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  • Worcestershire County Podiatry Guide To Wound Management: Necrotic

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    ShazwaniNadiaAbdRahim
    328 tayangan1 halaman
    This document provides guidance on wound classification and treatment for podiatry in Worcestershire County. It classifies wounds as necrotic, sloughy, infected, granulating, or epithelializing and recommends different dressings and treatment objectives for each stage. Treatment objectives include debriding necrotic tissue, removing slough to promote granulation, managing infection with antibiotics, promoting granulation and a healthy base for healing, and promoting epithelialization and wound maturation. The document recommends various hydrogel, foam, silicone, alginate, and hydrofiber dressings to address exudate levels and wound stage. It notes palliative wounds may require different objectives and strategies focused on quality of life. Contact information is provided for tissue viability support

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    This document provides guidance on wound classification and treatment for podiatry in Worcestershire County. It classifies wounds as necrotic, sloughy, infected, granulating, or epithelializing and recommends different dressings and treatment objectives for each stage. Treatment objectives include debriding necrotic tissue, removing slough to promote granulation, managing infection with antibiotics, promoting granulation and a healthy base for healing, and promoting epithelialization and wound maturation. The document recommends various hydrogel, foam, silicone, alginate, and hydrofiber dressings to address exudate levels and wound stage. It notes palliative wounds may require different objectives and strategies focused on quality of life. Contact information is provided for tissue viability support

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    328 tayangan1 halaman

    Worcestershire County Podiatry Guide To Wound Management: Necrotic

    Diunggah oleh

    ShazwaniNadiaAbdRahim
    This document provides guidance on wound classification and treatment for podiatry in Worcestershire County. It classifies wounds as necrotic, sloughy, infected, granulating, or epithelializing and recommends different dressings and treatment objectives for each stage. Treatment objectives include debriding necrotic tissue, removing slough to promote granulation, managing infection with antibiotics, promoting granulation and a healthy base for healing, and promoting epithelialization and wound maturation. The document recommends various hydrogel, foam, silicone, alginate, and hydrofiber dressings to address exudate levels and wound stage. It notes palliative wounds may require different objectives and strategies focused on quality of life. Contact information is provided for tissue viability support

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    Worcestershire County Podiatry Guide to Wound Management

    NECROTIC

    SLOUGHY

    INFECTED

    GRANULATING

    EPITHELIALISING

    Wound
    Classification

    Flat Wound

    Treatment
    Objective
    No
    exudate

    Hydrogel + Foam / Silicone foam


    Hydrocolloid
    Silicone adhesive remover

    Low moderate
    exudate

    Hydrogel + Foam / Silicone foam


    Hydrocolloid
    Silicone adhesive remover

    Moderate high
    exudate

    Hydrogel / Alginate / Hydrofiber


    + Foam / Silicone foam
    Hydrocolloid
    Silicone adhesive remover

    Low
    moderate
    exudate

    Hydrogel +
    Foam / Silicone foam
    Hydrocolloid
    Silicone adhesive remover
    Hydrogel / Alginate / Hydrofiber
    + Foam / Silicone foam /
    Hydrocolloid
    Silicone adhesive remover

    Moderate high
    exudate

    Hydrogel / Alginate / Hydrofiber


    + Foam / Silicone foam
    Hydrocolloid
    Silicone adhesive remover

    No
    exudate
    Cavity Wound

    Debride & remove necrotic tissue


    & eschar/prevent infection
    NB If Palliative, ischaemic or
    arterial DO NOT attempt
    debridement & consider referral
    Necrotic toes to be left dry

    Remove slough & provide


    clean base for granulation.
    Protect surrounding skin
    Larvae in bags
    Hydrogel + Foam / Silicone foam
    + Cavilon (peri-wound)
    Larvae in bags
    Alginate / Hydrofiber +
    Foam / Silicone foam
    Hydrocolloid +
    Cavilon (peri-wound)
    Larvae in bags
    Alginate / Hydrofiber +
    Foam / Silicone foam
    Hydrocolloid +
    Cavilon (peri-wound)
    Larvae in bags
    Hydrogel + Foam
    Hydrocolloid +
    Cavilon (peri-wound)
    Larvae in bags
    Hydrogel/ Alginate / Hydrofiber +
    Foam
    Foam/Silicone/Hydrocolloid +
    Cavilon (peri-wound)
    Larvae in bags
    Alginate / Hydrofiber + Foam /
    Hydrocolloid +
    Cavilon (peri-wound)

    Manage infection
    Swab, appropriate antibiotic
    therapy. Protect surrounding
    skin. Prevent further infection.

    Promote granulation &


    provide healthy base for
    epithelialisation

    Promote epithelialisation &


    wound maturation

    Iodine / Honey / Silver

    Foam / Hydrocolloid or Silicone


    foam / Lipidocolloid / Low
    adherent

    Foam / Silicone foam / Low


    adherent dressing

    Iodine / Honey / Silver

    Foam / Hydrocolloid or Silicone


    foam / Lipidocolloid / Low
    adherent

    Foam / Silicone foam / Low


    adherent dressing

    Alginate / Hydrofiber
    Honey / Iodine /Silver

    Foam / Silicone foam /


    Hydrocolloid
    Alginate / Hydrofibre

    Foam / Silicone foam / Low


    adherent dressing / alginate /
    Hydrofiber

    Inadine
    Foam / Silicone foam
    Hydrocolloid

    Foam / Silicone foam /


    Hydrocolloid + Silicone
    adhesive remover

    Foam / Silicone foam / Low


    adherent dressing

    Alginate / Hydrofiber /
    Honey / Iodoflex
    Foam / Silicone foam /
    Hydrocolloid

    Alginate / Hydrofiber /
    Foam / Hydrocolloid + Silicone
    adhesive remover

    Alginate / Hydrofiber /
    Foam / Silicone foam / Low
    adherent dressing

    Alginate / Hydrofiber /
    Honey / Iodine

    Alginate / Hydrofiber /
    Foam / Hydrocolloid + Silicone
    adhesive remover+ Silicone
    adhesive remover

    Alginate / Hydrofiber /
    Foam / Silicone foam / Low
    adherent dressing

    NB. In palliative wound care the objectives of the dressing may be different and a variety of strategies used to improve quality of life
    To contact Tissue Viability in Primary Care please email jayne.allchurch@worcspct.nhs.uk or j.stephen-haynes@nhs.net or Telephone 01299 879453
    Printed March 2010

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