Page 51 - 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

Hydrofibers (Aquacel®), or fibergels, have some

Never use with hydrogels

Change every 1‐3 days non‐wicking; fibers provide stability for packing Always requires secondary dressing Honey is contraindicated in patients with a hypersensitivity to honey. Patients with bee sting allergies are allergic to bee venom and will not be affected by the honey. Do not use in dry, necrotic wounds. (See additional information on honey, Other Therapies, page 51) Silver‐based dressings will not improve cellulitis Cont

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partial or full‐thickness wound
May be layered for more absorption
minimal to moderate exudate
moderate to heavy exudate
Promotes autolytic debridement
Wound Products Chart Fibers encourage hemostasis in minimally bleeding wounds Silver based dressings inhibit bacterial growth and are effective on aerobic, anaerobic, gram‐negative, gram‐positive, yeast, filamentous fungi & viruses; resistance to silver is very rare Metronidazole gel or crushed tablets can be used in combination with calcium alginate or foam dressings reducing bacterial load at the wound site and eliminating odor in 3‐7 Honey produces

full‐thickness wounds wounds with tunneling chronic, granulated wounds for tissue and blood vessel growth Hemostatic properties

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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