Wound Care

Kelly Ryan

• Publisher: Routledge
• Year: 2014
• eBook ISBN: 9781317905530
• Edition: 1
• Topic: Medicine
• Subtopic: Health Care Delivery

Ideal for quick reference in any ward or community environment, this pocket-sized guide puts all the crucial information on wound care at your fingertips.

It includes all you need to know on:

• Wound assessment
• Wound conditions
• Treatment and dressing choice
• Pressure ulcers and prevention
• Healing factors and risk assessment
• And much more…

Dressing choice

When it comes to choosing the correct dressings, you must first have an understanding of what the dressing aims to achieve, taking other factors into consideration, e.g. pain, odour, etc. There is a large variety of dressings currently available and each trust generally has its own selection which is used more often.

Quick view guide – Coventry and Warwickshire Partnership Trust: tissue viability

NB Debridement options only to be used on suitable patients once vascular flow has been assessed (as discussed later).

PRODUCT (GENERIC GROUPS IDENTIFIED IN RED)	DRESSING AIM
Alginate dressings
Low exudate Sorbsan (primary dressing)	• Pressure, venous stasis, diabetic or arterial ulcers; donor sites and other bleeding surface wounds; dermal lesions, trauma injuries or incisions
Medium exudate Aquacel (primary dressing)	• Exuding lesions including leg ulcers, pressure areas, donor sites and most other granulating wounds
High exudate Sorbsan Plus (primary/secondary dressing)	• Added secondary absorbent layer allowing for greater absorption capacity • For flat/shallow wounds or as a secondary dressing over wounds dressed with Sorbsan Flat, Ribbon or Packing • Moderate to heavy exudate levels
Packing Sorbsan Ribbon (primary dressing) Aquacel Ribbon (primary dressing)	• Flat, shallow, cavity or sinus wounds, moderate to heavy exudate levels • For exudating cavity wounds, such as pressure ulcers • Deep wounds, e.g. leg ulcers • Management of wounds that are prone to bleeding, e.g. trauma wounds
Hydrocolloid dressings (primary dressings)
Low exudate Hydrocoll thin	• Light to moderately exuding wounds • For use during epithelialisation
Medium exudate Hydrocoll border	• Moderately exuding wounds, second-degree burns, covering donor sites, abrasions, leg ulcers, pressure ulcers, treatment of chronic, slow-healing wounds where the granulation process is not progressing satisfactorily
Duoderm signal (primary/secondary dressing)	• Use on dermal ulcers including full thickness wounds, pressure ulcers Grades 2, 3, 4, leg ulcers, superficial wounds, partial thickness burns and donor sites
Hydrogel
Purilon (primary dressing)	• Fast and effective debridement, absorption of debris and excess exudate
Aquaform (primary dressing)	• Debridement, dry, sloughy and necrotic wounds
Actiform Cool (primary dressing)	• Painful wounds, leg ulcers, fast and active debridement, sloughy and necrotic tissue
Foam
Adhesive Biatain silicone (primary/secondary)	• Biatain silicone foam dressings are indicated for a wide range of exuding wounds including leg ulcers, pressure ulc...

Table of contents

• Cover
• Title Page
• Copyright Page
• Table of Contents
• INTRODUCTION
• FACTORS THAT INFLUENCE WOUND HEALING
• PHYSICAL, PSYCHOLOGICAL AND SOCIAL IMPACT OF WOUNDS
• WOUND ASSESSMENT
• TREATMENT PLAN
• DRESSING CHOICE
• WOUND TYPES
• OVERGRANULATION
• SKIN TEARS
• INFECTION CONTROL/HAND WASHING
• PATIENT CASE STUDY
• RECORD KEEPING
• PRESSURE AREA CARE
• INCIDENT REPORTING
• PATIENT REFERRAL: MULTIDISCIPLINARY WORKING
• IMAGE SOURCES
• REFERENCES
• USEFUL WEBSITES