wound care education powerpoint

clinical trainee, amit jain's institute of diabetic foot and wound care, brindhavvan areion hospital, bangalore. Health promotion by social cognitive means. 2003. 22. Every time you bend your finger, it puts strain on that cut and stops it from healing. Is there anything else we can do to help this stupid foot heal faster? Patient Educ Couns 2014;97(2):14757. [Hands Mrs H. the walking boot]. Aside from the appearance, is there anything else that might make it difficult for you to wear the walking boot? Mepitel, Phases of wound Healing: 1-INFLAMMATORY PHASE: Starts immediately after injury and lasts 3-6 days or 4-6 days. The conversation exemplifies the use of MI techniques and theoretical frameworks. Patients' daily decisions and activities have a significant impact on wound healing outcomes independent of the healthcare provider. After participating in this educational activity, the participant will: 1. Offers an introduction to the WoundCare Companion program and its individual resources, Helps you choose the right advanced wound care products for you and your patients needs, A travel-sized guide for skin and wound assessment and product selection, Offers recommended nutrition products to aid in wound treatment and prevention, Outlinesproper methods of assessing residents and patients and helps define clear guidelines in providing optimal nutritional support, Helps you choose the right advanced skin care products for you and your patients needs. Health Educ Behav 2004;31(2):14364. 2. Stud Health Technol Inform 2017;240:284302. Dowsett, C, Protz, K, Drouard-Segard, M & Harding, K 2015. Adhesive foams are generally appropriate here, unless the wound is located very close to the anus, in which case a thick barrier cream is often used. Even after maintenance, relapse can occur despite temporary success.2 Providers can promote adherence by tailoring education interventions to match patients readiness to change (Figure 3). Distinguish the use of theoretical frameworks to promote patient adherence to prescribed wound healing recommendations. Zetuvit Plus. Patients should be empowered to perform proper foot care, including choosing socks and shoes that prevent compression, friction, and shear.18 Throughout the day, patients should remove their shoes and socks to inspect the skin for any signs of redness or irritation.18 Timing for self-checks should be based on individual risks. Yes Debridement is in order. Wound Care Assessment 2. There is no doubt that a healthy, balanced diet of fresh fruit, vegetables, meat, fish and chicken is invaluable to keep the body functioning well. Aquacel Foam, Mrs H.: Oh man, that thing looks bulky and heavy. Providing your non-specialty wound care providers with basic wound training will help your wound care team achieve better outcomes. Venous ulcers can heal with compression therapy, however, conversely, some arterial ulcers may deteriorate if compression is used. Mrs H.: I usually wear these plastic clogs because they are easy to slip on and off. Resources include 88 Relias courses and 50+ McKesson Clinical Connection webinars. Mrs H. (fictional patient) is a 60-year-old catering chef referred for outpatient wound management secondary to a nonhealing ulcer on the plantar aspect of her left foot. The use of barrier agents ensures this. your express consent. Debris must be removed before healthy tissue can regrow. If the wound is locally infected, the clinician may choose to manage the infective tissue with debridement and topical antimicrobials (not topical antibiotics) (Lipsky & Hoey 2009). However, the most important signs to measure wound healing include improvements in tissue quality, and reduction of odour and exudate volume. As part of the plan, providers should encourage patients to discuss feasibility and usefulness of the treatment recommendations.15 The plan should also include scheduled follow-ups in person, by phone, and/or electronic communication.16, Finally, providers must remember that nonadherence can be intentional or unintentional.17 Reasons for intentional nonadherence include pain and patients perceptions regarding the feasibility and effectiveness of treatment recommendations, as well as insufficient explanations from clinicians regarding the rationale supporting recommendations.17. to maintaining your privacy and will not share your personal information without Chemical agents for debridement are no longer available in Australia. 9. Mrs H.: Well, my husband helps me take the bandage off so that I can soak my foot every night. The aim here is to remove the necrotic tissue until viable tissue is reached and the wound can begin to heal from the base up. The most common method of removing necrotic tissue from a wound is using the bodys own naturally occurring enzymes and fluid to breakdown and consume the unwanted cells. Suggested dressings to achieve the aims for simple suture lines include: Remodeling (Maturation) 9 WOUND CARE: 2. Even if patients are reliant on caregivers to examine their skin, the ability to recognize problems and seek appropriate treatment fosters independence.23 In addition, patients and caregivers often require instruction regarding proper hygiene and skin care.23 As with other types of chronic wounds, patients with PIs benefit from education regarding behavioral risks, such as tobacco use, nutrition, hydration, exercise, and medication adherence.23, Patients with peripheral arterial disease often underestimate their risk of serious complications.24 This may stem from lack of knowledge or denial about the impact of nonadherence.24 Providers can address these issues by reviewing factors that mitigate risks, such as tobacco cessation, exercise, and proper diet.25 Further, providers should encourage patients to engage in proper self-management of common comorbidities, such as hypertension and type 2 diabetes.25 Adherence and self-care can be enhanced by teaching patients how to interpret their own test results (eg, total cholesterol and total triglycerides).25, Depending on the severity of circulatory insufficiency, it may be best to keep arterial wounds dry pending revascularization. Sharp surgical is the gold-standard of mechanical debridement, and involves having a surgeon manually remove all of the necrotic tissue so that the vascular bleeding wound bed is exposed. Dressing Pressure Injuries and Ulcerations 5. In many cases, these heavily colonised wounds will require daily dressing changes, with emphasis on peri-wound protection. The 2020 Update on Pressure Injuries: A Review of the Literature, ABCDEFGHI Systematic Approach to Wound Assessment and Management, Privacy Policy (Updated December 15, 2022). Therefore having a knowledge of the characteristics of venous and arterial ulcers is imperative to ensure appropriate decision-making regarding management of these wounds. According to the Theory of Planned Behavior (TPB), adherence is primarily determined by behavioral intentions. These must be applied from toes to knee after selecting the appropriate size according to the manufacturer's guide. Opsite Post-Op, Wound assessment and management Introduction A wound is a disruption to the integrity of the skin that leaves the body vulnerable to pain and infection. 2014 guideline for management of wounds in patients with lower-extremity arterial disease (LEAD): an executive summary. Assessing the impact of a patient. The use of motivational interviewing in physical therapy. The RDI of iron is greater in women during the menstrual years, with 18 mg per day advised to support healthy functioning. J Wound Ostomy Continence Nurs 2016;43(1):2331. The exact cellular implication of this is not known but it is believed that people who are depressed fail to consume a healthy diet or engage in other The guiding principles of wound care have always been focused around defining the wound, identifying any associated factors that may influence the healing process, then Patient and provider dilemmas of type 2 diabetes self-management: a qualitative study in socioeconomically disadvantaged communities in Stocklolm. Latimer S, Chaboyer W, Gillespie B. Keyword Highlighting Stage three injuries involve damage through to the subcutaneous tissue, with the presence of slough and soft, tenacious necrotic tissue, which will require debridement. Allen C. Supporting effective lifestyle behavior change interventions. 15. Ausmed Education is a Trusted Information Partner of Healthdirect Australia. Reexamining reasons for nonadherence enables providers to respond productively.18 Patients may feel overwhelmed by the physical and psychological changes caused by chronic wounds. Older adults heal more slowly than younger people. Complete NCPD/CME information is on the last page of this article. Full thickness tissue loss, subcutaneous fat may be visible, slough may be present. ', (Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health 2003). Time constraints are one of the greatest barriers to applying MI within clinical settings.15 The pressures of a busy schedule can restrict provider ability to engage in detailed conversations with patients. Providers and patients should discuss barriers to adherence, including low perceived susceptibility and severity. Mrs H.: Well, it would depend on how hard it is to get the boot on by myself. DPT: I am not a big fan of lecturing another adult, but it is something I would like to discuss. 3. Welch J. Mrs H.: I think that would really help. Dressing examples include: DPT: Would it be all right if I explained a little more about why I think the walking boot will be so helpful? The formula to calculate a normal protein intake for a healthy adult woman is 0.75 g per kilogram of body weight per day, and 0.84 g per kilogram of body weight per day for healthy adult men. procedures offered to manage the wound, follow-up, first visit, photographs of the wound, and wound progress. Venous ulcers are located in the lower third of the lower leg and generally are superficial and weeping. There are several different options for redistributing the pressure. The best management of an abrasion is to stop the bleeding, give the area a good clean with an antiseptic and then apply a mesh dressing that will protect the superficial raw area and allow new tissue to form quickly without being damaged when the first dressing is attended. Fisher L, Polonsky W, Hessler D, Potter M. A practical framework for encouraging and supporting positive behavior change in diabetes. Wound Care Center Presentation Free Google Slides theme and PowerPoint template Welcome to our Wound Care Center, where we take professional care of you! Lets have you put on the sneakers you brought in when you came for your last visit. Pressure injuries may never heal if the patient is failing to consume adequate food and fluids to maintain body functions and assist tissue growth. More complex lacerations may be referred to an acute care facility or surgeon after initial assessment. Wounds that generally do not heal unless surgical/medical intervention is possible include arterial ulcers, skin cancers and tumours, and wounds as a result of an autoimmune disorder. Therefore, patient education should be directed toward strategies that promote venous return and reduce edema. View Wound care education PowerPoint (PPT) presentations online in SlideServe. [produces walking boot]. Determine which method is Wound Infection in Clinical Practice: Principles of Best Practice Hemostasis 2. May also present as an intact or ruptured serum-filled blister. Boulder, Colorado, United States 81 followers 80 connections Swanson, T, Ousey, K, Haesler, E, Bjarnsholt, T, Carville, K, Idensohn, P, Keast, DH, Larsen nee Angel, D, Waters, N & Weird, D 2022. Conservative sharp wound debridement is the next best option, and is usually carried out by a skilled clinician such as a wound consultant or podiatrist. DPT: Thank you for telling me. The billing of wound care billing services usually involves a thorough evaluation of the patient's medical record for the wound, including wound dimensions, chronic diseases which includes diabetes, chronic ulcers, quadriplegia, etc. Overview: 1. Whilst the autolytic process is taking place, the wound exudate will be higher in volume, so super absorbent pads will be required as the secondary dressing, for example Are you having trouble with it? Cause of the wound and contributing factors, Signs and symptoms that indicate need for urgent medical attention, Guidelines and techniques for treating the wound cause (eg, turning, positioning, and pressure redistribution for pressure injuries), How to monitor and manage comorbidities, Medication dosing and reason for each medication, Nutrition recommendations, including proper hydration. In addition, exercise may assist patients with weight management,18 because obesity also impedes venous return. Mesorb, Apply wound assessment strategies. Commence with one layer, if tolerated, then add another second layer but extending to only 2/3 of the lower leg and finally, if tolerance is maintained, then add another 1/3. Care of this simple suture line then involves continued support and hydration. At McKesson Medical-Surgical, we understand that providing the best care is top of mind. Descriptors used to identify the tissue found in wounds are: Ideally, the quickest (and often safest) way to remove You may be trying to access this site from a secured browser on the server. 18. I need to stand and walk to do my job, and we cant afford to have me out of work. Opsite Post-Op and There are now also many proven safe cleansers such as Prontosan, Microdaycn, Octenilin. Thickness characteristics for nonpressure wounds. A surgical wound of the latter category has a higher incidence of dehiscence or complications. We should be able to place a small lift inside your other shoe to help make the height a little more even. Iodosorb ointment/powder. When managing a complex, slow-healing wound, it is important to remember that there are occasions when wound debridement is not appropriate, and symptom control is more suitable. Financial Disclosure: None of the authors or planners for this educational activity have relevant financial relationships to disclose with ineligible companies whose primary business is . Self-management can also feel overwhelming because of the number and complexity of treatment recommendations.5, The likelihood of adherence is improved when clinicians link recommendations to individual outcome expectations and goals.17 Despite patient willingness to follow recommendations, unintentional nonadherence may still occur, particularly if provider instructions are not clear.18 Collaborative communication strategies, such as MI, can help providers detect and address problems with comprehension or other unforeseen barriers. SlideServe has a very huge collection of Wound care education PowerPoint presentations. 12. If best patient outcomes are to be achieved, applying evidence-based wound management knowledge and skills is essential. Mrs H.: It makes my other leg very tired, and my back gets sore. Participants should use all materials to enhance the value of this continuing education program. These wounds are generally acute and, in most circumstances, go on to heal almost regardless of what is done. Most clinicians take a watch-and-wait approach. Staff training program improves wound care. I agree that we need to talk about what we can change to make sure that your wound improves. The five parameters to consider in wound assessment include: Necrotic, infective, granulation, hypergranulation, poor-quality granulation, epithelium and macerated, (This is the area that extends 4 cm from the edge of the wound, although we are now being asked to consider the skin up to 20 cm from the wound edge where possible), (At dressing changes, intermittently or consistently), Wound Care Assessment Overview Infographic JPEG.
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