Modalities Utilized in Wound Healing: Pulsed Lavage

Modalities Utilized in Wound Healing: Pulsed Lavage

In the last segment, we discussed whirlpool treatments; however, in some cases whirlpool is not convenient or available. When whirlpool is not an option, pulsed lavage with or without suction may be used. Functions Pulsed lavage uses a wound irrigant under pressure, which is powered by an electronic device, to irrigate and cleanse the wound….

Modalities Utilized in Wound Healing- Whirlpool

Modalities Utilized in Wound Healing- Whirlpool

Continuing on in our series on modalities used in wound management, this week we’ll cover whirlpool, including its indications, contraindications and advantages over other wound care modalities. Functions of Whirlpool Whirlpool was initially reserved as a method of debridement for patients who had suffered burns. Today, whirlpool is used much more extensively and serves a…

Modalities Utilized in Wound Healing- Wound Irrigation

Modalities Utilized in Wound Healing- Wound Irrigation

Although not a true modality, wound irrigation is a common treatment that serves multiple purposes. Let’s look at some of the ways in which wound irrigation can be used to enhance wound healing. Functions of Wound Irrigation Wound irrigation serves many important functions: removes cellular debris that is loosely adherent remove surface bacteria removes wound…

Total Contact Casting

Total Contact Casting

Total contact casting (TCC) is considered to be the ‘gold standard’ in the treatment of diabetic foot ulcers. Although TCC is often very successful in healing diabetic foot ulcers, this treatment modality is not used as often as it could be. What is TCC? Total contact casting is a special casting technique designed to heal…

Debridement Methods

Debridement Methods

The four main types of debridement are: autolytic, enzymatic, mechanical and surgical. Each has its own advantages and disadvantages. Let’s take a look at each method individually: Autolytic debridement This form of debridement uses the body’s own processes (enzymes and moisture) to break down tough eschar and slough. It does not damage healthy skin, but breaks…

Stage 1 Pressure Ulcer

Category/Stage I: Non-blanchable erythema Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area. The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue. Category I may be difficult to detect in individuals with…

Skin and Periwound Care- Part 2

Skin and Periwound Care- Part 2

In part 1, we discussed the risk factors contributing to periwound breakdown. Now let’s turn our attention to prevention. Prevention of Periwound Damage There are five keys to preventing periwound damage. These are: Identifying patients at high risk for periwound skin damage (discussed in part 1 https://woundeducators.com/periwound-care/) Minimizing contact of the periwound skin with wound drainage…

The Continuum of Wound Dressings- Charcoal Dressings and Their Use in Managing Odor

The Continuum of Wound Dressings- Charcoal Dressings and Their Use in Managing Odor

Charcoal has been introduced into several classes of wound care dressings. Although charcoal in itself does not enhance wound healing, it can help to control odors associated with wounds, such as fungating and/or infected wounds. This is important, as wound malodor can be very upsetting for the patient: “Wound malodor is probably the most distressing symptom…