Pressure on anterior tibialis
tendon from compression wrap
applied incorrectly
Purple or very dark areas that are surrounded by
profound redness, edema, or induration suggest that
deep tissue damage ha...
The deepest level of tissue must be
visible in order to stage a pressure
wound.
Offload
Nutrition
Dress
Debride
Protect
Grade 3
Deep Ulcer
With
Abscess/Osteo
Charcot
Hammer Toe
Callus Formation
Blood sugar
control
Debride
Off
Loading
Manage
Bacteria
Dress
Re-
Vascularize
HBOT
(if criteria
met)
Eliminate Cause
Pain Control
Debridement
Moist Wound Care
HBOT
• Vasodilators & Decrease Plaque
Formation
ACE Inhibitors—(Lisinopril,
Captopril, etc) end in “il”
• Relaxes smooth muscle...
Eliminate
Cause
sutures
mesh
infection
Heal
Debride
Moist
Wound
Care
Specialist
Injury
Hemostasis
Inflammation
Proliferation
Maturation
Pros: Come in all shapes, sizes, and thicknesses
Cons: Must be applied correctly or will roll—choose
appropriate size, thi...
Pros: Hydrogel pads are great
for burns, can be very soothing
Hydrogels come in all forms
Cons: Can be difficult to find
a...
Highly absorptive fiber layers such as cellulose, cotton or
rayon
Pros: Non-adherent, easy to use, absorbent
Cons: May be ...
Pros: Lots to choose from, provides moist
environment, effective with
hypergranulation
Cons: Can be expensive if exudate
r...
Damaged
tissue
Cytokines
Excess
proteases
Stasis Dermatitis
Arterial
Stage 1 pressure
This is usually 2 to 2.4 absolute
atmospheres (the equivalent of the
pressure exerted by a 33-45 foot dive
into sea water)
Radionecrosis from treatment for
Cancer of Laranyx 05/02/02
Same neck, 07/09/02
after 40 hyperbaric
treatments
Tissue
Hypoperfusion
Hypoxia Infection
Left Lower Extremity Ulcer, before and after 40 treatments
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
The Basics of Identifying and Caring for Problem Wounds
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The Basics of Identifying and Caring for Problem Wounds

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Pressure Ulcers, Chronic Wounds, Arterial Ulcers, Venous Ulcers, Hyperbaric, Wound Care Products, treatment for wounds

Publié dans : Santé & Médecine
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The Basics of Identifying and Caring for Problem Wounds

  1. 1. Pressure on anterior tibialis tendon from compression wrap applied incorrectly
  2. 2. Purple or very dark areas that are surrounded by profound redness, edema, or induration suggest that deep tissue damage has already occurred and additional deep tissue loss may occur.
  3. 3. The deepest level of tissue must be visible in order to stage a pressure wound.
  4. 4. Offload Nutrition Dress Debride Protect
  5. 5. Grade 3 Deep Ulcer With Abscess/Osteo
  6. 6. Charcot Hammer Toe Callus Formation
  7. 7. Blood sugar control Debride Off Loading Manage Bacteria Dress Re- Vascularize HBOT (if criteria met)
  8. 8. Eliminate Cause Pain Control Debridement Moist Wound Care HBOT
  9. 9. • Vasodilators & Decrease Plaque Formation ACE Inhibitors—(Lisinopril, Captopril, etc) end in “il” • Relaxes smooth muscle & vasodilates Pletal (Cilostazol)
  10. 10. Eliminate Cause sutures mesh infection Heal Debride Moist Wound Care Specialist
  11. 11. Injury Hemostasis Inflammation Proliferation Maturation
  12. 12. Pros: Come in all shapes, sizes, and thicknesses Cons: Must be applied correctly or will roll—choose appropriate size, thickness for location of wound
  13. 13. Pros: Hydrogel pads are great for burns, can be very soothing Hydrogels come in all forms Cons: Can be difficult to find and can be costly depending on brand
  14. 14. Highly absorptive fiber layers such as cellulose, cotton or rayon Pros: Non-adherent, easy to use, absorbent Cons: May be costly
  15. 15. Pros: Lots to choose from, provides moist environment, effective with hypergranulation Cons: Can be expensive if exudate requires daily changes
  16. 16. Damaged tissue Cytokines Excess proteases
  17. 17. Stasis Dermatitis
  18. 18. Arterial
  19. 19. Stage 1 pressure
  20. 20. This is usually 2 to 2.4 absolute atmospheres (the equivalent of the pressure exerted by a 33-45 foot dive into sea water)
  21. 21. Radionecrosis from treatment for Cancer of Laranyx 05/02/02 Same neck, 07/09/02 after 40 hyperbaric treatments
  22. 22. Tissue Hypoperfusion Hypoxia Infection
  23. 23. Left Lower Extremity Ulcer, before and after 40 treatments

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