Page 50 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

Do not use in dry wounds or wounds covered with eschar
properties of alginates but are not hemostatic and are
Contraindicated in patients with sensitivity to collagen,
wounds. (See additional information on honey, Other
affected by the honey. Do not use in dry, necrotic
hypersensitivity to honey. Patients with bee sting
allergies are allergic to bee venom and will not be
non‐wicking; fibers provide stability for packing
Hydrofibers (Aquacel®), or fibergels, have some
Silver‐based dressings will not improve cellulitis
Honey is contraindicated in patients with a
Always requires secondary dressing
bovine, porcine or avian products
Never use with hydrogels
Change every 1‐3 days
Therapies, page 51)
Comments
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Silver based dressings inhibit bacterial growth and are effective
combination with calcium alginate or foam dressings reducing
properties; formulated into gels or pre‐impregnated pads or
on aerobic, anaerobic, gram‐negative, gram‐positive, yeast,
bacterial load at the wound site and eliminating odor in 3‐7
Fibers encourage hemostasis in minimally bleeding wounds
Honey produces hydrogen peroxide, has anti‐inflammatory
filamentous fungi & viruses; resistance to silver is very rare
Metronidazole gel or crushed tablets can be used in
Wound Products Chart
partial or full‐thickness wound
May be layered for more absorption
minimal to moderate exudate
moderate to heavy exudate
Promotes autolytic debridement

full‐thickness wounds Requires secondary dressing  Do not use with dry wound bed  wounds with tunneling Treat wound for infection & debride necrotic tissue  chronic, granulated wounds before using collagen dressing Wound healing stimulated by deposit of collagen fibers needed Pressure ulcer guidelines (NPUAP‐EPUAP) recommend  for tissue and blood vessel growth use of coll
Indications Appropriate for:        days  alginates Appropriate for:      
Wound Care Products

Product & Description

Alginates: Calcium alginate has hemostatic activity Silver alginate has antimicrobial activity Derived from brown seaweed Absorbs serous fluid to form gel mass that conforms to the shape of the wound Available in sheets or ropes; cut to the size of wound or packed into dead space Brands: Algisite, Aquacel, Kaltostat, Maxorb, Medihoney, Restore Calcicare, Silvercel Antimicrobials: Inhibit the growth of bacteria Available in many forms: crea

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