Page 43 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

COMMENTS Use non‐alcohol based product if surrounding skin • is compromised • Also known as “skin sealant” • Alcohol free products: Cavilon No Sting®, No Sting Skin Prep® • Every wound requires cleansing with each dressing change to remove surface bacteria and debris. 24 • Surfactants in commercial wound cleanser help lift debris from the wound bed • Irrigation force 4‐15 psi:  Spray bottle: 1.2 psi (inadequate)  Piston syringe: 4.2 psi

over swabbing

Using Wound Condition to Assist in Product Selection Use around wound, before applying dressing, to protect surrounding skin from maceration, skin Gentle irrigation preferred • If suspect colonization/infection, irrigate with antiseptic or antimicrobial agent • Rinse with normal saline after cleansing with • Irrigation removes surface bacteria & debris • Shallow or partial thickness wounds • Supports autolytic debridement • Maintains moist wound surfa

INDICATION • stripping and infection. • antiseptic. Dry to minimal exudate • • Used as a cover dressing microbes, & chemicals Dry to minimal exudate • • Softens necrotic tissue • Donates moisture • Decreases pain
Product Selection by Wound Condition

PRODUCT & DESCRIPTION

Skin Barrier Film: • Liquid transparent film that contains plasticizing agents • Available as a spray or wipe • Some contain isopropyl alcohol Brands: No Sting Skin Prep, Cavilon No Sting Barrier Wound Cleanser: • Cleanser of choice: Normal saline • If no preservative, replace every 24 hours • Commercial products: follow product specific expiration dating Brands: ALLCLENZ, Cavilon, DermaKlenz, Skintegrity, normal saline Transparent Film:

CONDITION PERIWOUND PROTECTION WOUND CLEANSING DRY WOUND

BED