Archive for the ‘Dressings’ Category

Treating Pediatric Burns Takes Skills and Sensitivity

Saturday, December 11th, 2021

Knowledgeable wound care clinicians are needed not only for adults but for the pediatric population too. Burns are common injuries incurred by children. We spoke with two experts to learn more about this important area of wound care for pediatric burns.

Stats on Pediatric Burns

“Burns are a leading cause of death and disability for children worldwide,” said Tina Palmieri MD, FACS, FCCM, Assistant Chief of Burns at Shriners Hospital for Children Northern California and Burn Division Chief at the University of California, Davis.

In the U.S., the stats are staggering. “Nearly each week in 2018 in the U.S. alone, approximately six children aged 0-19 died, 139 were hospitalized, and 1,762 were taken to the emergency room due to fire and burn injuries,” said Palmieri.

According to the American Burn Association Fact Sheet, 24% of all burn injuries occur in children under the age of 15, said Jenna Leach MSN, RN, WCC, plastic surgery specialty nurse at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware.

Palmieri pointed out risk factors for pediatric fire and burn deaths are: (more…)

How Do You Treat a Malignant Wound? Let’s Look at the Options

Monday, November 8th, 2021

Wounds can present in patients as a result of various etiologies. One cause of wounds not typically on most clinicians’ radars are wounds that result from primary tumors.

We spoke with Joni Brinker, MSN/MHA, RN, WCC, an Ohio-based consultant and clinical nurse educator with Optum Hospice Pharmacy Services of Eden Prairie, Minnesota, and speaker for WCEI’s Wild on Wounds (WOW) national conference, to gain insight on malignant wounds that can develop from primary tumors.

What Is a Malignant Wound?

“A malignant wound is a manifestation of malignant (cancerous) cells that have infiltrated through the skin,” said Brinker.

Other structures such as blood and lymphatic vessels also can be invaded by malignant cells and produce wounds, she said.

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From Transparent Dressings to Hydrogels, Wound Care Dressings You Use Every Day

Monday, February 1st, 2021

As wound care professionals, wound care dressings are an important tool.

Keeping up to date on the types of wound care dressings available to treat patients in our care is our duty.

Wound care dressings come in various shapes, sizes and have indications for their use.

Professionals who treat wounds must remain aware of the types of wound care dressings they can use, as well as their contraindications. Here’s a list.

Transparent Film Dressings

Transparent wound care dressings are thin, transparent sheets of polyurethane coated with an adhesive and are available in a variety of shapes and sizes. They are semi-permeable, allowing the one-way passage of oxygen and moisture vapor, but are waterproof and impermeable to bacteria.

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Learn When You Should Apply a Hydrogel Dressing to a Wound

Wednesday, September 30th, 2020

As wound care clinicians, you must be aware of the different types of wound care dressings, such as hydrogel dressings.

A hydrogel dressing — also known as hydrated polymer dressings — consist of 90% water in a gel base that regulate fluid exchange from the wound surface.

It absorbs small amounts of fluid and donating moisture to the wound bed.

These dressings are available in sheets, amorphous gels, or impregnated gauze and packing strips.

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When to Use a Collagen Wound Dressing on Your Patients

Wednesday, September 9th, 2020

As wound care certified (WCC) clinicians, you should be aware of the types of dressings available to treat patients in your care.

Wound care dressings come in various shapes, sizes and have indications for their use, including collagen wound dressings.

Let’s explore which types of dressings are focused on collagen.

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Antimicrobial Products: Read Labels and Do Your Own Research

Wednesday, March 18th, 2020

The wound care industry has been inundated with antimicrobial products for years. 

Companies with good intentions try to improve outcomes and move away from antiquated antiseptics, such as Betadine, Dakins and acetic acid, that are not actually approved for use in wounds.

But some products are cytotoxic and lack any solid evidence that they are antimicrobial.

Instead, companies are offering modern products with little or no cytotoxicity available in multiple forms, such as cleansers and dressings. The challenge facing you in this barrage of products is knowing whether they are actually antimicrobial in the wound. 

This blog will arm you with proper ways to analyze these antimicrobial products and increase knowledge about them.

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Your Essential Guide to Wound Packing Dead Space

Wednesday, February 19th, 2020

Let’s face it, there is nothing fun, exciting or sexy about this topic.

Wound packing is just a necessary part of performing good wound care treatments in the event your patient has notable depth in their wound. 

However, there is a purpose and a proper way to pack a wound with the goal of promoting healing in the most effective and efficient manner.

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What’s All the Fuss about Wound Dressing Change Frequency?

Wednesday, December 4th, 2019

Let’s take a one question wound care quiz.

What is more important for wound dressing change frequency?

  1. Expert application of a dressing
  2. Frequency of the dressing change

The correct answer is the frequency. Now let’s talk about why.

I do not want to take away from the importance of properly applying dressings because that certainly has its own merits. But when it comes down to it, the frequency wins hands down. 

As we teach in class, wound healing is a dynamic process. As the wound progresses through the phases of healing, all kinds of cellular activity is happening.

From the neutrophils and macrophages to the growth factors and fibroblasts, each phase has a job to do for the wound to move to the next phase and ultimately close.

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Wet-to-Dry Dressings: The Downside and Effective Alternatives

Friday, February 10th, 2017

What should wound care professionals do when a physician orders wet-to-dry dressings? Be prepared and know the facts.

Those of us in wound care know that wet-to-dry dressings are considered substandard care. Some physicians, however, commonly order wet-to-dry dressings for patients, often leaving clinicians in a tricky situation. Do you feel conflicted as to how you should respond? It can be intimidating, but with a little preparation, it doesn’t have to be. By knowing the facts about wet-to-dry dressings, as well as effective and cost-efficient alternatives, you can handle such situations with confidence. Not sure where to start? We’re here to help.

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Maceration and Hydrogels? Just Say Whoa

Thursday, July 21st, 2016

How do you use hydrogel dressings to keep wounds moist without causing maceration? Very carefully.  

If you’ve ever taken a long bath or spent an afternoon in a swimming pool, you’re familiar with what happens to your hands and feet: they become soft, white, and wrinkled up like prunes. This is a classic case of maceration, which occurs when skin tissue is exposed to excessive moisture over a period of time.

As clinicians, we regularly treat patients with wounds (which need to be kept moist) that are surrounded by tissue that needs to be kept dry. So knowing how to properly treat the wound without causing maceration makes all the difference in the healing process.
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