• Healthcare

    January 16, 2023 admin

    Types of Wound Care Dressings

    Traditional Dressings for Wounds:

    Traditional wound dressings are typically used as primary or secondary dressings to keep the wound clean. Gauze, lint, plasters, bandages (natural or synthetic), and cotton wool are examples of these products.

    Traditional wound dressings commonly used include:

    • Bandages
    • Cohesive Body Netting Wraps
    • Dressings Composite
    • Gauze Impregnated Gauze
    • Dressings that are non-adherent

    Wound Dressings for Advanced Patients:

    Clinicians typically prescribe advanced wound dressings following a visit to a doctor or hospital. The advantages of using advanced wound dressings include a faster healing time, improved drainage, and a lower risk of infection.

    Dressings made of calcium alginate:

    Calcium alginate dressings are fibre dressings made from brown seaweed that are highly absorbent. When combined with wound drainage, they form a gel. This natural gel promotes autolytic debridement of the wound, which speeds up healing while also absorbing excess fluid. They are available in sheets and ropes, and they may contain silver, which aids in the reduction of bacteria in the wound bed. They are intended for wounds with moderate to severe exudate. A secondary dressing will be required to keep it in place. Depending on the amount of drainage in the wound, they can be changed as frequently as daily.

    HOW TO APPLY:

    • Cut the dressing to fit in the wound.
    • Apply the dressing in direct contact with the wound.
    • Cover the alginate with a secondary dressing as directed by your doctor, such as gauze and tape, foam or a composite dressing.
    • When applying an alginate rope into tunnels, do not over fill or stuff the wound.

    Dressings made from collagen:

    Collagen dressings are derived from animals such as bovine (cattle), equine (horse), and porcine (pig) and should not be used by people who are allergic to these. Collagen promotes the growth of new collagen at the wound site, which may hasten healing. Collagen dressings can be gels, powders, pastes, or even freeze-dried sheets that are applied to wounds. Collagens are typically changed every 1-7 days, depending on the product and amount of drainage.

    HOW TO APPLY:

    • Cut the collagen sheet to fit in the wound bed.
    • Make direct contact with the wound.
    • If necessary, dampen the dressing with saline.
    • As directed by your doctor, apply a secondary dressing.

    Gels:

    • Apply liberally to the wound base and cover with gauze or another secondary dressing as directed by your doctor.
    • You can also apply the gel directly to the gauze before placing it on the wound surface.

    Dressings Composite:

    Composite dressings are made up of two or more layers of material that are combined into a single dressing. These can be used as a primary or secondary dressing on a wide range of wounds and can be combined with topical medications. Most have adhesive borders and come in a variety of sizes. Some act as a bacterial barrier at the wound’s base. These dressings are adaptable and practical, with options for shallow and deep (partial and full thickness) wounds.

    HOW TO APPLY:

    • Remove all packaging.
    • Pull the plastic strips back as you would a large Band-Aid.
    • Apply to the wound.

    Dressings made of foam:

    Foam dressings are intended to create a moist environment that promotes wound healing. These are made of water-resistant polymers (most commonly polyurethane) that absorb moderate amounts of wound drainage. They are typically non-adherent, allowing water vapour to pass through while keeping bacteria and other contaminants out. Foam dressings should be changed every three (3) days.

    HOW TO APPLY:

    • Remove all packaging.
    • Make direct contact with the wound with the foam.
    • If the foam has a secondary cover, it should always be placed on the outside.
    • If the foam has an adhesive border, press it gently against the skin.

    Dressings made with honey:

    Medical grade honey is used to make honey dressings. They are available in a variety of forms, including gels, gauze, and fibres. They promote moist wound healing, which aids in wound debridement and the reduction of bacteria in wounds.

    HOW TO APPLY:

    • Place the gauze in the wound bed after applying the honey.
    • You can also apply a thin layer of honey to the wound’s base and cover it with gauze.
    • A secondary dressing should be placed over the gauze.

    Hydrocolloids Dressings:

    When dealing with extremely dry wound sites, hydrocolloid dressings are frequently the preferred choice. These dressings create a moist environment to aid in the body’s healing process and the removal of nonviable tissue from the wound without causing damage to new tissue. They typically absorb only a small to moderate amount of drainage. Generally, it can be left in place for 3-7 days.

    HOW TO APPLY:

    • Remove the dressing’s plastic wrap.
    • The dressing’s sticky side adheres to the wound.
    • The dressing should cover at least 1 inch of the wound.
    • Apply pressure to the wound bed.

    Hydro fiber Dressings:

    Gelling fiber dressings absorbent wound covers that help manage drainage and turns the fluid from the wound into a gel when moist, which assists in maintaining a moist environment for optimal wound healing and the formation of granulation tissue. They come in many sizes and shapes, including ropes for tunnel wounds and are available with or without silver. Hydrofiber dressings can be changed as often as daily, depending on the amount of drainage.

    HOW TO APPLY:

    • Cut the dressing to fit in the wound.
    • Apply the dressing in direct contact with the wound.
    • Cover the alginate with a secondary dressing as directed by your doctor, such as gauze and tape, foam or a composite dressing.
    • When applying an alginate rope into tunnels, do not over fill or stuff the wound.

    Hydrogel Dressings:

    A hydrogel dressing is a sheet or gel made mostly of water and polymers. This will typically contribute moisture to the wound bed. This dressing is frequently used to treat low-level burns, radiation skin damage, severe scrapes, and partial or full-thickness lesions, in addition to painfully dry wounds and lesions. These are non-adherent, trauma-free dressings that often relieve the pain associated with other dressing options. They are not recommended for wounds that are excessively draining. They might need a second dressing. These dressings should be changed every 1-3 days.

    HOW DO I APPLY?

    This product can be used in one of two ways:

    1. Apply a thin layer of the gel (about a nickel thick) to the wound base and cover it with gauze or another absorbent material.
    2. Apply the gel onto the gauze, and then place the gauze down in contact with the wound. Cover with a secondary dressing and tape down.

    Hydrogel Sheet:

    • Remove any and all packaging.
    • Apply the sticky side of the bandage to the wound.
    • The edges should be 1 inch or more beyond the wound.
    • You will need to use a secondary dressing or tape the edges down.

    Impregnated Dressings:

    Impregnated wound dressings are gauzes and non-woven sponges, ropes, and strips that have been saturated with a solution, emulsion, oil, or other agent or compound that promotes wound healing. These impregnated dressings include, for example:

    • Hypertonic Saline Gauze – Typically used for wound cleaning and exudate absorption. This is usually changed daily and may cause some tissue damage.
    • Iodine-impregnated gauze is used to treat tunnel wounds with a foul discharge. This is usually changed on a daily basis. Tissue destruction is possible.
    • Petrolatum Impregnated Gauze – Assists in wound protection and hydration. It is advised to change every 2 to 4 days. Particularly effective for skin tears on the extremities.

    Super Absorbent Dressings:

    Multi-layer wound covers that combine a semi-adherent layer with a highly absorbent layer of fibres and are specifically designed to minimise wound adherence and effectively manage exudate. They can be used as either the primary or secondary dressing.

    HOW TO APPLY:

    • May be applied directly to the wound base as a primary dressing or as a secondary dressing over a primary wound dressing.
    • These are applied to wounds that have a lot of drainage.
    • They can be worn underneath compression wraps.
    • The manufacturer’s instructions will tell you if there is a specific side that should be placed on the wound.

    Transparent Movie:

    Transparent Film is a thin, see-through dressing made of polyurethane. They do not absorb drainage, but will allow a small amount of fluid to pass through them through a process known as Moisture Vapor Transfer. They are water and bacterial impermeable.

    • Remove any and all packaging.
    • Remove the dressing’s backing and place the sticky side down over the wound.
    • There should be at least a 1″ border around the wound edges.
    • Remove any additional layers of paper that are still attached. Do not stretch the dressing too far. It should be flat against the wound.
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