Effectiveness of solutions, techniques and pressure in wound cleansing

Fernandez, Ritin; Griffiths, Rhonda; Ussia, Cheryl

doi:10.11124/01938924-200402070-00001

Cited by 7 publications

(23 citation statements)

References 36 publications

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“…This is consistent with the results of Frank who said that of several studies prove that the more modern bandage gauze bandage efekif compared, the results of these studies are also influenced by the condition of the wound (breadth, depth of the wound, and the wound treatment duration). 12 Stages of the action taken is to wash the wound, debrided, the provision of disinfectants, installation of proper dressings namely wound ointments and closes occlusive done within 2 weeks. In the study Sheehan, reported treatment of patients with diabetic foot wounds will show the area of wound closure in the first 4 weeks and recovered a total of 12 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9][10][11] To prevent the diabetic wound complication which occurs in a long time and to prevent the worse condition it is important to give attention in how the wound care is in the patient in which there are four principles of diabetic wound management to optimize the healing process. [12][13][14][15][16] The principles are basic wound preparation, wound protection, wound bandage, and wound oxygenation. 17 By using these principles it is expected that 80% of diabetic wound foot problems can be cured, so it can avoid amputation.…”

Section: Introductionmentioning

confidence: 99%

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Modern wound care application in diabetic wound management

Rohmayanti

Handayani

2017

Int J Res Med Sci

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Diabetes mellitus is a group of metabolic disease which facilitates diabetic wound foot. To prevent long diabetic wound complication and worse condition it is needed wound care for diabetic patient. Modern bandage has been used for recent wound care technique. The principles of modern wound care product are maintaining and watching over the humid environment of the wound to facilitate the wound healing process, maintaining liquid tissue deprivation and cell decease. This research was aimed to find out how modern wound bandage is applied to the diabetic patient and to find out the influence in healing wound phase. This research is qualitative research using phenomenology approach, 4 wound diabetic patients who were hospitalized for 2 weeks using modern wound care method in Magelang regency were participated. The participants were elected using purposive sampling method. Observation and interview were used to obtain data, data was analyzed using explanation building method. The results of this research have 4 topics which are wound examination, type of modern bandage, the way of wound care, and the influence toward the wound. Bates-Jensen Wound was used for the wound examination, the type of bandage used were hydrogel and wound ointment, TIME management approach was used in wound care, and the wound care influences the decreasing of wound size, wound proliferation and granulation. Modern bandage application of diabetic wound influences the decreasing of wound size, wound proliferation and granulation. Paramedic is suggested to use modern wound care method in diabetic wound management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modern wound care application in diabetic wound management

Rohmayanti

Handayani

2017

Int J Res Med Sci

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“…Irrigation can be used to cleanse superficial-to fullthickness abrasions, incisions, and lacerations. 19,20 Strength of recommendation: B a. To effectively remove wound debris, irrigation pressure should range between 4 and 15 pounds per square inch (psi; 27.58-103.42 kPa).…”

Section: Recommendationsmentioning

confidence: 99%

“…To effectively remove wound debris, irrigation pressure should range between 4 and 15 pounds per square inch (psi; 27.58-103.42 kPa). 11,19,[21][22][23] Strength of recommendation: B b. A range of 7 to 11 psi (48.26-75.84 kPa) can be achieved with a 35-mL syringe and an 18-to 20-gauge needle, needle hub, or plastic cannula.…”

Section: Recommendationsmentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Beam

Buckley

Holcomb

et al. 2016

Journal of Athletic Training

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Objective: To present recommendations for the cleansing, debridement, dressing, and monitoring of acute skin trauma in patients.Background: Acute skin trauma is common during participation in athletic and recreational activities. Clinical decisions and intervention protocols after injury vary among athletic trainers and are often based on ritualistic practices. An understanding of cleansing, debridement, and dressing techniques; clinical features of infection and adverse reactions; and monitoring of acute skin trauma is critical for certified athletic trainers and other allied health and medical professionals to create a local wound environment that promotes healing and lessens the risk of complications.Recommendations: These guidelines are intended to provide the certified athletic trainer and others participating in athletic health care with specific knowledge about and recommendations for the management of acute skin trauma.Key Words: abrasions, avulsions, blisters, incisions, lacerations, punctures, cleansing, debridement, nonocclusive dressings, occlusive dressings, infection, adverse reactions T raumatic injury to the skin is common among athletes participating in all sports.1 The exact frequencies of abrasions, avulsions, blisters, incisions, lacerations, and punctures are difficult to calculate because many patients do not seek medical attention after injury; for others, their activity level is initially unaffected, and the injury is not recorded on surveillance reports. Unreported skin trauma and inappropriate wound management can result in delayed healing, cross-contamination, bacterial colonization, and infection, adversely affecting the overall health and playing status of the patient. Managing acute skin trauma through appropriate cleansing, debridement, and dressing techniques can create an environment conducive to healing and lessen the risk of complications. 2,3Wound-management techniques have undergone drastic changes over the last 50 years, and other allied health care professions, organizations, and facilities have developed guidelines that serve as standards of care. [4][5][6] However, guidelines for the management of acute skin trauma by athletic trainers (ATs) are limited in the literature.1,7 The development and implementation of cleansing, debridement, and dressing techniques for acute skin trauma are critical for ATs to successfully deliver health care services to patients. The following review and recommendations provide information on the management of acute skin trauma and guidelines for ATs and other allied health and medical professionals who care for patients. RECOMMENDATIONSThis position statement is based on current research and literature with regard to the cleansing, debridement, dressing, and monitoring of acute skin trauma. We independently categorized the studies and literature using the Strength of Recommendation Taxonomy (SORT) developed by the American Academy of Family Physicians. 8 The taxonomy grades the quality of the data from the literature (level of evidence) and p...

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“…Os estudos realizados em países europeus (10-13,17-22) apareceram como líderes das publicações de pesquisas clínicas sobre UP seguidos pela Austrália (12,(15)(16) e Ásia (9) , enquanto no Brasil, nenhuma pesquisa foi publicada no período de 2004 a 2009. É urgente o investimento na pesquisa nessa área, para compreensão da importância da prevenção das UP, seu impacto econômico às instituições de saúde e na efetividade do cuidado prestado.…”

Section: Discussão Discussão Discussão Discussão Discussãounclassified

Estudos clínicos sobre úlcera por pressão

et al. 2010

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Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACT The present study aimed at providing a synthesis of clinical studies on pressure ulcer (UP). An integrative review was made by searching the database of MEDLINE, Portal de Evidências, and LILACS for articles, and the Joanna Briggs Institute (JBI) periodical, a reference in clinical trials in Nursing, from 2004Nursing, from -2009. 14 articles were selected and their analysis made it possible to identify four areas of interest involving the characterization of the studies, the sample, the interventions used, as well as the results and conclusions obtained. We found that the studies reviewed have focused on prevention and that there are few studies of this kind in our country. It is important to recognize these limitations and try to overcome them in order to provide advancements and enhance the development of research based on strong clinical evidence to support the professional nursing practice. K K K K Key wor ey wor ey wor ey wor ey words: ds: ds: ds: ds: Clinical research; Pressure ulcer; Nursing. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN El estudio tuvo como objetivo sintetizar los estudios clínicos sobre úlcera por presión (UP). Fue elaborada una revisión integradora a través de búsqueda de artículos en las bases de datos MEDLINE, Portal de Evidencias, LILACS, y el periódico Joanna Briggs Institute (JBI), referencia en el área de ensayos clínicos en Enfermería, en el periodo de [2004][2005][2006][2007][2008][2009]. Se seleccionaron 14 artículos y el análisis de los mismos permitió la identificación de cuatro categorías temáticas envolviendo la caracterización de los estudios, de la muestra, de las intervenciones utilizadas, bien como de los resultados y conclusiones alcanzados. Los resultados indicaron esencialmente el enfoque de estudios direccionados a la temática de la prevención y la ausencia de este tipo de estudio en nuestro país. Reconocer las limitaciones envueltas en este aspecto y buscar superarlas, proporcionará avanzos e impulsará el desarrollo de investigaciones con fuertes evidencias clínicas que subsidien la práctica profesional de la enfermería.

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Effectiveness of solutions, techniques and pressure in wound cleansing

Cited by 7 publications

References 36 publications

Modern wound care application in diabetic wound management

Modern wound care application in diabetic wound management

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Estudos clínicos sobre úlcera por pressão

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