Page 166 - Clinical Managers Orientation Binder

4/11/2019

Not Healing: Wound with undermining
Objective Lightly fill and maintain Tunneling/
moisture balance Undermining
Objective:
Select Product Fill space
Type to maintain Exudate
• Not healing o Wound with ≥ 25% avascular Moisture balance S M/L
tissue (eschar and/or slough) OR and fill
o Signs/symptoms of infection OR undermined areas
o Clean but non-granulating [pink, &/or dull Hydrogel Wound Gel / *
dusky red] wound bed OR Gauze
Creates a moist environment,
o Closed [not attached to wound base] facilitates autolytic
/hyperkeratotic wound edges OR debridement
o Persistent failure to improve despite Calcium Alginate or *
appropriate comprehensive wound Hydrofiber
Absorbs exudate to maintain a
management. moist not wet environment.
Can be used to fill dead space
Available with antimicrobial Ag
Mesalt Hypertonic Saline *
Gauze
Cleanses wound, debrides
slough and absorbs exudate
Negative Pressure Wound * *
TX

Infected/Cr
Not Healing Critically Colonized/Infected Select Product to itically
Objective: Reduce Bacterial Burden reduce Bioburden colonized
and maintain
Objective:
• Not healing moisture balance Reduce
bacterial
o Wound with ≥ 25% avascular Product Type burden
tissue (eschar and/or slough) OR Exudate
o Signs/symptoms of infection OR S M/L
o Clean but non-granulating [pink,
&/or dull, dusky red] wound bed Mesalt Hypertonic *
Saline Gauze
OR Cleanses wound,
o Closed [not attached to wound debrides slough and
absorbs exudate
base] /hyperkeratotic wound edges Antimicrobial * *
OR (Silver, Cadexomer
o Persistent failure to improve Iodine,
Antimicrobial gauze)
despite appropriate comprehensive Broad-spectrum,
wound management. sustained release
antimicrobial effect.
Available in gels,
foams, alginates,
hydrofiber, gauze
pads/packing strips and
in collagen dressings
Negative Pressure Must Must
Wound TX tx tx
infec infect
tion ion
* *

13