Common types of wound drainage and how to take care of your wound. This type of wound dressing protects wounds without sticking to. Wound dressings have been used to clean, cover, and protect the wound from the external environment. Contact layer dressings can also be used as a liner for deep wounds that need packing to ensure removal of all packing material. Based on the wound type, suitable dressing material must be used. Dressing selection and wound healing it is the false shame of fools to try to conceal wounds that have not healed. Types of dressings for burn wounds burn injury burns.
Wound negative pressure npwt promotes wound healing by applying a vacuum through a special sealed dressing. The type of wound drainage you experience can help to know how well the wound is healing. The wound dressings and their applications in wound. Stable dry, adherent, intact without erythema or fluctuance eschar on the heels serves as the bodys natural. Maceration of the skin surrounding a wound may occur if a dressing with a low absorptive capacity is used on a heavily exuding wound.
Moreover, we often need to switch different types of wound dressings during whole process of a case treatment, or a dressing need to be used together with other dressings to create a good environment for. Common types of wound drainage and how to take care of. Horace bc 658 latin lyric poet historical role of dressings. How to select a wound dressing will be to facilitate cosmetically acceptable healing in the shortest possible time. This manual includes chapters on wound assessments, tissue types, wound dressings, pressure injury staging, cleansing and debridement, and more. Made from 100% cotton, gauze sponges absorb drainage such as blood. No financial disclosures, no financial relationships. The dressing must support a moist environment as drying of the wound bed increases ph, making the wound more alkaline australian wound management association, 2010. The purpose of this article is to identify and categorize types of wound care products appropriate for the various types of wounds that clinicians care for and manage.
Ordering appropriate wound care supplies in an enclosed container. View our range of absorbent dressing options that have been developed to meet your patients needs. Modern wound dressing have been developed to facilitate the function of the wound rather than just to cover it. Can be used alone or in combination with other dressingstopical agents, 3. Learning the dressing categories, ingredients, and variations available is beneficial in facilitating appropriate dressing selection with your patients. Wound dressings 101 considerations in dressing selection when treating a wound whether chronic or acutehealth care professionals have many choices for dressings. These dressings are focused to keep the wound from dehydration and promote healing. According to trauma area, infectious situation and medical treatment, wound healing. Deep wounds, pack to 80% of depth to accommodate swelling of dressing. Hydrate to maintain moist environment, promote granulation. Having a copy of the recent wound care orders available in the patients folder. Assessment and documentation of wounds should be done in a systematic and consistent. Moisten and irrigate wound with normal saline if dressing is adhered to wound bed, before removing it. How to select a wound dressing the pharmaceutical journal.
The majority of wounds in children are acute trauma or surgical wounds. Whenever you have a wound, whether its a minor cut or a major incision, its crucial to care for. Manage exudate and related problems world union of wound healing societies 2007. Can modify number of layers for changing wound status, 4. Understand types of wounds discuss current evidencebased standard of care management guidelines for different types of wounds. Change dressing when drainage is visually coming through secondary dressing. The information provided in this presentation is current and based on recommendations from the manufacturers.
Based on the cause and type of wound, numerous products are available in the market, making the selection a very difficult. If the dressing is highly absorptive then more frequent dressing changes may be needed, in addition to investigation and management of the cause of the exudate such as infection. Horace bc 658 latin lyric poet historical role of dressings objectives after completing this module, the participant should be able to. For more than two decades practitioners have been taught categories of dressings in order to understand how they work and when to use them table 1. Discuss wound management strategies for clients receiving home. Dressing types as noted above, many types of dressings will reduce wound bacteria, debride and promote an ideal healing environment.
An understanding of wound pathophysiology, a defined treatment goal and regular wound assessment combined with knowledge of basic wound dressing categories will provide guidance on product selection for different clinical situations and wound types. Types of wound dressings currently used to promote optimal. It includes a vacuum pump, drainage tubing and a dressing kit. This manual includes chapters on wound assessments, tissue types, wound dressings, pressure injury staging, cleansing and. Discuss dressing selection based on the 9 principles of wound healing.
For the management of wound infection in chronic and acute wounds and burns. Description until enough slough andor eschar is removed to expose the base of the wound, the true depth cannot be determined but it will be either a stage iii or iv. There are a variety of types of wound care dressings that serve many purposes depending on the wound. A dressing should be large enough to totally cover the wound, with a safety margin of about 2.
The classic categories are gauze, films, alginates, foam, hydrogels, hydrocolloid, and composite dressings. A wound specialist with rich experience understands most of the types of. Change dressing when drainage is visually coming through. Assessing and measuring wounds this is important because each type of wound has a different etiology. Alginate dressingsare made to offer effective protection for wounds that have high amounts of drainage, and burns, venous ulcers, packing wounds, and higher state pressure ulcers. What are the different types of wound there are a variety of types of wound care. In this article, well discuss the most common ones. The continued vacuum draws fluid and waste from the wound. Apr 01, 2006 maceration of the skin surrounding a wound may occur if a dressing with a low absorptive capacity is used on a heavily exuding wound. What are the different types of wound care dressings.
Prudence lennox national clinical leader healthcare. This type of wound dressing is the most commonly used dressing and for good reason. The secret to understanding the various types of wound dressings is to learn the basic properties of the eight main categories of wound dressings. What are the different types of wound there are a variety of types of wound care dressings that serve many purposes depending on the wound. Wound healing is a complicated process, with different strategies in treating different types of wounds. Our range of dressings for the management of burns. How to choose a right type of wound dressing is ver y difficult and skilled.
Moreover, we often need to switch different types of wound dressings during whole process of a case. Advanced wound dressings categories advanced wound care products are designed to treat more complex wounds. Wound it is a break in the continuity of the skin, mucous membranes, bone, or any body organ 3. If the dressing is highly absorptive then more frequent. In all cases the aim should take into account patients prognoses and what they desire from treatment. A wound dressing must provide a moist environment, remove the excess of exudate, avoid maceration. Can be used on infected or uninfected wounds disadvantages. A good dressing can promote wound healing and prevent germ infection 10,23,25,26. Antimicrobial dressings for wound contamination antibiotics only for infected wounds not just colonizedcontaminated cultures not generally recommended because all wounds are contaminated if culture indicated, cleanse wound bed with saline, then express drainage from wound bed.
The secret to understanding the various types of wound. An understanding of wound pathophysiology, a defined treatment goal and regular wound assessment combined with knowledge of basic wound dressing categories will provide guidance on product. Gauze bandage rolls are made from 100% cotton and can be used as. A dressing is used to protect a wound and prevent infection, but also to allow healing. A wound specialist with rich experience understands most of the types of wound dressings with their rationale, applicability, efficacy and indications. Document patients response to care regimen and progress. Chronic wound management wound history when performing an initial evaluation of a wound, conduct a thorough wound history and wound assessment. There are tons of different types of wound dressings used in the medical field today. Wound drainage is common in many types of wounds including open wounds while they are healing. Consider ribbon or rope for tunneling and undermining. According to trauma area, infectious situation and medical treatment, wound healing can be divided into different categories including primary healing, secondary healing and subeschar healing 1,2. Some types of drainage from wounds also indicate the presence of bacteria and that the wound is infected. An essential guide to wound care for nurses and healthcare professionals. It has been indicated that wounds heal 60% faster with npwt.
Dressing and bandage 2 covering wounds, applying pressure controlling bleeding, or supporting a strain or sprain. For optimal moisture balance in the wound, the hydrocolloid comfeel dressing and the unique properties of the biatain foam dressing both support the natural autolytic debridement process. There are a number of different dressings and techniques available for managing wounds. Conclusion the results showed that the hydrofiber dressing could be effective in controlling exudate and infection levels, and managing the indirect signs of biofilm, as well as reducing the wound. The wound dressings and their applications in wound healing and. Purilon gel is ideal for gentle and effective autolytic debridement of tissue in both dry and moist necrotic wounds, when used in combination with a secondary. Pdf on may 1, 2006, vanessa jones and others published wound dressings find, read and. Different dressings are meant for different types of wounds, and it is not always easy to select. Finally, the applications of chitosan as a wound dressing material are discussed along with the current status of chitosanbased wound dressings existing on the market. Nov 27, 2015 the dressing must support a moist environment as drying of the wound bed increases ph, making the wound more alkaline australian wound management association, 2010. Dec 10, 20 there are a variety of types of wound care dressings that serve many purposes depending on the wound. If the wound is located on the lower extremity, also perform a basic vascular exam.
There are more than 3,000 types of wound dressings available on the market today. The following wound dressing guidelines have been developed by the trust formulary group and comprise a list of specific dressings for use in ruh appendix 1. A wound dressing must provide a moist environment, remove the excess of exudate, avoid maceration, protect the wound from infection and maintain an adequate exchange of gases. The type of dressing used for dressing a wound should always depend on various factors, including the type of injury, the size, location, and. A sterile dressing may be used to control bleeding from a major wound or to absorb any discharge from a minor wound. Cleanse wound, apply to bed or may pack the wound with rope alginate apply to a moist wound not for a light draining wound and do not add extra moisture overlap edge 18 inch for shallow wound. Dressing selection should be based on its ability to a provide or maintain. Find advanced wound care dressings by the type of dressing required. Wound care dressing categories and their uses woundsource.