Wound Care

Question 1

What are the patient related factors in dressing selection?

Answer 1

Wound aetiology
Known sensitivity
Fragile or easily damaged skin
Hygiene need/bathe or shower frequently
Mobility/dexterity/function
Compliance/concordance

Question 2

What does the T in the ‘TIME’ acronym stand for and what is its aim?

Answer 2

Tissue
Aim: Identify tissue health/control absent or devitalised tissue - establish depth and area. Debride necrotic tissue (if safe), and protect viable tissue

Question 3

What does the M in the ‘TIME’ acronym stand for and what is its aim?

Answer 3

Moisture balance
Aim: hydration or moisture control/prevention desiccation, maintain moist environment but control excessive exudates
- if no blood supply keep it dry

Question 4

What does the E in the ‘TIME’ acronym stand for and what is its aim?

Answer 4

Edge security/ migration and surrounding skin
Aim: Maintain integrity of periwound skin and maximise support and function of surrounding skin. Prevent maceration/excoriation.
Prevent/reduce oedema/ischaemia

Question 5

Exposed bone, tendon, and cartilage must be kept what?

Answer 5

Most

Question 6

Nectrotic tissue i.e tissue with no blood supply must be kept what?

Answer 6

Dry