The Powerpoint 2007 version (better effects).

1. Chapter 19 Wound Management, Stoma and Incontinence Products Reporters: Dune Vienis Karen Rafael& MelodelTorculas BS-Pharmacy 4A University of the Immaculate Conception

2. WOUNDS - any damage to the skin caused by mechanical injuries, burns and underlying medical conditions giving rise to ulcers. WOUND HEALING - a process which involves the growth of fibrous and vascular tissue within the wound and the migration of epithelial cells from the edges of the wound.

3. TYPES OF WOUNDS 1. Necrotic Wounds 2. Sloughy Wounds 3. Granulating Wounds 4. Epithelializing Wounds 5. Exuding Wounds 6. Infected and Malodorous Wounds

9. Adhesion

10. Formation of capillary loops as new blood vessels grow

11. Shedding of fibers into the wound

12. Absorption of antibacterial exudate

14. Absorb excess wound exudate

15. Apply medicaments to the skin

17. Provide light support for minor sprains

18. Secure splintsThe British National Formulary 1996 classifies bandages as retention, support and compression and medicated.

20. Non-adhesive products of this type provides light support for strains and sprains.

23. Diachylon – the bandage is warmed prior to application in order to produce adhesion

26. Used in the treatment of dermatological conditions (e.g. eczema and inflamed leg ulcers).

27. Usually covered by a support and compression bandage.The British National Formulary 1996 classifies bandages as retention, support and compression and medicated.

30. Widest part of the calf

31. Around the ankle

34. Vapor-permeable

35. Permeable to air and water vapor

36. Impermeable to liquid water and bacteria

38. As skin closures for small incisions

40. Antimicrobial medicaments, e.g. chlorhexidine, may also be included.

41. Used mainly to treat partial thickness wounds, where soft paraffin reduces dehydration of thewound surface. Non-adherent, or more accurately low-adherent dressings are either a single layer over which another dressing is placed, or multi-layered with the non-adherent layer in direct contact with the wound.

43. Can also be impregnated with povidone-iodine

45. The film minimizes adherence to the wound while the perforations allow excess exudate to pass through to the middle absorbent fibrous layer.

46. Has four typesNon-adherent, or more accurately low-adherent dressings are either a single layer over which another dressing is placed, or multi-layered with the non-adherent layer in direct contact with the wound.

47. Melolin: Type 1 Perforated Film Absorbent Description Melolin consists of a film of poly(ethylene terephthalate), onto which is bonded an absorbent layer consisting of a mixture of cotton and polyacrylonitrilefibres, backed with a layer of an apertured non-woven cellulose fabric. The plastic film is present to prevent the dressing adhering to the surface of the wound, and is perforated to allow the passage of exudate from the wound into the body of the pad. Indications Melolin may be used on its own to dress dry sutured wounds, superficial cuts and abrasions, and other lightly exuding lesions. It may also be used as the primary wound contact layer for more heavily exuding wounds, if backed by a second absorbent dressing.

48. Telfa: Type 2 Perforated Film Absorbent Description Telfa consists of a thin layer of absorbent cotton fibres, enclosed in a sleeve of poly(ethylene terephthalate) that is perforated in a regular pattern and sealed along two edges. The plastic film is present to prevent the dressing adhering to the surface of the wound, and is perforated to allow the passage of exudate from the wound into the body of the pad. Indications Telfa may be used on its own to dress dry sutured wounds, superficial cuts and abrasions, and other lightly exuding wounds. It may also be used as the primary wound contact layer for more heavily exuding wounds, if backed by a second absorbent dressing.

49. Release: Type 3 Perforated Film Absorbent Description Release consists of a textured sleeve of EMA (ethylene-methyl acrylate) open at two ends, surrounding an absorbent core consisting of viscose fibres enclosed between two spreader layers of non-woven tissue. The sleeve, which provides a wound contact layer of low-adherence, is perforated to allow the passage of exudate into the body of the pad. Indications Release is indicated for the management of clean, light-moderately exuding superficial wounds including lacerations, abrasions and sutured wounds

50. Skintact: Type 4 Perforated Film Absorbent Skintact is a dual-sided, low-adherent perforated film dressings. Protective dressing for low to medium exudating wounds. Double sided for ease of use. Highly conformable. Sterile.

51. Charcoal Dressings Activated charcoal is used in several dressings to absorb noxious materials and so eliminate offensive odor from infected malodorous wounds.

52. Modern Wound Management Products Many of the wound management products which have been introduced in the last 20 years affect the wound healing process. Most are vapor permeable, enabling gaseous exchange but preventing dehydration of the wound surface.

54. Prevention and treatment of superficial pressure sores

55. Securing cannulae and catheters

57. Used for lightly to moderately exuding wounds when it needs to be secured by adhesive tape.

58. The liquid exudate is absorbed into its 0.5 mm thick hydrophilic layer.

61. a central absorbent hydrophilic polyurethane foam or membrane

62. a low-adherent or adhesive layer.They are recommended for light to moderately exuding wounds such as leg ulcers and pressure sores (Type 1), variety of exuding wounds of limited depth, including leg ulcers, minor burns, and donor sites (Type 2 & 4) and, pressure sores and traumatic injuries (Type 3).

63. Polysaccharide Beads They are tiny spherical beads of glucose polymers (cardexomer or dextranomer). They are indicated for infected, medium to heavily exuding wounds especially leg ulcers. Iodosorb® ointment is a sterile formulation of cadexomer iodine. When applied to the wound, Iodosorb cleans it by absorbing fluids, removing exudate, pus and debris and forming a gel over the wound surface. As the ointment swells, iodine is released, killing bacteria in the wound.

66. Ointment

67. Paste enclosed in a nylon bag or gauze