Necrotic tissue that is present in a wound bed causes a physical obstruction to healing. Simply put, wounds cannot heal when necrotic tissue is present. In this article, we’ll define necrotic tissue and describe ways to effect its removal from the wound bed. What is necrotic tissue? Necrotic tissue is dead or devitalized tissue. This…
The typical treatment for infected wounds continues to include antimicrobial therapy, however other therapies are gaining in popularity due to the rise in antibiotic resistance. Maggots Maggot Debridement Therapy is the medical use of live maggots (fly larvae) for treating non-healing wounds. Maggot therapy has also been around for a long time, going all the…
Overview of Pyoderma Gangrenosum Pyoderma is a noninfectious, progressive necrotizing skin condition. The etiology of pyoderma is unclear. Half of patients have a systemic inflammatory condition such as ulcerative colitis, Crohn’s disease, irritable- bowel syndrome, lupus, or rheumatoid arthritis. About a quarter of pyoderma cases begin after some sort of trauma or surgery. But another quarter…
Electrical stimulation is a relatively new phenomenon in wound care. While some studies have shown little to no improvement with the use of electrical stimulation, many other studies have found that wound healing may be greatly enhanced with the use of this modality. Functions How does electrical stimulation aid in wound healing? The following are…
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…
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…
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…
It has long been known that silver is an effective antimicrobial. In fact, silver has been used as a topical antimicrobial agent for hundreds of years. In recent years, a large number of dressings containing silver compound or a compound that releases silver slowly over time have been developed, adding to the wound care dressing…
Continuing on in our discussion of wound dressings, let’s turn our attention to hydrogels and semipermeable foams. Hydrogels for Wound Care Hydrogels are water- or glycerin-based wound dressings that come in sheets, gels or impregnated gauzes. Hydrogels swell and are able to absorb small amounts of fluids. They are also able to add moisture to…
Consider the following question: How many wound management products are currently available on today’s market? a) 500 b) 1000 c) 2000 d) more than 3000 If you answered d), you’re correct. There are more than 3000 wound care products available today. It can be very confusing and intimidating for practitioners new to wound care (and…
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