture conducive for wound healing, and address the presence of dead space, undermining and tunneling of the wound as those areas would require to be loosely packed or filled to prevent further complications or development of new barriers.


I – (infection / inflammation)

Are there any visible signs or symptoms of infection? Does the wound appear "angry"? The presence of infection, whether local or systemic, creates a barrier to healing. Presence of edema to the wound bed and or periwound also creates a barrier. With infection, the host has been overwhelmed by microorganisms that have surpassed their stay. Infection has to go through several stages in order to achieve total control of host and cause a systemic infection. Microorganisms tend to interact with chronic wounds at different levels. There is wound contamination, colonization, critical colonization and ultimately, infection. At this point, systemic antibiotics will assist greatly once the organism has been identified, and using local antimicrobials will assist at the local level as well. With edema at the periwound, how do we manage it? Is compression adequate? Does the patient have enough circulation? Venous or arterial? Answering these questions can help determine the correct amount of compression and type of dressing needed to provide a moist wound environment.


M – (moisture balance)

Does the wound appear too dry or too wet? Dr. George Winters’ research in the early 1960s came to the conclusion that moisture balance is essential for positive outcomes in wound healing, resulting in the practice of what we now call moist wound healing. So, if the wound is too dry or desiccated, add moisture. If the wound is too moist or macerated—as evidenced by presence of maceration to wound edges and periwound—then choose dressings that are designed for moderate to heavy drainage.


E – (edge of wound)

Are the wound edges non-advancing or undermined? As we evaluate all aspects of local and systemic barriers, identifying the progress, or lack thereof, of wound edges is another critical point in wound management. When healthy, wound edges appear attached, open, and migrating or contracting. When wounds are improperly dressed, typically in cases with tunneling and undermining, other barriers such as epibole, undermined, or rolled edges will arise. By properly filling in those dead spaces, with the use of wound fillers, packing strips, or any other appropriate product of choice, the wound edges will then migrate and contract without complications.

Key Ending Points on Wound Bed Preparation

There is a popular saying that “practice makes perfect.” A martial arts instructor once told me that is not correct, but in fact, “proper practice makes perfect." I agree with the latter.

Wound bed preparation is the “proper practice” we clinicians should be doing with every dressing change because doing so will allow us to perfect our assessment skills of wounds. Additionally, wound progress should be noted within two weeks of consistently using initial advanced wound care products recommended by the SWAT (skin, wound assessment team, term coined by Dr. Joyce Black, University of Nebraska). The SWAT (if not alone, then in conjunction with wound bed preparation) should be able to modify treatment and meet the current needs of the wound.

So, at the end of the day, we must make sure that the TIME principles are being addressed for wound bed preparation, the patient and facility are in compliance, and we are supplying the correct tools for our patients and their families to be successful. Lastly, as we are practicing wound management; comorbid conditions should be assessed and addressed, as well as local and systemic factors.

Keep healing, my friends!

DESCRIPTION
BIODRESS is a mesh made with natural formula having analgesic, anti-septic and skin healing activity, suitable for treatment of wounds, ulcerations, bed sores, burns, sun burns, scalds and irritations.
CONTENTS
Chlorophyll
Camphor
Cod liver Oil
Halibut Oil
Niaouli Oil
Thyme Oil
Paraffin Lanolin
Biodress is known as a healing bandage that helps to fight bacteria in open wounds and aids autolytic removal of sloughs/necrotic tissues from wounds thereby aiding quicker wound healing.
To get BIODRESS in Delta State, Nigeria. You can contact Odihandchi Medical Supplies on 08165397512 (calls), 08061967065 (WhatsApp) We also do Nationwide Delivery.