Effective Diagnosis of Local Wound Bed Infection. Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust
|
|
- Aleesha Garrett
- 6 years ago
- Views:
Transcription
1 Effective Diagnosis of Local Wound Bed Infection Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust
2 Localised Wound Bed Infection is the Result of imbalance between patient s immune system and the conditions within the wound (EWMA 2005)
3 The Germ is nothing. It is the terrain in which it is found that is everything. Pasteur 1880
4 Trust Guidelines Wound Infection is a clinical diagnosis Wound swabs are only indicated where systemic antibiotic therapy is required. Antibiotics should not be used in the absence of systemic/soft tissue infection.
5 All wound contain bacteria therefore the Challenge: recognising the signs of an increase in the numbers of bacteria the bioburden, which may lead to infection. Timely intervention
6 Bacterial Balance Routine wound management: Peri-wound cleansing Exudate management Presence of non-replicating micro-organisms Patient and Wound Bed currently stable.
7 Contamination
8 Routine wound management: Peri-wound cleansing Exudate management Debridement Consider topical antimicrobial dressing Presence of multiplying micro-organisms with no injury to the host Healing potentially compromised
9 Colonisation
10 Proactive approach to wound management: Debridement Use of antimicrobials Exudate management Antibiotic therapy Yes / No Micro-organisms are a burden Patient experience: Acute Increased pain Acute Increasing exudate levels
11 Local Wound Bed Infection
12 Consider: Increased wound discharge Unexpected pain Non or delayed healing Wound breakdown Bridging of epithelium Pocketing in the wound bed Unhealthy granulation tissue: bright red, often friable, bleeding brown Granulation tissue Abscess formation Malodour
13 Assessment and Management of patients with Infected wounds Assessment and Management of symptoms of infection Consider possible systemic treatments for wound infection Consider topical treatments for wound infection
14 LOCAL SIGNS & SYMPTOMS Wound Bed Exudate Levels Wound Bed Contamination Patient s immune system is maintaining bacteria at safe levels. Healing/patient not compromised Wound surface area has reduced in size by 40% at 6 weeks. Positive granulation/epithelialisation Normal exudate for patient / wound type Pain No change Erythema Erythema not usually present SYSTEMIC SIGNS & SYMPTOMS None MANAGEMENT Systemic Anttimicrobials (antibiotics) High Risk Patient No Wound Swabs for M, C & S No 2 Topical Antimicrobial dressing Other Actions Standard formulary dressing Treat / optimise co-existing morbidities Assess wound for critical colonisation/infection at every dressing change Debride sloughy/necrotic tissue 3
15 Wound Bed Colonisation Wound Bed Colonisation Multiplying bacteria has the ability to tip patient and wound defences Healing Compromised Healing has slowed / or stopped (non-progressing wound)). Sloughy/necrotic tissue may be present Wound Bed Increased exudate (sometmes mild odour) LOCAL SIGNS & SYMPTOMS Exudate Levels Pain Increased/changed pain Erythema not usually present Erythema None SYSTEMIC SIGNS & SYMPTOMS No MANAGEMEN T Systemic antibiotics Wound Swabs for M, C & S Antimicrobial dressing Other Actions Consider antibiotic in line with local prescribing protocols/guidelines No 1 st Line Honey-impregnated dressing 2 nd Iodine-based dressing Consider referral to Tissue Viability Treat / optimise co-existing morbidities Assess wound for infection at every dressing change
16 Local Wound Bed Infection Local Wound Bed Infection Patient s defences are overwhelmed Healing and patient compromised LOCAL SIGNS & SYMPTOMS Wound Bed Exudate levels Pain Healing has stopped or Wound has deteriorated / extended Malodour/Copious/purulent exudate Acute Pain/changed pain Erythema Local Wound Bed Infection Erythematous border <2cm Systemic Infection Erythematous border >2cm SYSTEMIC SIGNS & SYMPTOMS Abnormal /changed Odour Discoloured/friable Tissue pocketing Bridging /necrosis slough Pyrexia Tachycardia General malaise Raised WBC & CRP Soft Tissue Infection Systemic Antimicrobials (antibiotics) No Yes MANAGEMENT High Risk Patient Yes Wound Swabs for M, C & S No 2 Yes Antimicrobial dressing Other Actions 1 st Line Honey-impregnated dressing 2 nd Iodine-based dressing Refer to Tissue Viability if support needed Treat / optimise co-existing morbidities
17 Conclusion: Improve patient outcomes Need for early and accurate diagnosis of wound infection Indiscriminate use of antibiotics Increasing cost of antimicrobial dressings Careful, thorough assessment of the person with the infection Management of the symptoms of infection Reduce the risk of complications
18 Thank you for listening
Diagnosing wound infection - a clinical challenge
Diagnosing wound infection - a clinical challenge Keith F Cutting Merimbula, 5 th November 2010 Wound infection microbial load immune system microbial load + + + immune system infection host response Diagnosing
More informationRN 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 informationThe 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 informationEssity 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 informationWound 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 informationWound 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 informationWound 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 informationINVESTIGATING: WOUND INFECTION
INVESTIGATING: WOUND INFECTION Diagnosing infection in surgical and other wounds involves nurses being able to observe the clinical signs in a wound rather than simply obtaining positive microbiology results
More informationBiofilm and Advanced Wound Management Strategies
Biofilm and Alex Khan APRN ACNS-BC MSN CWCN WCN-C Advanced Practice Nurse Adult Clinical Nurse Specialist Organization of Wound Care Nurses www.woundcarenurses.org 1 Objectives What are Biofilms How Biofilms
More informationResources 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 informationAgenda (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 informationDRESSING 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 informationBiofilms are free floating
Biofilms: the myths and realities There has been an increasing interest in biofilms and their possible contribution to the non-healing of chronic wounds. Currently, there is no gold standard for identifying
More informationWound culture. (Sampling methods) M. Rostami MSn.ICP Rajaei Heart Center
Wound culture (Sampling methods) M. Rostami MSn.ICP Rajaei Heart Center Infection is a major impairment in delayed and nonhealing chronic wounds. Cultures of chronic wounds are not routinely performed
More informationYour guide to wound debridement and assessment. Michelle Greenwood. Lorraine Grothier. Lead Nurse, Tissue Viability, Walsall Healthcare NHS Trust
Your guide to wound debridement and assessment Michelle Greenwood Lead Nurse, Tissue Viability, Walsall Healthcare NHS Trust Lorraine Grothier Clinical Nurse Specialist, Tissue Viability, Central Essex
More informationWound 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 informationEWMA 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 informationTissue Viability Service. Medical honey simplified. A patient guide to the role of honey in wound management
Medical honey simplified A patient guide to the role of honey in wound management Medical honey is a natural, non-toxic agent that has been used to treat wounds for thousands of years. This ancient remedy
More informationBacterial impact on wound healing: From contamination to infection
Inc. Bacterial impact on wound healing: From contamination to infection POSITION PAPER www.awma.com.au Version 1.5 October 2011 Position Document of the Australian Wound Management Association (AWMA) Foreword
More informationTIME 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 informationFundamentals 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 informationHaemoglobin. 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 informationAppropriate 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 informationPalliative 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 informationTrust-wide. Minor. Major
Policy Number 77 This document has been reviewed in line with the Policy Alignment Process for Liverpool Community Health NHS Trust Services. It is a valid Mersey Care document, however due to organisational
More informationSupporting 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 informationDisclosures 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 informationGuide to avoiding complications after Caesarean section
Guide to avoiding complications after Caesarean section Lindsey Bullough Tissue Viability Nurse, Wrightington, Wigan and Leigh NHS Foundation Trust Reducing Caesarean section complications The proportion
More informationManaging 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 informationDebridement 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 informationUnderstanding 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 informationThis 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 informationBest practice wound management. Liz Milner Wound Consultant
Best practice wound management Liz Milner Wound Consultant The goals of wound care: reducing risks that inhibit wound healing, enhancing the healing process, and lowering the incidence of wound infections.
More informationProntosan. 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 informationTissue 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 informationAppropriate 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 informationVENOUS 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 informationWorkshop on Debridement
MEDICINSK TEKNIK I SÅRDIAGNOSTIK OCH SÅRBEHANDLING Monday, 20 th of april 2015 Stockholm Sweden Workshop on Debridement Sources for best practice Reference documents available in several languages : WHY
More informationTissue 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 informationPractice development. Ensuring that the correct antimicrobial dressing is selected
Ensuring that the correct antimicrobial dressing is selected Authors: David Keast, Christina Lindholm This article examines the various tools available to clinicians in the fight against the increase of
More informationSouth West Regional Wound Care Toolkit F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE)
F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE) F.5 SURGICAL WOUND (CLOSED AND OPEN) 5.1 Background to Etiology Closed surgical wounds are well-approximated with a palpable healing ridge
More informationThis article is based on a symposium held
Taking wound cleansing seriously to minimise risk MARK COLLIER Nurse Consultant, Tissue Viability, United Lincolnshire Hospitals NHS Trust PAMELA HOFER Medical and Scientific Affairs, B Braun This article
More informationWHY 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 informationAdvanced Wound Care. Cut Shape Innovate
Advanced Wound Care Cut Shape Innovate Vacutex incorporates a patented three layer construction of poly-cotton elements that promotes an accelerated capillary action on wound interfaces. Effectively lifting,
More informationeasy made Cutimed Sorbact
PRODUCTS FOR PRACTICE Cutimed Sorbact made easy Volume 3 Issue 2 May 2012 www.woundsinternational.com Introduction Bacterial colonisation and infection may contribute to delayed healing and present a major
More informationDate Issued Planned Review PGN No: Kevin Chapman Tissue Viability Modern Matron
Tissue Viability Policy, Practice Guidance Note Wound Assessment V01 Date Issued Planned Review PGN No: Issue 1 July 2016 Issue 2 Sept 2017 July 2019 TV-PGN-04 Part of NTW(C)18 Tissue Viability Policy
More informationTopical 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 informationChronic wounds: how to kick start healing <Clinical Special>
Chronic wounds: how to kick start healing Agenda Chronic wounds: How to kick start healing Chronic wounds an overview Chronic wound exudate management Increased bioburden, infection
More informationObjectives. Jeffrey M. Levine MD 3/5/2013. Today s Speaker. MRT Gold STAMP & Outbreak Investigation in a Nursing Home Training Project Webinar
MRT Gold STAMP & Outbreak Investigation in a Nursing Home Training Project Webinar Infectious Aspects of Chronic Wounds Including Infection Control March 7, 2013 12-1:00 pm ET This project is funded through
More informationmade PRODUCTS FOR PRACTICE
PRODUCTS FOR PRACTICE made BPA easy Wounds International vember 2016 www.woundsinternational.com Introduction The mere presence of bacteria in chronic wounds may not indicate active infection or impair
More informationCase series evaluation: Using SILVERCEL Non Adherent in wound infections
Case series evaluation: Using SILVERCEL Non Adherent in wound infections Wounds UK PUBLISHED BY: Wounds UK Enterprise House 1 2 Hatfields London SE1 9PG, UK Tel: + 44 (0)20 7627 1510 Fax: +44 (0)20 7627
More informationVenous 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 informationWound 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 informationDRESSING 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 informationAn evaluation of the efficacy of Cutimed Sorbact in different types of non-healing wounds Sylvie Hampton
Wounds UK An evaluation of the efficacy of Cutimed Sorbact in different types of non-healing wounds Sylvie Hampton Wounds UK, 2007, Vol 3, No An evaluation of the efficacy of Cutimed Sorbact in different
More informationSurgical site infections have been
For patients undergoing complex abdominal or bowel surgery, the risk of infection and the resultant dehiscence if an infection occurs can pose a great challenge LINDSEY BULLOUGH Tissue Viability Nurse,
More informationA GUIDE TO THE TREATMENT OF PRESSURE ULCERS FROM GRADE 1 GRADE 4
A GUIDE TO THE TREATMENT OF PRESSURE ULCERS FROM GRADE 1 GRADE 4 Gill Wicks, Nurse Consultant, Tissue Viability for Wiltshire Primary Care Trust and Lecturer at University of West England Pressure ulcers
More informationUnderstanding the importance of holistic wound assessment
Understanding the importance of holistic wound assessment It is important to undertake a holistic assessment of the patient who presents with a wound. Karen Ousey and Leanne Cook give an overview of the
More informationNATIONAL 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 informationTarget wound infection and odour with Anabact 0.75% w/w Gel
GUIDE TO FUNGATING WOUNDS Target wound infection and odour with Anabact 0.75% w/w Gel (containing metronidazole) For the deodourisation of fungating tumours, gravitational ulcers and decubitus ulcers The
More informationRay 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 informationWound Assessment & Treatment
Wound Assessment & Treatment Cathy Lyle Advanced Practice Nurse Providence Care, SMOL site LTC Physicians CME June 2011 Outline l Is it healing? l Will it heal? l What colour is it? l How wet is it? l
More informationWound 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 informationSilver 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 informationPREVENTING SURGICAL SITE INFECTIONS
PREVENTING SURGICAL SITE INFECTIONS Surgical site infections (SSIs) are costly for the NHS and the patient increasing the length of hospital stay and the need for further treatment. This article examines
More informationOverview. Holistic Approach 07/04/2014. My Resident Has a Chronic Wound. Wound Causes Factors that impair wound healing Wound Assessment
My Resident Has a Chronic Wound Now What??? Jolene Heil RN ET MClScWH April 8, 2014 Overview Wound Causes Factors that impair wound healing Wound Assessment Holistic Approach What is the cause of the wound?
More informationWound bed preparation: TIME in practice
Wound bed preparation: TIME in practice Wound bed preparation is now a well established concept and the TIME framework has been developed as a practical tool to assist practitioners when assessing and
More informationVacuumed 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 informationPressure 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 informationHealthcare Improvement Scotland
Article Relevance of a Health Technology Assessment report: antimicrobial wound dressings for diabetic foot chronic wounds with local infection Lynne Watret, Alison Rodgers, Karen Macpherson, Susan Myles,
More informationWound 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 informationNPWT Case Series EXPERIENCES WITH INVIA MOTION. Precious life Progressive care. Invia Motion Negative Pressure Wound Therapy
NPWT Case Series EXPERIENCES WITH INVIA MOTION Invia Motion Negative Pressure Wound Therapy Precious life Progressive care npwt_case_booklet_a4.indd 1 18.12.13 13:17 Chronic sacral pressure ulcer Case
More information2. Advanced wound therapies... 4 (i) Maggots... 4 (ii) Negative Pressure Wound Therapy (NPWT)... 4
Contents: Wound management Medicines Formulary 1. Interactive dressings... 2 (i) Hydrocolloid dressings... 2 (ii) Hydrogel dressings... 2 (iii) Alginate dressings... 2 (iv) Fibrous absorbent dressings...
More informationSuper Bugs vs Super Heroes: A Wound Care Perspective
Super Bugs vs Super Heroes: A Wound Care Perspective IPAC GTA Annual Education Day October 3 rd 2017 Zaynab Sheraly RN, BScN, MHSC, IIWCC Nicholas Joachimides RN, BScN, CRN(c), IIWCC, MClSc, MSc This document
More informationLower 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 informationI ve a drawer full of dressings i don t know how to use!
I ve a drawer full of dressings i don t know how to use! Introduction: Originating from battlefield medicine much of what we use today is an evolution of material science combined with our understanding
More informationWound Management in the Elderly
Wound Management in the Elderly Stephanie Yates, MSN, ANP, ANP-BC, CWOCN Nurse Practitioner/CNS Duke University Medical Center Durham, NC stephanie.yates@duke.edu Skin Condition Key quality indicator To
More informationChoosing an appropriate dressing for chronic wounds Denise Bell BSc, RGN and Dot Hyam RGN, DipHE
Choosing an appropriate dressing for chronic wounds Denise Bell BSc, RGN and Dot Hyam RGN, DipHE Chronic wounds are nonhealing with a sometimes complex aetiology, and dressing such wounds can be difficult
More informationEffective Wound Healing: Getting Back to the Basics. Bill Richlen PT, WCC, DWC
Effective Wound Healing: Getting Back to the Basics Bill Richlen PT, WCC, DWC What Is Happening Currently? There is a lack of education in current wound care principles and evidence-based practice We have
More informationDebridement: treatment, options and selection.
This document is the Accepted Manuscript version of a Published Work that appeared in final form in Independent Nurse, copyright MA Healthcare, after peer review and technical editing by the publisher.
More informationWOUND MANAGEMENT IN THE ELDERLY. Evelyn Cook, RN, CIC Associate Director
WOUND MANAGEMENT IN THE ELDERLY Evelyn Cook, RN, CIC Associate Director OBJECTIVES Discuss skin changes in elderly Discuss wound care management program Discuss infection prevention implications SKIN CHANGES
More informationCase 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 informationPressure Injuries: Prevention and Management. Sheila Moffatt RN BN IIWCC NSWOC
Pressure Injuries: Prevention and Management Sheila Moffatt RN BN IIWCC NSWOC Objectives for PI 1. Prevalence 2. Risk 3. Prevention 4. Recognize NPUAP 2016 PI categories/stages 5. Assessment and Treatment
More informationMEDIZIN& PRAXIS. Vacutex an effektive debridement procedure for the treatment of decubitus. Decubitus. Special. A. Probst
RE PRINT MEDIZIN& PRAXIS Special Decubitus Vacutex an effektive debridement procedure for the treatment of decubitus Copyright 2017 by Verlag für MEDIZINISCHE PUBLIKATIONEN Bernd von Hallern Vogelsang
More informationGuidelines for the Treatment of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009)
Guidelines for the Treatment of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009) This guidance should be read in conjunction with your local dressing formulary and anti-biotic prescribing guidelines.
More information3M Tegaderm Matrix Matrix Dressing. Case Studies
Case Studies Contents 2 Introduction: Treatment of a series of hard-to-heal chronic ulcers with Tegaderm TM Matrix Sylvie Hampton, MA BSc (Hons) DpSN RGN 3 Treatment of an intractable pressure ulcer with
More informationTHERAPIES. HAND IN HAND. Need safe and efficient infection prevention and management? 1 The Cutimed. Closing wounds. Together.
Closing wounds. Together. Need safe and efficient infection prevention and management? 1 The Cutimed Sorbact range. A responsible choice. THERAPIES. HAND IN HAND. www.bsnmedical.co.uk TOGETHER WE CAN MAKE
More informationHow Wounds Heal: A Guide for the Wound-care Novice
C L I N I C A L P R A C T I C E How Wounds Heal: A Guide for the Wound-care Novice BY Christine Pearson Christine Pearson, RN, IIWCC, is a wound clinician for Vancouver Coastal Health and has worked in
More informationNorthern Ireland Wound Care Formulary
Northern Ireland Wound Care Formulary 2nd Edition April 2011 Wound Care Formulary 2 Wounds cause pain and discomfort to many people in Northern Ireland. Management of wounds requires considerable resources
More informationDebridement Another Tool for Your Box! Foot Health Day 2 Kettering Wednesday 11 th June 2014
Debridement Another Tool for Your Box! Foot Health Day 2 Kettering Wednesday 11 th June 2014 Sue Simm Regional Woundcare Specialist Activa Healthcare Best practice Debridement Debridement is a natural
More informationAntimicrobial Treatment for Advanced Periodontal Disease
Antimicrobial Treatment for Advanced Periodontal Disease James S. Kohner, DDS DISCLOSURES December 15, 2011 Editor's Note: This author's case report is based on the work of Jorgen Slots, DDS, DMD, PhD,
More informationHemostasis Inflammatory Phase Proliferative/rebuilding Phase Maturation Phase
The presenters are staff members of the CHI Health St. Elizabeth Burn and Wound Center. Many of the products discussed are used in our current practice but we have no conflict of interest to disclose.
More informationAntibiotic or antimicrobial resistance
Authors: xxxxx Authors: Valerie Edwards- Jones, Madeleine Flanagan, Randall Wolcott Technological advancements in the fight against antimicrobial resistance Intro Over-prescription and misuse of antibiotics
More informationUnderstanding Debridement
Understanding Debridement Figure 1. Wound Healing Process Wound Blood Clot Blood Blood Vessel Fat Tissue The wound in the skin exposes deep tissue layers to the air. Scab Scab Exudate Granulation Tissue
More informationBLOOD CULTURE POLICY FOR PAEDIATRICS
BLOOD CULTURE POLICY FOR PAEDIATRICS 1. INTRODUCTION Blood culture to detect bacteraemia is an important investigation with major implications for the diagnosis of patients with infection and the selection
More informationClinical evaluation of honey-based products for lower extremity wounds in a home care setting
Clinical evaluation of honey-based products for lower extremity wounds in a home care setting Abstract Matthew Thomas, Mohammed Filip Hamdan, KegelsSharon Hailes, Michael Walker Aims: To evaluate the efficacy
More informationAssessment and Management of Wounds In Diabetes. Maria Mousley Northamptonshire NHS Foundation Trust
Assessment and Management of Wounds In Diabetes Maria Mousley Northamptonshire NHS Foundation Trust Background At least 61000 people with diabetes in England have a foot ulcer at any given time There are
More informationBACTERIAL MANAGEMENT: IN MODERN WOUND CARE
BACTERIAL MANAGEMENT: IN MODERN WOUND CARE Martyn Butcher is an Independent Tissue Viability and Wound Care Consultant Successful management of bacteria in the wound is a complex issue. The role of bacterial
More informationPRODIGY 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