Best practice wound management. Liz Milner Wound Consultant

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Best practice wound management. Liz Milner Wound Consultant"

Transcription

1 Best practice wound management Liz Milner Wound Consultant

2 The goals of wound care: reducing risks that inhibit wound healing, enhancing the healing process, and lowering the incidence of wound infections.

3 Reduction in wound area as a predictor Reduction in wound week 2 and 4 is a good predictor of the ability to heal by week 12 Venous leg ulcers a 20-40% reduction in wound area within 2 to 4 weeks Diabetic foot ulcer a reduction of >50% by week 4 of healing

4 Wounds UK wounds-uk.com Clinical Psychosocial Poor tissue perfusion/hypoxia Effects if pain, e.g. sleep disturbances Necrotic tissue Effects of odour, e.g. social isolation High bacterial load/infection Reduced motivation with treatment Oedema Lack of education and support Copious exudate/maceration Inability to self care Skin problems, e.g. eczema, hypersensitivities Altered mood, e.g. apathy/depression Malnutrition/dehydration Systemic conditions Barriers to healing Educational Traditional knowledge/ritualistic practice Inappropriate training and support Lack of understanding of research process Poor quality research Lack of critical appraisal skills Negative attitudes to evidence-based practice Information overload Professional /organisational Lack of consensus; expert opinion Inconsistent research findings No standardisation of accepted practice Interprofessional rivalry Lack of effective clinical role models Instability of health services Lack of resources Lack of focus on wound management

5 PRINCIPLES OF WOUND MANAGEMENT Understand Cause Aetiology acute / chronic wound History, examination, investigations, referrals Diagnosis! Heal Prevent / Maintain Palliative ongoing care Focus on Person with wound Identify / Rx Factors effecting healing Assess - Identify Short / Long Term Goals, Expected Outcomes Plan Care, * Implement,* Evaluate Outcomes Product selection / interventions based on skin / wound needs W.White 05

6 Their Journey Aims of Care Expected Outcome Healing Maintenance Palliation Our role is crucial: Identifying needs addressing Person / wound / skin

7 So why does an acute wound lead to a chronic ulcer? Many factors e.g. impaired oxygenation, malnutrition, non-adherence to care partnership Infection, increase in protease activity; decreased growth factor activity.

8 So why don t wounds heal? Has it got something to do with excess protease activity! It is difficult to assess the level of proteases in wound beds Research show a consistent trend of low levels in acute wounds and high levels in stalled wounds

9 The use of a point-of-care diagnostic test Principles for protease activity Treat the underlying cause and any factors that may aggravate the wound e.g. compression, pressure relief, correct ischemia etc Optimise the wound bed and patient condition Modulate protease activity, e.g. Proteasemodulating dressings

10 Reducing excess protease activity Cleansing: regular wound cleansing Debridement: remove slough at each dressing change reducing bacterial load that may acts as an inflammatory stimuli Protease inactivators: to bind and inactivate MMPs and elastase Antiseptic dressings: ( Iodine or silver) a reduction in bacterial levels may reduce protease activity by reducing the host and bacterial protease production

11 Reducing excess protease activity Anti-inflammatories: oral or topical doxycycline is a potent anti-inflammatory and antimicrobial. Steroid therapy has an anti-inflammatory effect by up-regulating the anti-inflammatory proteins and down-regulating the pro-inflammatory proteins Dressings and devices: that absorb/remove wound exudate: absorbant dressings and materials may reduce protease activity by removing proteasecontaining wound fluid. An effect of Negative pressure wound therapy may reduce protease activity

12 Ideal best practice guidelines Patient-centred wound care, Reflects increasing awareness and interest among practitioners in the social impact of living with a chronic wound. Patients are now more knowledgeable about treatment options and are increasingly becoming involved as active members of the wound-management team. Practitioners need to keep themselves up to date on new technologies and techniques in wound healing.

EWMA Educational Development Programme. Curriculum Development Project. Education Module. Wound Infection

EWMA Educational Development Programme. Curriculum Development Project. Education Module. Wound Infection EWMA Educational Development Programme Curriculum Development Project Education Module Wound Infection Latest revision: February 2014 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The Programme is designed

More information

Venous Leg Ulcers. Care for Patients in All Settings

Venous Leg Ulcers. Care for Patients in All Settings Venous Leg Ulcers Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a venous leg ulcer. The scope of the standard

More information

Haemoglobin. Granulox: TOPICAL HAEMOGLOBIN

Haemoglobin. Granulox: TOPICAL HAEMOGLOBIN QUICK GUIDE Haemoglobin Granulox: TOPICAL HAEMOGLOBIN OXYGEN AND WOUND HEALING 1 Oxygen is needed at all phases of wound healing Insufficient wound tissue oxygenation is a major risk factor for delayed

More information

Case study: A targeted approach to healing complex wounds using the geko device.

Case study: A targeted approach to healing complex wounds using the geko device. Case study: A targeted approach to healing complex wounds using the geko device. Authors: Mr Sameh Dimitri Consultant Vascular and Endovascular Surgeon MSc FRCS (Eng Edin) Nikki Pavey Physiotherapist at

More information

Wound Healing Community Outreach Service

Wound Healing Community Outreach Service Wound Healing Community Outreach Service Wound Management Education Plan January 2011 December 2011 Author: Michelle Gibb Nurse Practitioner Wound Management Wound Healing Community Outreach Service Institute

More information

VENOUS LEG ULCERS (VLU)

VENOUS LEG ULCERS (VLU) VENOUS LEG ULERS (VLU) REOMMENDTION S Evidence-based gradings Excellent evidence ody of evidence can be trusted to guide practice. Good evidence ody of evidence can be trusted to guide practice in most

More information

AWMA MODULE ACCREDITATION. Module Six: Management of Oncology Related and Palliative Wounds

AWMA MODULE ACCREDITATION. Module Six: Management of Oncology Related and Palliative Wounds AWMA MODULE ACCREDITATION Module Six: Management of Oncology Related and Palliative Wounds Introduction- The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA

More information

DRESSING SELECTION. Rebecca Aburn MN NP Candidate

DRESSING SELECTION. Rebecca Aburn MN NP Candidate DRESSING SELECTION Rebecca Aburn MN NP Candidate Should be individually tailored in conjunction with the patient to meet their individual needs. WOUND MANAGEMENT: Comprehensive health assessment Wound

More information

Lower Extremity Wound Evaluation and Treatment

Lower Extremity Wound Evaluation and Treatment Lower Extremity Wound Evaluation and Treatment Boni-Jo Silbernagel, DPM Describe effective lower extremity wound evaluation and treatment. Discuss changes in theories of treatment in wound care and implications

More information

RN Cathy Hammond. Specialist Wound Management Service at Nurse Maude Christchurch

RN Cathy Hammond. Specialist Wound Management Service at Nurse Maude Christchurch RN Cathy Hammond Specialist Wound Management Service at Nurse Maude Christchurch 14:00-14:55 WS #141: Wound Infection - What You Need to Know 15:05-16:00 WS #153: Wound Infection - What You Need to Know

More information

Topical antimicrobials (antiseptics) Iodine, Silver, Honey

Topical antimicrobials (antiseptics) Iodine, Silver, Honey Topical antimicrobials (antiseptics) Iodine, Silver, Honey Iodine Honey Silver Enzymatic debridement Proteolytic enzyme, also called Proteinase Proteinase breaks the long chainlike molecules of proteins

More information

Debridement within the context of the EWMA s debridement guidelines. Emil Schmidt WCNS SDHB - Otago

Debridement within the context of the EWMA s debridement guidelines. Emil Schmidt WCNS SDHB - Otago Debridement within the context of the EWMA s debridement guidelines Emil Schmidt WCNS SDHB - Otago EWMA Debridement Document Expert consensus document, 2013 Contents Mechanical debridement options Autolytic

More information

Silver Dressings. Sajida Khatri PrescQIPP Primary Care Lead.

Silver Dressings. Sajida Khatri PrescQIPP Primary Care Lead. Silver Dressings Sajida Khatri PrescQIPP Primary Care Lead www.prescqipp.info Available at: www.prescqipp.info/silverdressings 2 Introduction PrescQIPP Silver dressings bulletin published in March 2014

More information

Diabetic Foot Ulcers. Care for Patients in All Settings

Diabetic Foot Ulcers. Care for Patients in All Settings Diabetic Foot Ulcers Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a diabetic foot ulcer. The scope of the standard

More information

Effective Diagnosis of Local Wound Bed Infection. Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust

Effective Diagnosis of Local Wound Bed Infection. Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust Effective Diagnosis of Local Wound Bed Infection Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust Localised Wound Bed Infection is the Result of imbalance between patient s

More information

SDMA Categorisation of Wound Care and Associated Products

SDMA Categorisation of Wound Care and Associated Products Version 7 - February 2015 TAPES AND TRADITIONAL DRESSINGS Traditional Wound Dressings Wound Dressings Packs Swabs Swabs Swab Products Adhesive Tapes Taping Sheets Absorbent Wadding Absorbent Dressings

More information

Chronic wounds need an ideal microenvironment. NEXODYN TM can support the physiological healing process.

Chronic wounds need an ideal microenvironment. NEXODYN TM can support the physiological healing process. Chronic wounds need an ideal microenvironment. can support the physiological healing process. Wound microenvironment of chronic wounds represents a major therapeutic challenge¹ The most relevant factors

More information

Appropriate use of silver dressings

Appropriate use of silver dressings Appropriate use of silver dressings David Keast, Center Director, Aging Rehabilitation and Geriatric Care Research Centre, St Joseph s Parkwood Hospital, London, Ontario, Canada Role of antimicrobial dressings

More information

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Medical technology guidance SCOPE Debrisoft for the debridement of acute and chronic wounds 1 Technology 1.1 Description of the technology The Debrisoft

More information

Assessment & Management of Wounds in primary practice.

Assessment & Management of Wounds in primary practice. Assessment & Management of Wounds in primary practice. Nutrition Successful wound management depends on appropriate nutritional support. Poor nutrition is recognised as one of the major causes of poor

More information

Advazorb. Hydrophilic foam dressing range

Advazorb. Hydrophilic foam dressing range Advazorb Hydrophilic foam dressing range Advazorb A comprehensive range of patient friendly, absorbent foam dressings Non-adhesive and atraumatic silicone adhesive options Designed to manage exudate whilst

More information

This article is based on a symposium held

This article is based on a symposium held Advances in wound cleansing: an integrated approach LIZ OVENS Independent Tissue Viability Specialist Nurse SALLY IRVING Independent Tissue Viability Nurse Consultant This article is based on a symposium

More information

Palliative Care. EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for. Treatment. Improving Quality of Care Based on CMS Guidelines 39

Palliative Care. EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for. Treatment. Improving Quality of Care Based on CMS Guidelines 39 Treatment EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for Palliative Care Dealing with the end of a loved one s life is difficult enough, but when wound and skin care issues are involved, the decisions

More information

NHS RightCare scenario: The variation between standard and optimal pathways

NHS RightCare scenario: The variation between standard and optimal pathways January 2017 NHS RightCare scenario: The variation between standard and optimal pathways Betty s story: Wound care Appendix 1: Summary slide pack January 2017 Betty s story This is the story of Betty s

More information

Essity Internal. Taking the fear out of wound infection: conquering everyday issues

Essity Internal. Taking the fear out of wound infection: conquering everyday issues Taking the fear out of wound infection: conquering everyday issues Learning objectives 1. Identifying the cost which wound infection can have on both the patient and healthcare organisations 2. Understanding

More information

Dressings do not heal wounds properly selected dressings enhance the body s ability to heal the wound. Progression Towards Healing

Dressings do not heal wounds properly selected dressings enhance the body s ability to heal the wound. Progression Towards Healing Dressings in Wound Care: They Do Matter John S. Steinberg, DPM FACFAS Associate Professor, Department of Plastic Surgery Georgetown University School of Medicine Dressings do not heal wounds properly selected

More information

Understanding our report and advice: Antimicrobial wound dressings (AWDs) for chronic wounds

Understanding our report and advice: Antimicrobial wound dressings (AWDs) for chronic wounds Understanding our report and advice: Antimicrobial wound dressings (AWDs) for chronic wounds Health technology assessment report 13 December 2015 Healthcare Improvement Scotland 2015 Published December

More information

Lower Extremity Venous Disease (LEVD)

Lower Extremity Venous Disease (LEVD) Lower Extremity Venous Disease (LEVD) Lower Extremity Venous Disease (LEVD) Wounds Etiology Lower extremity venous leg ulcers are caused by chronic venous hypertension. Failure of valves in the veins or

More information

PRESSURE ULCERS SIMPLIFIED

PRESSURE ULCERS SIMPLIFIED 10 PRESSURE ULCERS SIMPLIFIED This leaflet is intended to give you information and answers to some question you may have around pressure ulcers PRESSURE ULCERS SIMPLIFIED Pressure ulcer development has

More information

PRODIGY Quick Reference Guide

PRODIGY Quick Reference Guide PRODIGY Quick Venous leg ulcer infected How do I assess a venous leg ulcer? Chronic venous insufficiency and venous hypertension result from damage to the valves in the veins of the leg and inadequate

More information

MANAGEMENT OF DIABETIC WOUNDS : HEALTH CLINIC SETTING DR NORLIZAH PAIDI FAMILY MEDICINE SPECIALIST KLINIK KESIHATAN BANDAR MAS KOTA TINGGI JOHOR

MANAGEMENT OF DIABETIC WOUNDS : HEALTH CLINIC SETTING DR NORLIZAH PAIDI FAMILY MEDICINE SPECIALIST KLINIK KESIHATAN BANDAR MAS KOTA TINGGI JOHOR MANAGEMENT OF DIABETIC WOUNDS : HEALTH CLINIC SETTING DR NORLIZAH PAIDI FAMILY MEDICINE SPECIALIST KLINIK KESIHATAN BANDAR MAS KOTA TINGGI JOHOR OUTLINE DEFINITION FACTORS CONTRIBUTING TO WOUND DEVELOPMENT

More information

Categorisation of Wound Care and Associated Products

Categorisation of Wound Care and Associated Products Categorisation of Wound Care and Associated Products Version 9 March 2018 Surgical Dressing Manufacturers Association 2018 TAPES AND TRADITIONAL DRESSINGS Wound Dressings Swabs Taping Traditional Wound

More information

WHY WOUNDS FAIL TO HEAL SIMPLIFIED

WHY WOUNDS FAIL TO HEAL SIMPLIFIED WHY WOUNDS FAIL TO HEAL SIMPLIFIED 10 Some of the common signs of failure to heal with possible causes and some interventions WHY WOUNDS FAIL TO HEAL There must be adequate supplies of nutrients and oxygen

More information

A Pilot Study of Oxygen Therapy for Acute Leg Ulcers

A Pilot Study of Oxygen Therapy for Acute Leg Ulcers A Pilot Study of Oxygen Therapy for Acute Leg Ulcers Background: The concept of increasing the oxygen concentration in healing wounds developed originally with hyperbaric oxygen therapy and from the fact

More information

AWMA MODULE ACCREDITATION. Module Three: Assessment and Management of Lower Leg Ulceration

AWMA MODULE ACCREDITATION. Module Three: Assessment and Management of Lower Leg Ulceration AWMA MODULE ACCREDITATION Module Three: Assessment and Management of Lower Leg Ulceration Introduction - The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA

More information

Wound Management. E. Foy White-Chu, MD, CWSP

Wound Management. E. Foy White-Chu, MD, CWSP Wound Management E. Foy White-Chu, MD, CWSP E. Foy White-Chu, MD, CWSP Assistant Professor, OHSU Wound Medical Director, VAPORHCS List the Four Principles of Wound Bed Preparation Determine safe debridement

More information

Supporting healthcare professionals in taking control of the infection risk with ACTICOAT Flex TAKE CONTROL. of the infection risk in chronic wound

Supporting healthcare professionals in taking control of the infection risk with ACTICOAT Flex TAKE CONTROL. of the infection risk in chronic wound Supporting healthcare professionals in taking control of the infection risk with ACTICOAT Flex TAKE CONTROL of the infection risk in chronic wound Introduction The impact of infection on patients is well

More information

Foam dressings have frequently

Foam dressings have frequently The practical use of foam dressings Efficient and cost-effective management of excessive exudate continues to challenge clinicians. Foam dressings are commonly used in the management of moderate to heavily

More information

Prevention and Management of Leg Ulcers

Prevention and Management of Leg Ulcers EWMA Educational Development Programme Curriculum Development Project Education Module: Prevention and Management of Leg Ulcers Latest revision: October 2015 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME

More information

Agenda (45 minutes) Some questions for you. Which wound dressing? Dressing categories/types. Summary

Agenda (45 minutes) Some questions for you. Which wound dressing? Dressing categories/types. Summary Dressing selection Agenda (45 minutes) Some questions for you. Which wound dressing? Dressing categories/types Summary Which wound dressing poster Ref: Which wound dressing? Practice Nursing, September

More information

TIME CONCEPT AND LOCAL WOUND MANAGEMENT

TIME CONCEPT AND LOCAL WOUND MANAGEMENT TIME CONCEPT AND LOCAL WOUND MANAGEMENT B. BRAUN WOUND CARE INTRODUCTION: TIME is a global care framework used to implement appropriate care plans and promote wound healing Tissue Management Inflammation

More information

Disclosures for Tarik Alam. Wound Bed Preparation. Wound Prognosis. Session Objectives. Debridement 4/26/2015

Disclosures for Tarik Alam. Wound Bed Preparation. Wound Prognosis. Session Objectives. Debridement 4/26/2015 Disclosures for Tarik Alam Challenges in Managing Bioburden and Devitalized Tissue Tarik Alam RN, BScN, ET, MClSc(WH) Enterostomal Therapy Nurse tarikalam@hotmail.com Clinical Affairs Manager for Hollister

More information

Obesity and Lymphoedema : a clinical dilemma

Obesity and Lymphoedema : a clinical dilemma Obesity and Lymphoedema : a clinical dilemma Professor Christine Moffatt CBE Professor of Clinical Nursing Research & Nurse consultant Royal Derby Hospital Foundation Trust Lymphoedema Service Chair ILF

More information

Resources to Guide the Management of Suspected Infection in Chronic Wounds

Resources to Guide the Management of Suspected Infection in Chronic Wounds Resources to Guide the Management of Suspected Infection in Chronic Wounds Health Improvement Scotland published their 13th Health Technology Assessment (HTA 13) in December 2015 entitled, Antimicrobial

More information

INTRODUCTION TO WOUND DRESSINGS

INTRODUCTION TO WOUND DRESSINGS WOUND CARE INTRODUCTION TO WOUND DRESSINGS JEC 2017 Wound Care Successfully completed specialized skills training in Wound Management. WOUND CONDITIONS & SYMBOLS BY COLOURS Yellow Black Necrotic tissue

More information

The Power of a Hydroconductive Wound Dressing with LevaFiber Technology

The Power of a Hydroconductive Wound Dressing with LevaFiber Technology The Power of a Hydroconductive Wound Dressing with LevaFiber Technology The first step in healing a chronic wound is to detoxify it by removing slough, necrotic tissue, exudate and bacteria, while keeping

More information

Introducing Mepilex Transfer Ag It all adds up to undisturbed healing. Antimicrobial wound contact layer with Safetac technology

Introducing Mepilex Transfer Ag It all adds up to undisturbed healing. Antimicrobial wound contact layer with Safetac technology Introducing Mepilex Transfer Ag It all adds up to undisturbed healing Antimicrobial wound contact layer with Safetac technology Mepilex Transfer Ag Help the body heal The importance of less pain The body

More information

Beyond the Basics ImprovingYour Wound Care Knowledge. Berna Goldentyer RN, BSN, CWOCN Kathy Hugen RN, BSN, CWOCN

Beyond the Basics ImprovingYour Wound Care Knowledge. Berna Goldentyer RN, BSN, CWOCN Kathy Hugen RN, BSN, CWOCN Beyond the Basics ImprovingYour Wound Care Knowledge Berna Goldentyer RN, BSN, CWOCN Kathy Hugen RN, BSN, CWOCN Projects and Posters These resources were developed by creative VA nurses who had no special

More information

CASE 1: TYPE-II DIABETIC FOOT ULCER

CASE 1: TYPE-II DIABETIC FOOT ULCER CASE 1: TYPE-II DIABETIC FOOT ULCER DIABETIC FOOT ULCER 48 YEAR-OLD MALE Mr. C., was a 48-year old man with a history of Type-II diabetes over the past 6 years. The current foot ulcer with corresponding

More information

Wound healing is a dynamic and

Wound healing is a dynamic and Evaluation of the mode of action of a new gel wound dressing KEY WORDS Protease inhibition MMPs Leg ulcer Wound pain This study aimed to evaluate the mode of action of a new dressing, KerraLite Cool. KerraLite

More information

Wound Healing: General Principles. Mansour Dib MD

Wound Healing: General Principles. Mansour Dib MD Wound Healing: General Principles Mansour Dib MD Normal Wound Healing Chronic Wounds: Stuck Where does it get stuck? Mostly Proliferation Sometimes Remodeling Why? Systemic factors Local factors How do

More information

AWMA MODULE ACCREDITATION. Module Seven: Conservative Sharp Wound Debridement

AWMA MODULE ACCREDITATION. Module Seven: Conservative Sharp Wound Debridement AWMA MODULE ACCREDITATION Module Seven: Conservative Sharp Wound Debridement Introduction- The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA EPDSC) has

More information

The Management of Lower Limb Oedema. Catherine Hammond CNS/CNE 2018

The Management of Lower Limb Oedema. Catherine Hammond CNS/CNE 2018 The Management of Lower Limb Oedema Catherine Hammond CNS/CNE 2018 Causes of oedema Venous stasis Lymphoedema Heart Failure Dependency Liver and kidney failure Medications Cellulitis Low protein Under

More information

HydroTherapy: A simple approach to Wound Management

HydroTherapy: A simple approach to Wound Management Copyright Paul Hartmann Pty Ltd material may not be reproduced or used without written permission HydroTherapy: A simple approach to Wound Management HARTMANN Education Agenda Agenda Acute vs Chronic wounds:

More information

Fundamentals Of Wound Management. Julie Hewish Senior Tissue Viability Nurse

Fundamentals Of Wound Management. Julie Hewish Senior Tissue Viability Nurse Fundamentals Of Wound Management Julie Hewish Senior Tissue Viability Nurse Wound Management What are we trying to achieve? Maintaining a controlled set of local conditions that is able to sustain the

More information

Mean percent reduction in ulcer area from baseline at six weeks 62 % SANTYL Ointment + supportive care* + sharp debridement 1 (P<0.

Mean percent reduction in ulcer area from baseline at six weeks 62 % SANTYL Ointment + supportive care* + sharp debridement 1 (P<0. Evaluating two common adjuncts to sharp debridement in the treatment of diabetic foot ulcers Mean percent reduction in ulcer area from baseline at six weeks 62 % 40 % SANTYL Ointment + supportive care*

More information

DRESSING SELECTION SIMPLIFIED

DRESSING SELECTION SIMPLIFIED 10 DRESSING SELECTION SIMPLIFIED It must be recognised that no one dressing provides the optimum environment for the healing of all wounds (Mahoney, 2015) DRESSING SELECTION SIMPLIFIED Selecting the correct

More information

AWMA MODULE ACCREDITATION. Module Five: The High Risk Foot (Including the Diabetic Foot)

AWMA MODULE ACCREDITATION. Module Five: The High Risk Foot (Including the Diabetic Foot) AWMA MODULE ACCREDITATION Module Five: The High Risk Foot (Including the Diabetic Foot) Introduction - The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA

More information

WOUND CARE. By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare

WOUND CARE. By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare WOUND CARE By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare PRESSURE ULCER DIABETIC FOOT ULCER VENOUS ULCER ARTERIAL WOUND NEW OR WORSENING INCONTINENCE CHANGE IN MENTAL STATUS DECLINE IN

More information

ACOFP 55th Annual Convention & Scientific Seminars. New Physicians and Residents: Introduction to Wound Care. Katherine Lincoln, DO, FAAFP

ACOFP 55th Annual Convention & Scientific Seminars. New Physicians and Residents: Introduction to Wound Care. Katherine Lincoln, DO, FAAFP 8 ACOFP 55th Annual Convention & Scientific Seminars New Physicians and Residents: Introduction to Wound Care Katherine Lincoln, DO, FAAFP Introduction to Wound Care KATHERINE LINCOLN, DO, FAAFP ACOFP

More information

Managing Wounds. Esther White Tissue Viability Nurse

Managing Wounds. Esther White Tissue Viability Nurse Managing Wounds Esther White Tissue Viability Nurse First things first.. Assess, measure and photograph Know what you re dealing with, look at anatomical position and the bigger picture to look for extra

More information

Wound Management Capital Health Network Practice Nurses 20 Feb 2018

Wound Management Capital Health Network Practice Nurses 20 Feb 2018 Wound Management Capital Health Network Practice Nurses 20 Feb 2018 ) MNP Judith Barker RN; NP; STN; B Hlth Sc (Nurs); MN (NP) Nurse Practitioner Wound Management Rehabilitation, Aged & Community Care

More information

Wound management accounts for

Wound management accounts for An audit to determine the clinical effectiveness of a pathway for managing wound infection KEY WORDS Wound management Infection risk Clinical pathway Audit Prevention of wound infection is a key objective

More information

Wound management accounts for

Wound management accounts for An audit to determine the clinical effectiveness of a pathway for managing wound infection. KEY WORDS Wound management Infection risk Clinical pathway Audit Prevention of wound infection is a key objective

More information

Prontosan. Clean. Easy Wound Healing. Wound Cleansing

Prontosan. Clean. Easy Wound Healing. Wound Cleansing Prontosan Clean. Easy Wound Healing. Wound Cleansing CoE Infection Control Prontosan the unique combination of Betaine & Polihexanide reduces healing time removes and prevents biofilm prevents infections

More information

Best Practice Statement

Best Practice Statement WUK BPS Best Practice Statement Making day-to-day management of biofilm simple 2017 BEST PRACTICE STATEMENT: MAKING DAY-TO-DAY MANAGEMENT OF BIOFILM SIMPLE PUBLISHED BY: Wounds UK A division of Omniamed,

More information

Appropriate Dressing Selection For Treating Wounds

Appropriate Dressing Selection For Treating Wounds Appropriate Dressing Selection For Treating Wounds Criteria to Consider for an IDEAL DRESSING Exudate Management Be able to provide for moist wound healing by absorbing exudate or adding moisture Secure

More information

Ray Norris, Rachel Henchy

Ray Norris, Rachel Henchy Use of low frequency ultrasound therapy in the treatment of recalcitrant leg ulcers: case series This series of case reports looks at the efficacy of low frequency ultrasound using the MIST Therapy System

More information

Assessment and Management of Pressure Injuries for the Interprofessional Team Third Edition RNAO Best Practice Guideline Launch

Assessment and Management of Pressure Injuries for the Interprofessional Team Third Edition RNAO Best Practice Guideline Launch Assessment and Management of Pressure Injuries for the Interprofessional Team Third Edition RNAO Best Practice Guideline Launch October 4, 2016 12:00 pm to 1:00pm Who will be speaking today? Irmajean Bajnok,

More information

The Risk. Background / Bias. Integrating Wound Care into a Limb Preservation Initiative 4/24/2009

The Risk. Background / Bias. Integrating Wound Care into a Limb Preservation Initiative 4/24/2009 Stimulating Wound Granulation: Advances in NPWT and other Measures (Wound Bed Preparation) Charles Andersen MD, FACS, FAPWCA Clinical Prof of Surgery UW, USUHS Chief Vascular/Endovascular/ Limb Preservation

More information

Advancing the science of wound bed preparation

Advancing the science of wound bed preparation Advancing the science of wound bed preparation How Drawtex wound dressing works LevaFiber Technology provides three different types of action. Mechanisms of Action Capillary Action Hydroconductive Action

More information

Ms Prudence Lennox. Ms Liz Milner. 15:30-16:00 Wound Management in Primary Care. Nurse Manager Healthcare Rehabilitation Auckland

Ms Prudence Lennox. Ms Liz Milner. 15:30-16:00 Wound Management in Primary Care. Nurse Manager Healthcare Rehabilitation Auckland Ms Liz Milner Nurse Manager Healthcare Rehabilitation Auckland Ms Prudence Lennox President NZ Wound Care Society 15:30-16:00 Wound Management in Primary Care Overview Wounds we see in primary care Flap

More information

Wound debridement: guidelines and practice to remove barriers to healing

Wound debridement: guidelines and practice to remove barriers to healing Wound debridement: guidelines and practice to remove barriers to healing Learning objectives 1. The burden of wounds and the impact to the NHS 2. Understand what debridement is and why it is needed 3.

More information

Evidence Base Medicine 外科 R1 陳勇璋

Evidence Base Medicine 外科 R1 陳勇璋 Evidence Base Medicine 外科 R1 陳勇璋 2010.01.19. Case Data: Name: 葉 xx Age:73 year old Gender: Lady Occupation:Nil Drug allergic: denied Food allergic :denied Chief Complaint: A wound over sacral region since

More information

Pressure Ulcer Prevention Guidelines

Pressure Ulcer Prevention Guidelines EUROPEAN PRESSURE ULCER ADVISORY PANEL Pressure Ulcer Prevention Guidelines INTRODUCTION Pressure damage is common in many healthcare settings across Europe, affecting all age groups, and is costly both

More information

Wound assessment is a

Wound assessment is a Wound assessment part 2: exudate Wound exudate provides the moist environment required for cell regeneration. However, in chronic wounds exudate can become excessive and prevent healing. Changes in the

More information

o Venous edema o Stasis ulcers o Varicose veins (not including spider veins) o Lipodermatosclerosis

o Venous edema o Stasis ulcers o Varicose veins (not including spider veins) o Lipodermatosclerosis Wound Care Equipment and Supply Benefits to Change for Texas Medicaid July 1, 2018 Effective for dates of service on or after July 1, 2018, wound care equipment and supply benefits will change for Texas

More information

Tissue Viability Service Wound Management Primary Care Formulary 2017

Tissue Viability Service Wound Management Primary Care Formulary 2017 Tissue Viability Service Wound Management Primary Care Formulary 2017 WMPF/TVS: March 2017 Review date: March 2019 Product Group Current Product Sizes Price per Item Hydrogel 1st Activheal Hydrogel 2nd

More information

Product overview

Product overview Editorial 1 Product overview www..com 2 Editorial In conjunction with targeted medical treatment, Editorial 3 wound dressings help to relieve symptoms and improve the quality of life of patients with acute

More information

School of Nursing and Midwifery. Tehran University of Medical Sciences. Summer Course. Wound & Wound Care Management

School of Nursing and Midwifery. Tehran University of Medical Sciences. Summer Course. Wound & Wound Care Management School of Nursing and Midwifery Tehran University of Medical Sciences Summer Course Wound & Wound Care Management 8-17 July, 1 Saturday, 8 July Topic Lecturer Time Introduction (Opening Ceremony) 8-9 Medical

More information

The impact of introducing a new foam dressing in community practice

The impact of introducing a new foam dressing in community practice Efficiency in wound care: The impact of introducing a new foam dressing in community practice ABSTRACT An audit of resource use was undertaken in 35 patients treated by two ambulatory wound care providers

More information

It is estimated that 730,000 patients suffer with

It is estimated that 730,000 patients suffer with The leg ulceration pathway: impact of implementation Leg ulceration continues to be a common cause of suffering for patients and the treatment of these patients continues to place a significant burden

More information

Reality TV Managing patients in the real world. Wounds UK Harrogate 2009

Reality TV Managing patients in the real world. Wounds UK Harrogate 2009 Reality TV Managing patients in the real world Wounds UK Harrogate 2009 Reality TV Managing patients in the real world Brenda M King Nurse Consultant Tissue Viability Sheffield PCT Harrogate 2009 Familiar

More information

Disclosures. Outpatient NPWT Options Free up Hospital Beds, but Do They Work? Objectives. Clinically Effective: Does it Work?

Disclosures. Outpatient NPWT Options Free up Hospital Beds, but Do They Work? Objectives. Clinically Effective: Does it Work? 4/16/16 Disclosures Consultant, Volcano Corporation Outpatient Options Free up Hospital Beds, but Do They Work? UCSF Vascular Symposium 16 Jonathan Labovitz, DPM Medical Director, Foot & Ankle Center Associate

More information

Tissue Viability Service Wound Management Primary Care Formulary 2017

Tissue Viability Service Wound Management Primary Care Formulary 2017 Tissue Viability Service Wound Management Primary Care Formulary 2017 WMPF/TVS: March 2017 Review date: March 2019 Product Group Current Product Sizes Price per Item Hydrogel 1st Activheal Hydrogel 2nd

More information

2/11/2016. Palliative Wound Management Workshop. Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS Carolyn Brown Consulting

2/11/2016. Palliative Wound Management Workshop. Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS Carolyn Brown Consulting Palliative Wound Management Workshop Be the best that you can be! Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS Carolyn Brown Consulting 727-348-5856 cbjackwill@gmail.com Learner Objectives After attending

More information

The clinical performance of PermaFoam cavity in the management of chronic wounds: a prospective, non-randomized clinical observation study

The clinical performance of PermaFoam cavity in the management of chronic wounds: a prospective, non-randomized clinical observation study The clinical performance of PermaFoam cavity in the management of chronic wounds: a prospective, non-randomized clinical observation study Woundmanagement Summary In the treatment of patients with chronic

More information

An investigation of Cutimed Sorbact as an antimicrobial alternative in wound management

An investigation of Cutimed Sorbact as an antimicrobial alternative in wound management An investigation of Cutimed Sorbact as an antimicrobial alternative in wound management G Kammerlander, E Locher, A Suess-Burghart, B von Hallern, P Wipplinger Abstract Background: Antimicrobial dressings

More information

Making the Most of your Dressing Products Catherine Hammond CNS/CNE

Making the Most of your Dressing Products Catherine Hammond CNS/CNE Making the Most of your Dressing Products 2013 Catherine Hammond CNS/CNE What do you need in your dressings cupboard? 2 Skin tear 3 4 Lack Confidence in Selecting Dressings? 5 Appropriate Use of Product

More information

Wound Care in the Community. Lisa Sutherland MSc Tissue Viability Senior Lead Ipswich Hospital & Community NHS Trusts

Wound Care in the Community. Lisa Sutherland MSc Tissue Viability Senior Lead Ipswich Hospital & Community NHS Trusts Wound Care in the Community Lisa Sutherland MSc Tissue Viability Senior Lead Ipswich Hospital & Community NHS Trusts What are the key elements? What is the patient s goal or aim for the wound? What are

More information

Many patients with chronic wounds. Case reports. The use of Prontosan in combination with Askina Calgitrol : an independent case series

Many patients with chronic wounds. Case reports. The use of Prontosan in combination with Askina Calgitrol : an independent case series Case reports The use of Prontosan in combination with Askina Calgitrol : an independent case series Author: Liezl Naude Many patients with chronic wounds will develop infection (Landis et al, 2007; Sibbald

More information

Understanding and Managing

Understanding and Managing Understanding and Managing MM s in Wound Bed Brock Liden DM, ABM, FAWCA Learning Objectives Review the four sequential phases of normal wound healing and recognize the BENEFICIAL effects of CONTROLLED

More information

The Triangle of Wound Assessment

The Triangle of Wound Assessment The Triangle of Wound Assessment A simple and holistic framework for wound management CPWSC_TOWA_Brochure_210x210_2018.indd 1 10/01/2018 15.13 ? We asked healthcare professionals around the world about

More information

Vacuumed Assisted Closure

Vacuumed Assisted Closure Vacuumed Assisted Closure Louise Morris Lead Nurse in Tissue Viability Jackie Stephen-Haynes Consultant Nurse and senior Lecturer in Tissue Viability 2009 Aims and Objectives To develop an awareness of

More information

We look forward to serving you.

We look forward to serving you. ADVANCED CARE GEMCORE360 offers healthcare professionals a simple, clear and cost-effective wound care range while ensuring excellent clinical outcomes for their patients. 1 At GEMCO Medical, we strive

More information

Wound Dressing. Choosing the Right Dressing

Wound Dressing. Choosing the Right Dressing Wound Dressing Choosing the Right Dressing Benefits of using the correct Drsg Helps create the optimal wound environment Increases healing rates Reduces pain Decreases infection rates Cost effective Care

More information