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1) To understand the etiology and treatment of common wound in primary care 2) Early recognition and prevention of pressure injuries 3) Able to understand and treat common outpatient wound care issues 4) To be able to recognize the resources in the systems
Wound Care: The Basics. Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP. University of Virginia May, 2010. What Type of Wound is it? How long has it been there? Acute-generally heal in a couple weeks, but can. become chronic: Surgical. Trauma. Chronic-do not heal by normal repair process-takes. weeks to months:
Wound Management. What are we trying to achieve? ‘Maintaining a controlled set of local conditions that is able to sustain the complex cellular activity occurring in wound healing should be the primary aim of wound management’. (Flanagan, 2000) Wound Bed Preparation.
Performing a thorough wound assessment is the first step in developing a comprehensive plan of care that includes correction of etiological factors, systemic support, and evidence-based topical therapy and management (Krapfl & Peirce, 2016).
for the Diagnosis and Treatment of Chronic Wounds: General and Specific.” The RFP emphasized that the most common chronic wounds—pressure ulcers, venous stasis ulcers and diabetic foot ulcers—are increasing in prevalence in the U.S. population, owing primarily to an ever-increasing number of elderly patients.
Apply a skin prep barrier (cream or wipe). Use a hydrogel to line the wound bed (do not completely fill the cavity) or dampen the gauze. If using hydrogel impregnated gauze, line the wound so the gauze is covering the entire wound bed. Use an antimicrobial gel to address bioburden in the wound.
Follow these steps to develop the most effective treatment plan to promote healing. Here’s WHAT each step is, WHY it’s important and HOW it’s performed by the clinician.