Page 45 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

• Occlusive properties can promote infection in high
• Dislodges with heavy exudate, shearing or friction
• May tear fragile surrounding skin –use periwound
• Change every 3‐5 days or when fluid leaks from
or wounds with deep
• Can develop foul odor after 2‐4 days –may be

or light exudate • Irrigate wound between dressing changes to or light exudate • Change every 1‐4 days depending on amount of • Some foam products require secondary dressing, • Can cause maceration if not changed regularly.

COMMENTS Not for infected wounds • tunnels, tracts & undermining • Not for wounds with stable eschar risk patients under wafer skin sealant mistaken for infection Not for dry wound bed • • Not for wounds with stable eschar • Change every 1‐2 days • Requires secondary dressing remove any remaining alginate Not for dry wound bed • • Not for wounds with stable eschar drainage such as gauze, to secure to fragile skin • May use as secondary dressing

Using Wound Condition to Assist in Product Selection Minimal to moderate exudative wound with • Partial or full thickness wounds without depth • Supports autolytic debridement • Maintains moist wound surface Moderate to heavy exudate • Partial to full thickness wounds • Supports autolytic debridement Moderate to heavy exudate • Partial or full thickness wounds with moist • Good for deep/cavitating wounds • Change daily if using on infected wounds Burghardt JC

INDICATION • slough present • Provides pain relief • • Roping for tunneling • Provides odor control • necrosis • May use around tubes Bryant RA, Nix DP, eds. Acute & Chronic Wounds: Current Management Concepts. 4 th ed. St Louis, MO:Elsevier/Mosby. © 2012

PRODUCT & DESCRIPTION

Hydrocolloid: • Occlusive wafer dressing • Forms gelatinous mass to reduce wound contamination • Water resistant outer layer Brands: Duoderm, Exuderm, Replicare, Tegasorb Alginate: • Derived from brown seaweed • Forms moisture retentive gel on contact with wound fluid • Rope or flat dressing forms • Calcium alginate is hemostatic • Silver alginate is antimicrobial • Holds up to 20x its weight in fluid • Layer for increased absorption Brands: Al

CONDITION MINIMAL TO MODERATE EXUDATE MODERATE TO HEAVY EXUDATE Chart content adapted from:

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