Lecture 7 Interventions, Part 3 Flashcards
What are the two types of Compression Bandages?
- Short stretch
- Long stretch
Effects of Compression Therapy
- Reduce edema
- Improve venous and lymphatic return
- Modify scar tissue
- limit size and shape of tissues
Compression Bandages are classified by?
- Layers
- Elasticity
Long stretch bandages
- Elastic
- High compression at rest
- Lower compression with activity
Short stretch bandages
- inelastic
- Low compression at rest
- Higher compression with activity
Unna’s Boot
- Short stretch Paste bandage
- venous insufficiency ulcers in an edematous LE (high level of exudate)
- can be single or multi-layer
- Dressings are changed 1-2x/week depending on wound drainage
Importance of paste bandage
- greatest effect on ambulatory patients
- support against calf muscle pump
Profore
- multi-layer short stretch
- indicated for venous insufficiency ulcer in an edematous LE
- can be used for mixed arterial and venous insufficiency
- Must ensure ABI > 0.8
- Change every 4-7 days
Layers of Profore
- First and second layer absorb drainage
- Third and Fourth layers provide higher compression
Purpose of ACE wraps/ Shrinker Socks for post Amputations patients
- edema management
- promote healing
- decrease pain
- limb shaping
When are long stretch bandages such as ACE wraps used?
- Post-LE amputation
Negative Pressure Wound Therapy
- AKA Wound Vacuum-Assisted Closure
- brand name for the first system available in the US
Purpose/effects of Negative Pressure Wound Therapy
- Reduces edema
- Promotes granulation
- Increase blood flow
- Increase purfusion
- Maintain moist, warm wound environment
Indications for NPWT
- chronic, acute, traumatic wounds
- Partial thickness burns
- dehisced wounds
- pressure ulcers
- neuropathic ulcers
- muscle flaps and skin grafts
Contraindications for NPWT
- necrotic wounds
- body cavity wounds
- untreated osteomyelitis
- active bleeding
Mechanism of Kinesio Taping for Edema
- tape lifts the skin from subcutaneous layers > creating decreased interstitial pressures > improved lymphatic flow
Kinesio Taping can be beneficial in?
- improved lymphatic flow
- pain relief from reduced swelling
Limited and cautioned use of Kinesio taping for patients with?
- chronic skin conditions or open wounds
- Thin fragile skin
- Skin sensitivities to adhesives
Non-contact Normothermic Wound Therapy
- Increase temperature to improve blood flow
Electrical stimulation
- beneficial across all 3 stages of healing
Ultraviolet C
- Vasodilation
- Increased vitamin D production
High frequency Ultrasound
- Positive effects across all three phases of wound healing
Non-Contact Low-frequency Ultrasound
- aids in wound debridement
Cold Laser
- Improved cell proliferation
- Pain relief
Hyperbaric Oxygen therapy
- Stimulates healing by providing more oxygen
Types of pain associated with wounds: PQRST
- P: what provokes the pain
- Q: what is the quality of the pain
- R: does it radiate?
- S: How Severe is it?
- T: what are the temporal characteristics?
Background Pain
- can be present at rest
Breakthrough pain
- triggered by trauma, incident or mobility
Procedural Pain
- Most painful
- From dressing changes, debridement
Pain Medications for Wound Care
Step 1: Nonopioid Analgesics
Step 2: Opioids for Mild-to- Mod pain
Step 3: Opioids for Mod-to- Severe Pain
Reimbursement coverage varies by?
- type of health plan
- setting of care
- condition of the patient
Essential wound care documentation should include?
- change in clinical status or wound healing progress
- characteristics of the wound
- local wound care and dressing selection
- nutritional status
