Debridement within the context of the EWMA s debridement guidelines. Emil Schmidt WCNS SDHB - Otago
|
|
- Ashlie Russell
- 5 years ago
- Views:
Transcription
1 Debridement within the context of the EWMA s debridement guidelines Emil Schmidt WCNS SDHB - Otago
2 EWMA Debridement Document Expert consensus document, 2013 Contents Mechanical debridement options Autolytic Enzymatic Larval Sharp and Surgical Debridement options Technical solutions e.g. versa jet, LFUD Health economics: Wound management and debridement Debridement algorithm
3 Debridement process cycle The aim is to provide a clear decision of the general pathway of debridement, as well as a proposal for a structured approach to choosing between the appropriate techniques
4 Debridement process cycle Debridement must be understood as a process in conjunction with other treatment approaches with the aim to create a beneficial situation supporting various clinical goals (e.g. intermittent goals) related to wound management
5 The Patient 94 year-year-old women Lives at home independently with partner Large venous leg ulcer since 2 ½ years 46.8 cm2 SSG failed twice Very painful 8-10 /10 Hardly gets any sleep Unable to tolerate any compression because of pain Systemically healthy Takes regular Paracetamol
6 Debridement process cycle
7 Xylocaine gel in place Diagnosis of tissue type, bio burden and factors that influence debridement T= thick tenacious slough, unhealthy, friable, biofilm, biopsy NAD I = not infected, very sore to touch M = highly exudate E = macerated surrounding skin, non advancing, inflamed Factor s influencing debridement: Pain 10/10, ABPI 0.95, Patient expectations I want it to heal, don t give up on me I want to attend my grandsons wedding in a few month
8 Debridement process cycle
9 Decision: 1 st Goal = Reduce pain Set intermittent, realistic goals Decision on the outcome that should be achieved (less pain) The time by which it can be achieved (1-2 weeks) Depending on this the technique that should be used (autolytic debridement)
10 Debridement process cycle
11 Add on Additional measures needed to optimize debridement locally and systemically Protect surrounding skin from exudate Chronic wound fluid is a wounding agent Increase frequency of dressing changes
12 Debridement process cycle
13 Review: Has 1 st goal been achieved? Has outcome been achieved and whether the chosen debridement technique has proven to be valid Pain has decreased to 3/10 and she is able to sleep for a few hours The surrounding skin did also improve However, the wound bed itself didn t changed
14 Debridement process cycle
15 Where to from here? If optimal debridement result has been achieved continue with same treatment If not re-diagnose and repeat debridement cycle
16 Debridement process cycle
17 2 nd + 3 rd Goal Improve Wound Bed and reduce edema Start debridement process cycle again Diagnosis unhealthy friable tissue, thick Decision: Add on: adherent slough, edema LFUD +/- sharp debridement to reduce bio burden Local infiltration of xylocaine 1 % (ring block) Light compression bandaging Increase to full compression if possible
18 Review Goals achieved? Wound bed much improved Surrounding skin much improved 100 % red tissue, reduction in size over time Able to tolerate light compression bandaging After debridement Before debridement
19 4 th Goal Accelerate wound healing Start debridement process cycle again Diagnosis: healthy wound bed, surrounding skin and reduction in edema Decision: stop LFUD Add on: NPWT PICO, increase compression
20 Review
21
22 Yes, it has! Has it influenced my practice? A quality cycle for wound debridement that can work Diagnosis - Decision - Add on - Review Goals must be realistic and intermittent This Debridement cycle is a step in the right direction towards a common language in chronic wound healing Perhaps the Australasian wound societies could work with EWMA to develop this cycle further
23 Thank you for listening New Zealand wound Care Society 7th Annual Conference "Wound Care A Matter of Balance" 21 to 23 May 2015 Marlborough Convention Centre Blenheim
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 informationEmil Schmidt Wound Care specialist SDHB - Otago
Prospective randomised trial of low frequency ultrasound debridement (LFUD) in management of lower limb wounds Krysa J, Schmidt E, Thomson I, van Rij A Emil Schmidt Wound Care specialist SDHB - Otago Background
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 informationLower 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 informationFoam 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 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 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 informationThe 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 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 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 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 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 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 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 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 informationWOUND 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 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 informationEffective 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 informationAdvazorb. 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 information4-layer compression bandaging system (includes microbe binding wound contact layer) Latex-free, 4-layer compression bandaging system
JOBST Comprifore JOBST Comprifore at a glance: provides effective levels of sustained graduated compression provides built in safety and ease of application Insures compliance and maximum healing for cost
More informationPrevention 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 informationBIOSORB GELLING FIBRE DRESSING. Key facts: In vitro evidence
BIOSORB GELLING FIBRE DRESSING Key facts: In vitro evidence BIOSORB Gelling Fibre Dressing WHAT IS IT? BIOSORB Gelling Fibre Dressing is a soft, conformable non-woven dressing made from sodium carboxymethyl
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 informationIndependent evaluation of BEMER physical vascular regulation therapy
of BEMER Liezl Naudé Advanced nurse specialist: wound management Advanced lower limb and wound management centre, Pretoria Heart 4 the Wounded 5-7 July Pretoria Introduction Lower limb wounds have always
More informationConsider the possibility of pressure ulcer development
Douglas Fronzaglia II, DO, MS LECOM Institute for Successful Aging LECOM Institute for Advanced Wound Care and Hyperbaric Medicine Consider the possibility of pressure ulcer development 1 Identify ulcer
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 informationA 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 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 informationCASE STUDIES SERIES 2017
INTERNATIONAL CASE STUDIES Case studies evaluation: BIOSORB Gelling Fibre Dressing in moderate to highly exuding wounds CASE STUDIES SERIES 2017 PUBLISHED BY: Wounds International 1.01 Cargo Works 1 2
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 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 informationWound Assessment Report
Wound Assessment Report Single Assessment, Single Wound Mary Taylor Assessment Patient ID MT4367147 Date of Birth 1939-4-18 Left Foot, Sole: Wound A Image taken 16-45-43 Area 1.7cm2 Perimeter 48mm Maximum
More informationThe 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 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 informationVenous. Arterial. Neuropathic (e.g. diabetic foot ulcer) Describe Wound Types & Stages of. Pressure Ulcers. Identify Phases of Healing & Wound Care
A dressing the situation at hand Describe Wound Types & Stages of Pressure Ulcers Identify Phases of Healing & Wound Care Goals Clarify Referral Protocol Lacerations- The goal is nearest to complete approximation
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 informationWound 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 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 informationPluroGel Burn and Wound Dressing Chicago. 23 May 2014
PluroGel Burn and Wound Dressing Chicago 23 May 2014 A NEW, BREAKTHROUGH SURFACTANT BASED BIOMATERIAL WITH A SPECIAL MOLECULAR STRUCTURE PLUROGEL BIOMATERIAL SPECIAL MOLECULAR STRUCTURE PLUROGEL MICELLE
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 informationEvaluating the use of a topical haemoglobin spray as adjunctive therapy in non-healing chronic wounds a pilot study Liezl Naude
Evaluating the use of a topical haemoglobin spray as adjunctive therapy in non-healing chronic wounds a pilot study Liezl Naude Abstract Wound Management Specialist Eloquent Health & Wellness Centre, Pretoria,
More informationAdvancing 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 informationWhite (2015) suggests that in
Super silver: the answer to wound infection and biofilm management in venous leg ulcers? In order for silver to be biocidal it must be in an ionic form. The higher the ionic state (the more electrons missing)
More informationBeyond 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 informationMaking 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 informationEvidence 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 informationMean 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 information2008 American Medical Association and National Committee for Quality Assurance. All Rights Reserved. CPT Copyright 2007 American Medical Association
Chronic Wound Care ASPS #1: Use of wound surface culture technique in patients with chronic skin ulcers (overuse measure) This measure may be used as an Accountability measure Clinical Performance Measure
More informationJohn Timmons, David Gray, Fiona Russell
Silflex soft silicone wound contact dressing It is hard to believe that it has taken so long for the message to get through, that dressings and dressing removal should not cause additional pain or trauma
More informationDiabetic Foot Ulcer Treatment and Prevention
Diabetic Foot Ulcer Treatment and Prevention Alexander Reyzelman DPM, FACFAS Associate Professor California School of Podiatric Medicine at Samuel Merritt University Diabetic Foot Ulcers One of the most
More informationAWMA 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 informationHydroTherapy: 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 informationSpinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre.
Spinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre. What does skin do? 1. It protects you. 2. It provides sensory information. 3. It helps
More informationElizabeth Frost District Nurse Capital and Coast DHB
Elizabeth Frost District Nurse Capital and Coast DHB Holistic Assessment No progress Tenacity Lateral thinking Results Population base of 301,510 people live within the Capital & Coast district, with two
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 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 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 informationo 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 informationDressings 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 informationVenous Leg Ulcer. A Complete Solution. Therapy Approach with Adapted Products
Venous Leg Ulcer A Complete Solution Therapy Approach with Adapted Products A Complete Solution for Venous Leg Ulcers No two wounds are the same, yet they share one thing: every wound needs the best possible
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 informationSVS AVF Clinical Practice Guidelines Venous Ulcer
Venous Ulcer SVS AVF Venous Ulcer Clinical Practice Guidelines Task Force Multispecialty committee members Thomas F. O Donnell, Jr., MD (Chair), Marc A. Passman, MD (Vice Chair), William A. Marston, MD,
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 informationBasic Dressing Categories
Category of Dressing Examples Advantages/Indications Disadvantages/Contraindications Hydrofiber Aquacel AG - ConvaTec Aquacel - Convatec Excellent for absorbing excess exudate These dressings form a gel
More informationEvaluation of the Use of a Silver Collagen Amorphous Gel in the Healing of Post Surgical and Dehisced Lesions
Evaluation of the Use of a Silver Collagen Amorphous Gel in the Healing of Post Surgical and Dehisced Lesions Presented by: Kathryn Khandaker, RN, BSN, CWCN and Deanna Sue Kohl, RN, BSN, CWOCN, CFCN Introduction:
More informationDisclosures. 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 informationSimple, gentle and affordable. *smith&nephew V1STA Negative Pressure Wound Therapy
Simple, gentle and affordable *smith&nephew V1STA Negative Pressure Wound Therapy Smith & Nephew s extensive presence and portfolio means that for every wound, at every stage, there is an appropriate solution.
More informationNegative Pressure Wound Therapy
Origination: 6/29/04 Revised: 8/24/16 Annual Review: 11/10/16 Purpose: To provide Negative Pressure Wound Therapy (wound care treatment) guidelines for the Medical Department staff to reference when making
More information1/5. Introduction. Primary endpoint Time to reach readiness for closure by surgical intervention or left for closure by secondary intention
1/5 Introduction Materials and methods Animal studies show that intermittent NPWT has potential to increase the rate of granulation tissue formation compared with adjustable intermittent (AI) NPWT 1 However,
More informationAcute and Chronic WOUND ASSESSMENT. Wound Assessment OBJECTIVES ITEMS TO CONSIDER
WOUND ASSESSMENT Acute and Chronic OBJECTIVES Discuss classification systems and testing methods for pressure ulcers, venous, arterial and diabetic wounds List at least five items to be assessed and documented
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 informationAWMA 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 informationULCERS 1/12/ million diabetics in the US (2012) Reamputation Rate 26.7% at 1 year 48.3% at 3 years 60.7% at 5 years
Jay Christensen D.P.M Advanced Foot and Ankle of Wisconsin 2-4% of the population at any given time will have ulcers 0.06-0.20% of the total population Average age of patients 70 years increased as more
More informationPost-surgical wound management of pilonidal cysts by using a haemoglobin spray
Post-surgical wound management of pilonidal cysts by using a haemoglobin spray Nesat Mustafi 1 & Peter Engels 2 1 Wound center, Nordwest Hospital, Frankfurt, Germany, 2 Bergisch Gladbach, Germany Objective:
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 informationInteresting Case Series. Skin Grafting in Pyoderma Gangrenosum
Interesting Case Series Skin Grafting in Pyoderma Gangrenosum Marco Romanelli, MD, PhD, Agata Janowska, MD, Teresa Oranges, MD, and Valentina Dini, MD, PhD Department of Dermatology, University of Pisa,
More informationThe 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 informationSetting The setting was primary care. The economic study was carried out in the UK and the USA.
Validation of venous leg ulcer guidelines in the United States and United Kingdom McGuckin M, Waterman R, Brooks J, Cherry G, Porten L, Hurley S, Kerstein M D Record Status This is a critical abstract
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 informationPROTEX HEALTHCARE (UK) LIMITED PRODUCT QUESTIONS AND ANSWERS
PROTEX HEALTHCARE (UK) LIMITED PRODUCT QUESTIONS AND ANSWERS Question What is Vacutex? How does Vacutex work? Does Vacutex prevent maceration to the surrounding skin? Does Vacutex adhere to the wound face?
More informationSee Policy CPT/HCPCS CODE section below for any prior authorization requirements
Effective Date: 7/1/2018 Section: DME Policy No: 377 Medical Officer 7/1/18 Date Technology Assessment Committee Approved Date: 10/10; 10/13; 9/14: 9/15; 4/16 Medical Policy Committee Approved Date: 3/03;
More informationACOFP 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 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 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 informationIntroduction. Follow standard infection control precautions
Patient Handbook 1 TABLE OF CONTENTS 1. Introduction. 2 2. Indications for Use. 3 3. Contraindications... 3 4. Warnings 4 5. Precautions.. 6 6. Patient Information Guide. 6 7. Key Pad Features.. 7 8. Battery
More informationSchool 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 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 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 informationAnn Leland, APRN, CNP, DNP Instructor, college of surgery
Ann Leland, APRN, CNP, DNP Instructor, college of surgery leland.ann@mayo.edu 2015 MFMER 3543652-1 Pressure ulcers Mayo School of Continuous Professional Development 2nd Annual Inpatient Medicine for NPs
More informationAccel-Heal. An effective treatment for healing leg ulcers. Guide for Clinicians
Accel-Heal An effective treatment for healing leg ulcers Guide for Clinicians Accel-Heal an innovative treatment for healing leg ulcers Leg ulcers are commonly slow to heal with many ulcers still remaining
More informationUnderstanding Debridement of Sores
Understanding Debridement of Sores Introduction Some sores have trouble healing on their own. Sores that will not heal are also known as wounds or chronic wounds. A chronic wound is a sore that is having
More informationNegative Pressure Wound Therapy (NPWT)
Negative Pressure Wound Therapy (NPWT) Policy Number: Original Effective Date: MM.01.005 11/19/1999 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST 01/01/2015 Section: DME Place(s) of Service:
More informationWe 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 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 informationVenous Leg Ulcer. A Complete Solution. Therapy Approach with Adapted Products
Venous Leg Ulcer A Complete Solution Therapy Approach with Adapted Products A Complete Solution for Venous Leg Ulcers No two wounds are the same, yet they share one thing: every wound needs the best possible
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 informationCASE REPORT Use of a Hydroconductive Dressing to Treat a Traumatic Avulsive Injury of the Face
CASE REPORT Use of a Hydroconductive Dressing to Treat a Traumatic Avulsive Injury of the Face Colin Jerome Perumal, BDS, a and Martin Robson, MD b a Department of Maxillofacial and Oral Surgery, Medical
More informationMany 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 informationCost and dressing evaluation of hydrofiber and alginate dressings in the management of community-based patients with chronic leg ulceration
Cost and dressing evaluation of hydrofiber and alginate dressings in the management of community-based patients with chronic leg ulceration Harding K G, Price P, Robinson B, Thomas S, Hofman D Record Status
More information