Chronic Wounds Study Materials

CHRONICWOUNDS INTRODUCTION Chronic wounds areother wounds thatsoarethat difficult to healdoes due not to disruption of wound healing by systemic, local and factors the wound heal according to the normal wound healing time. Chronic wounds can also occur due towounds delayedcan primary healing and continue to recur over a certain period of time. In general, heal themselves. When the bodythe experiences other diseases, such as diabetes, kidney diseasechronic or blocked blood vessels, wounds become chronic. Another condition that causes wounds istissue the presence of foreign objects in the wound such as sewing threads, infections and dead (necrosis). Cases that often occur in chronic wounds are leg wounds (venous and arterial pressure cancer wounds and wounds with a lot of fluid suchulcers), as sinuses and sores, fistulasdiabetic (drainingwounds, wounds). MANAGEMENT Chronic wound management is slightly different from acute wound management because the wound conditions are different, although in principle wound management is the same, namely controlling and eliminating the causes (pressure, shear, friction, moisture, neuropathy), creating anddead maintaining the wound environment (preventing infection,when cleanliness of the wound, tissue). , damp etc.). Things that must be considered treating chronic wounds are as follows: a. Continuous assessment b. Wound woundsbed preparation is a specific activity that must be carried out in chronic c. The need for handling with sterile or clean principles d. Improved patient quality of life e. Patient and family health education f. Improvement of the patient's daily activities to optimal abilities CHRONIC WOUND CARE MANAGEMENT WASHING WOUNDS a. Washing wounds develops in accordance with developments incommonly science, both theare type of fluid used and the washing method. The types of water used normal saline (physiological fluid), povidone iodine, hydrogen peroxide, chlorine/sodium hpochlorite. Each wound has its own characteristics and choosing the most appropriate wound washing fluid can speed up the patient's recovery. Things that must be considered when determining the type of wound washing fluid are as follows: b. Is the wound infected? c. How is the exudate? d. Are there foreign objects, dirt, dead tissue or thickened epithelium? e. Does the wound need to be protected and contamination minimal to the primary wound? f. Is the base of the wound fresh red and well vascularized? The recommended way of washing isorirrigation, especially by applying pressure (canmethod use a tool) on the sinus/undermining area with whirlpool and hydrotherapy. Another isWashing to simply douche (showering), especially inthe areas thatis very are very sensitive and bleed easily. the edges of the wound and around area important so that the actual extent of the wound and the possibility of new wounds are clearly visible. Here's how to wash the wound: a. Choosing washing foreign fluid, does not damage healthy tissue, reduces the numbertheofright germswound and removes objects b. Wash gently and slowly c. Perform a complete wound assessment REMOVES DEAD TISSUE Debridement is an activity to remove deadexample tissue. autolysis Combination debridement reallywith helps speed up the removal of dead tissue, for with CSWD, enzymatic CSWD, surgical with autolysis, chemical with autolysis. Implementing CSWD requires skills that must be trained, starting from recognizing the form of dead tissue in the early phase up 100% dead (necrosis), the riskblood of skinvessels. experiencing necrosis (ischemia, cyanosis), deadto tissue that still has remaining CHOOSING THE RIGHT WINDING 1) Choose a dressing that can support autolysis debridement 2) Choose a dressing that can retain moisture 3) Choose wound a dressing that can protect the skin around the wound and the edges of the 4) Choose a dressing that can control infection 5) Choose a dressing that can sup