Dressings - Class 3 Flashcards
wound related factors
wound type
wound location
wound characteristics
bacterial load
wound type
superficial
full thickness
cavity
pt related factors
activity level
incontinence
mental status
dressing medication sensitivity
skin condition and integrity
compliance
caregiver competence
need to bathe/shower
product related factors
conformability
mass or volume
sensitization potential
odor absorbing properties
antibacterial activity
hemostatic properties
permeability to tissue fluid and microorganisms
ease of use
pain related factors
non toxic
cost factors
unit cost
total cost for wound closure
reimbursement
availability
application cost
ideal dressing keeps
wound bed moist
ideal dressing allows for
gaseous exchange
idea dressing is
thermally insulating
impermeable to microorganisms
non-adherent or non traumatic
idea dressing is free of
particles or toxic compounds
additional considerations
user friendly
easily applied and removed
minimized dressing change frequency
cost effective
minimal need for secondary dressing
can be combined w/ compressive therapy
can be used on infected wounds
WILL REMAIN IN PLACE
primary dressing
dress that is in direct contact with the wound
primary dressing maintains
the wound bed dressing interface moist
secondary dressing
placed on top of primary dressing to secure it in place
what does secondary dressing provide
further exudate absorption
moisture retention of primary dressing
permeability
non occlusive
semi occlusive
occlusive
non occlusive
non occlusive to air or wound drainage
allows wound drainage to evaporate
non occlusive can be used for
acute surgical wound incisions
as a primary dressing
infected wounds
highly draining wounds
non occlusive poor for
clean granulating and epithelializing wounds
non occlusive examples
gause
hydrofiber
alignates
semi occlusive/semi permeable
allows gaseous and water vapor exchange
moisture retentive
semi occlusive/semi permeable can be used for
autolytic debridement
scant to moderately draining wounds
as a primary and secondary dressing
painful wounds as a nonadherent dressing
semi occlusive/semi permeable as a primary dressing
for scant to moderately draining wounds
semi occlusive/semi permeable as a secondary dressing
for moderate-highly draining wounds
semi occlusive/semi permeable are poor for
infected wounds
highly draining wounds
semi occlusive/semi permeable examples
transparent films
foams
impregnated gauze
occlusive
totally occlusive to air, water vapor and outside elements
keeps everything in and out
occlusive can be used for
autolytic debridement
minimally draining wounds
perineal/pelvic wounds
primary and secondary dressings
second skin for protection from frequent dressing changes
occlusive as a primary dressing
shallow, minimally draining wound
occlusive as a secondary dressing
for deep cavity wound
occlusive is poor for
infected wounds
highly draining wounds as a primary
thin fragile skin
occlusive examples
some foams
hydrocolloids
biological dressings
passive moisture management
moderately-highly absorbent
low-no absorbency
hydrating
misc
moderately-highly absorbent
gauze
alginates
hydrofiber
foams
wound fillers
low-no absorbency
hydrocolloids
transparent films
impregnated gauze
hydrating
hydrogel
misc
composites
contact layers
negative pressure wound therapy
interactive dressing
antimicrobial
enzymatic debriders
wound stimulating
antimicrobial
silver based
iodine based
honey based
topical antibacterial
enzymatic debriders
“collagenase santyl”
wound stimulating
collagens
growth factors
biologicals
hypertonic saline
