Page 55 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

Not recommended for dry, necrotic wounds; following

Patients with bee sting allergies are allergic to bee

venom and will not be affected by the honey
Contraindicated: hypersensitivity to honey

surgical debridement incision & drainage of an abscess; wounds requiring Use on wounds with depth only as a secondary dressing Impermeable to external contaminates, reducing Molds to body contour Contraindicated on wounds with sinus tracts, tunneling Avoid use on infected wound or dry eschar Use skin protectant on fragile periwound skin Change every 3‐5 days May have odor when removed—not an indication of Change sterile gel dressing every 3 da

Comments      infection risk       infection.       sealant   

Reduces pain, inflammation, edema, exudate, and scarring
Can be used to frame a wound requiring frequent dressing

changes; secure with tape to protect surrounding skin

Wound Products Chart

wounds with tunneling or undermining
wound with fungal infection & pruritus
Under adhesive products to protect skin
wounds with minimal or no exudate
venous, arterial & pressure ulcers
partial or full‐thickness wounds

light to moderate exudates
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Promotes autolytic debridement

superficial wounds partial to full‐thickness wounds Promotes autolytic debridement partial or full thickness wound malignant wound Cool sheets in refrigerator to relieve pruritus Promotes autolytic debridement Decreases pain; cool & soothing Stage I & 2 pressure ulcers Pressure points and bony prominences Skin protection around stomas

Indications Appropriate for:     Reduces odor   Appropriate for:      Appropriate for:        Appropriate for:    

Manuka (Leptospermum) honey is derived from the tea
Available as calcium alginate, hydrocolloid, paste, gel
tree. Medical grade honey is purified for medical use

with filtration & radiation
Product & Description

Brand: MediHoney Occlusive & adhesive wafer dressings; react with wound exudate to form gel‐like covering protecting the wound bed, maintains moist wound environment. Available as wafer, powder, paste Brands: Duoderm, Exuderm, Replicare Glycerin‐ or water‐based polymers that are primarily designed to donate moisture to the wound, thus facilitating moist wound healing. Available as sheet, amorphous gel, or impregnated Brands: Skintegrity, El

Honey:    Hydrocolloids:    Hydrogel:   gauze     