Page 53 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

Comments Functions as primary or secondary dressing  May use with topical medications: silver sulfadiazine,  honey, or metronidazole Not recommended for dry wounds; wounds with thick,  viscous exudates; wounds with tunneling or undermining Change weekly; not intended to be changed with each  dressing change Discontinue debridement when wound bed is clean and  viable tissue is present Debridement not indicated for:  Dry, stable (non‐inf

Wound Products Chart wounds with granulation or necrotic tissue infected wounds; may apply topical agent over contact Any wound, acute or chronic, when necrotic tissue, foreign bodies, or infection present See Types of Debridement, page 40 and specific wound 43

dry to heavy exudate partial or full‐thickness wound wound with or without depth Promotes autolytic debridement partial or full‐thickness wounds wound with or without depth treatment grids for more information moderate to heavy exudate partial or full thickness wounds wounds with or without depth venous ulcers around drainage tubes Securing a dressing Gentle wound cleansing Low cost and versatile

Indications Appropriate for:      Appropriate for:    layer Appropriate for:   Appropriate for:      Appropriate for:   

protecting the wound bed from trauma; easily removed
Brands: Covrsite Plus, Stratsorb, TelfaPlus Barrier Island
Porous, non‐adherent, silicone mesh sheets; woven or
Brands: Mepitel Wound Contact layer, Profore Wound
Combine physically distinct dressing components into
passes through for absorption into separate dressing
Contact Layer, Restore Contact Layer, Tegaderm non‐
Contact layer stays in place during dressing changes,
perforated for placement over the wound bed; fluid
‐ do not traumatize the wound or surrounding skin

single dressings with multiple functions

Contact Layers/Silicone Dressings:

Product & Description
adherent Contact Layer Removal of nonviable tissue from a wound Reduces bioburden, controls infection, facilitates visualization of the wound base Types of debridement: autolytic, biosurgical, chemical/enzymatic, mechanical, sharp Absorbent, sponge‐like polymer dressings; create moist wound environment, provide comfort, allow moisture to evaporate, wick drainage away from wound, allow trauma‐free removal of dressing A
Composite Dressings:

  Dressing    Debridement:    Foam:    Gauze: 