wound care education powerpoint

Bonham P, Flemister B, Droste L, et al. A safe and effective system from which to start, however, is the use of straight, elasticated tubular bandage, for example, Lipsky, BA & Hoey, C 2009, 'Topical Antimicrobial Therapy for Treating Chronic Wounds'. Fixomull and Removal of necrotic tissue and management of infection is paramount to move on to the Chen Y, Wang Y, Chen W, Smith M, Huang H, Huang L. The effectiveness of a health. Patient participation in pressure injury prevention: giving patients a voice. World Health Organization. Advances in Skin & Wound Care34(8):403-410, August 2021. PPT - Wound Care PowerPoint Presentation, free download - ID:5403940 How long do you think it will take for your wound to heal? 13. Fixomull, Should the body decide to separate the eschar from the tissue below it, the eschar then usually provides a well-demarcated edge from which to work. Reflective listening clarifies patients intentions and meaning and allows providers to emphasize positive decisional balance, including the patients expressed need for adherence, potential benefits, and ability to succeed. PDF Skin Tears with Education - Wound Care Resource Patients understanding of the healing process may also greatly improve wound outcomes.18 For example, patients may not understand that wounds should heal from the base to the surface. Miller W, Rollnick S. Motivational Interviewing: Helping People Change. Primapore. Patient education on skin protection, turning and positioning, and notifying caregivers about tender and painful areas increases autonomy by enabling patients to self-advocate and supervise appropriate treatment interventions, even when caregiver assistance is required to carry out provider recommendations.20 Patients and caregivers should be aware of common PI locations (heels, sacrum, ischium, and greater tuberosity), as well as intrinsic and extrinsic factors that increase vulnerability and delayed healing, such as incontinence and localized skin trauma.21,22 Patients can decrease their vulnerability to tissue damage using specialized support surfaces and strategies for positioning and pressure redistribution.21,22 These strategies should include keeping the head of the bed at or below 30 whenever possible to decrease friction and shear.21 Depending on their physical abilities, patients may be taught how to use assistive devices, such as an overhead trapeze and/or grab bars, to perform repositioning.23 Information regarding the characteristics of an ideal support surface also helps equip patients to ensure optimal prevention and treatment.23, Providers should also educate patients on skin assessment and signs of impending damage. 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 . Moist wound therapy assists in this process, although some moist agents can increase the risk of maceration. Robineau S, Nicolas B, Mathieu L, et al. Overall, documentation should record the following elements 5: Wound etiology or cause (pressure, venous, arterial, surgical, etc.) Guideline for the management of wounds in patients with lower-extremity venous disease: an executive summary. Verify here. Mepitel, This is referred to as autolysis. Using the HBM also helps providers understand patient barriers to enacting treatment recommendations, including patients confidence in their ability to self-manage their condition (Figure 1). Int J Environ Res Public Health 2018;15(9):1810. to maintaining your privacy and will not share your personal information without Promoted the Vagus Nerve Stimulator for Epilepsy and Depression (VNS). Obesity may raise concerns about skin fold infections and repeated colonisation. Asking open-ended questions, such as in MI, allows providers to better understand patient perspectives. Dr.Richa Kurian - Boulder, Colorado, United States - LinkedIn Jerant A, Lichte M, Kravitz R, et al. The pale, pink/mauve tissue usually found at the edges of wounds, healing by secondary intention, requires protection. 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. PPTX PowerPoint Presentation Mechanical debridement can involve several different methods. I understand that you are concerned about the lack of healing in your foot. Simple abrasions, in particular, if not managed by a healthcare professional, form a scab that eventually drops off, revealing a healed area beneath. Whilst there are some being used overseas, none of these have yet been approved for use in Australia. 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. If you think this may be a concern for one of your patients, it is best to ask the pharmacist to check medications for any that could impact healing and have these discussed with the attending physician when able. 4. Student Nurse Knowledge of and Attitudes Toward Pressure Injury Prevention: How Sufficient Is Undergraduate Education? 11. Further, MI enables providers and patients to collaboratively decide which recommendations work best given patients lifestyle, preferences, and available resources.11 During MI, providers ask open-ended questions to gain insight into patient intentions, abilities, and willingness to adhere to treatment recommendations.12 Then, providers use these insights to create individualized goals and tailored wound management strategies. Present your medical center and make it look serious and polished with these resources. 1: https://www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html, In-Office Lab Testing for Respiratory Illnesses, Cleaning, Decontamination & Sterilization, Antibacterial Foam Dressing McKesson 4 X 4 Inch Square Adhesive with Border Sterile, Silicone Foam Dressing Mepilex Border 4 X 4 Inch Square Silicone Adhesive with Border Sterile, Thin Silicone Foam Dressing Allevyn Gentle Border Lite 4 X 4 Inch Square Silicone Gel Adhesive with Border Sterile, Transparent Film Dressing 3M Tegaderm Rectangle 4 X 4-3/4 Inch Frame Style Delivery With Label Sterile, Silicone Foam Dressing McKesson 4 X 4 Inch Square Silicone Adhesive with Border Sterile, Gauze Sponge McKesson Cotton 12-Ply 4 X 4 Inch Square NonSterile, Cohesive Bandage 3M Coban LF 2 Inch X 5 Yard Standard Compression Self-adherent Closure Bright Green / Bright Orange / Bright Pink / Purple / Blue / Black NonSterile, Adhesive Strip McKesson 1 X 3 Inch Fabric Rectangle Tan Sterile, Skin Protectant Thera Calazinc Body Shield 4 oz. Health promotion by social cognitive means. 28. If an offloading device is used, it must be donned whenever the patient is weight-bearing, even if the patient is only going from the bed to the bathroom in the middle of the night. Is there anything else we can do to help this stupid foot heal faster? Wound Care PowerPoint PPT Presentations - PowerShow Boulder, Colorado, United States 81 followers 80 connections Exercise caution when debriding infected necrotic tissue as bleeding may occur; generally a few days of antibiotic therapy prior to debriding is ideal when performing in a community setting. Can we try one on to see what you think? If the wound is infected, then cleansing with an antiseptic solution and rinsing this off after 2 minutes will assist in reducing bacterial load. Their complimentary wound care webinars include Diabetic Ulcers Identification & Treatment and Bariatrics & Skin Fold Management. Please call if you have any questions in the meantime. (4) How do patients think their wounds should be treated? Mrs H.: Oh man, that thing looks bulky and heavy. Wound Care Center | Google Slides and PowerPoint Template Wolters Kluwer Health Whats happening now with your foot is that every time you stand or walk, it puts the same type of strain on the wound and makes it harder for the body to repair it. Patients with chronic wounds make daily decisions that affect healing and treatment outcomes. The World Health Organization defines adherence as the extent to which a persons behaviortaking medication, following a diet, and/or executing lifestyle changescorresponds with agreed recommendations from the healthcare provider.4 It is important to note that adherence is not the same as compliance. activities that promote health which in turn leads to poor wound healing. Most wounds go on to heal in the normal pathway of: As there are many factors to consider when trying to manage a complex, slow-to-heal wound, the following factors are not an exhaustive list, and not necessarily presented in order of priority, however it is generally considered that nutrition is paramount It is also important that patients can distinguish good versus bad tissue. Examples: To educate wound care practitioners about methods of communication that can help promote patient adherence to wound healing recommendations. 7. Synthesize the principles of motivational interviewing to best encourage patients to adhere to prescribed wound healing recommendations. Tubular Form. Tube Scented Cream, Silver Foam Dressing Mepilex Ag 4 X 4 Inch Square Sterile, https://www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html, Consumers: Please visit SimplyMedical.com. The issue here however, is that this type of healing is slow and can result in an unacceptable scar. Effective education and enhanced adherence decrease episodes of care, reduce health expenditures, and prevent serious complications.3,6 Impediments to adherence encompass provider characteristics as well as patient characteristics. Examples: Wound care - SlideShare View Wound care education PowerPoint (PPT) presentations online in SlideServe. Wound care providers can also promote adherence by tracking goals and acknowledging patients accomplishments.2 Setting small, incremental goals promotes gradual increases in patient self-efficacy.13 These goals should be SMART (specific, measurable, achievable, relevant, and timely); otherwise, lack of attainment can discourage adherence.2 In addition, it is important for patients and providers to discuss potential challenges and collaboratively identify strategies to prevent behavioral lapses.2 Scheduled follow-ups help affirm positive results and provide an opportunity to review any unexpected barriers to adherence.13 Discussing barriers helps patients maintain positive health behaviors, strengthen commitment, and identify new strategies when necessary.13, There are two basic phases in MI: (1) eliciting change talk, that is, desire, reasons, and ability to change; and (2) promoting commitment to new behaviors.10 The mnemonic OARS (open-ended questions, affirmations, reflective listening, and summarization) describes communication techniques commonly used in MI. Uses: surgical, cuts, abrasions, lacerations. Lets have you put on the sneakers you brought in when you came for your last visit. Allen C. Supporting effective lifestyle behavior change interventions. . Metronidazole Gel. We can definitely talk about some other ideas besides the scooter. Dressings that aid this autolysis include: TRANSTHEORETICAL MODEL OF BEHAVIOR CHANGE. Important questions to ask include: What caused this wound? Your message has been successfully sent to your colleague. It then becomes the attending clinicians role to prevent infection. Managing odour becomes the priority. Some medications are known to delay healing and increase lower leg oedema. Both of these processes will affect new cellular growth and hence must be addressed. Melolin, DPT: Great! The term adherence implies collaboration, in which patients actively choose to follow the providers advice based on shared responsibility for health outcomes, as opposed to compliance, which connotes submission to provider directives.5. By performing excellent gentle wound cleansing and debridement, healthcare professionals can assist with wound healing by removing any necrotic tissue which may be impacting the treatment goals. The priority of care is managing oedema and encouraging the epithelium to grow across the superficial break. 9. These wounds are generally acute and, in most circumstances, go on to heal almost regardless of what is done. 1. National Health and Medical Research Council 2017. You may be trying to access this site from a secured browser on the server. This could then be combined with a super absorbent pad such as 19. However, when a chronic non-healing wound is present or the individual is pregnant, breastfeeding, or over the age of 70 years, it increases to approximately 1-2 g per kilogram of body weight per day (National Health and Medical Research Council 2014). Conversations should focus on the following aspects: what actions patients should perform and what is an acceptable degree of adherence (eg, how often or how much adherence is required). Kivela K, Elo S, Kaariainen M. The effects of health coaching on adult patients with chronic diseases: a systematic review. Ausmed Education is a Trusted Information Partner of Healthdirect Australia. Although there are many types of leg ulcers, the most common are venous, followed by arterial, and then mixed venous arterial.

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