TYPES OF DRESSING
Wound Care Training Module
Wound Care Training Module - National Wound Care Committee
Wound Care Training Module
Wound Care Training Module - National Wound Care Committee
Content
Wound Care Training Module - National Wound Care Committee
Content
Wound Care Training Module - National Wound Care Committee
DRESSING PURPOSE
Wound Care Training Module - National Wound Care Committee
Wound Care Training Module - National Wound Care Committee
DRESSING CATEGORIES
Wound Care Training Module - National Wound Care Committee
Modern / Advanced / Active Dressings
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| Protect against contamination and friction Maintain moist surface Prevent evaporation Facilitate assessment | Adherent Transparent with measurement grid Bacterial barrier Waterproof Breathable | Fluid collection Possibility of stripping away newly formed epithelium on removal | Apply the film over the site making sure there is no air under it To remove the film, stretch the film and pull slowly from the edges Frequency of dressing change: 2-5 days depending on the wound |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| Rehydrate , debride and deslough the wound
Promote moist healing Cavity filling | Comfortable
Provide moist environment and reduce pain
Rehydrate eschar Desloughing agent
Promotes granulation | Need secondary dressing Maceration of the skin around the wound | Apply the hydrogel on the wound bed as a primary dressing Frequency of dressing change: 2-3 days |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| Provide moist environment
Absorb exudates Bacterial barrier | Cleans and debrides by autolysis
Easy to use Cost effective Promotes granulation tissue
Effective for low to moderate exuding wounds
Waterproof | Unpleasant odour
Forms a yellow liquid gel
Difficult to use in cavities Maceration of skin around wound | Apply the adhesive side onto the wound without touching the wound bed
A yellow liquid is seen after the dressing is left in situ which needs to be cleansed Frequency of dressing change: 2 to 5 days |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| Absorb wound exudates and maintain moisture | Economical and easy to apply
Biodegradable Haemostatic properties | Not helpful for dry wounds
Need secondary dressing | Available in sheet or rope form
Effective to stop bleeding The residue of the biodegradable product has to be washed off during the cleansing process Frequency of dressing change: 2 to 5 days |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| Absorbent Cushioning | Conforms to body contours
Designed for cavity wounds
Highly absorbent
Provides protection
Bacterial and waterproof | Can adhere to wounds if exudate dries out | Foam dressing is used as a secondary dressing or as cavity fillers.
Frequency of dressing change: 2 to 3 days or longer if for offloading |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| Manage heavy exuding wounds
Maintains moist healing environment | Longer wear time
Comfortable and non traumatic upon removal
Reduce risk of maceration
Can be use on infected wounds | Not helpful for dry wounds
Needs secondary dressings | The hydrofibre will become gel- like layer which can be easily removed Frequency of dressing change: 2 to 5 days |
| Odour absorbent | Reduces odour | Needs secondary dressing | Frequency of dressing change: 2 days |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| To reduce bacterial bioburden in infected wounds | Locally acting No known resistance
Bactericidal | Some silver dressings do discolour the wound | Place the dressing with the side with silver facing the wound bed Frequency of dressing change: 2 to 3 days |
| To manage moisture imbalance (from dry to moderate) | Antiseptic property Has surfactant which helps to cleanse the wound when it is applied Offloading property | Not for heavily exudative wounds | Frequency of dressing change: 2 to 5 days |
Wound Care Training Module - National Wound Care Committee
DRESSINGS | PURPOSE | ADVANTAGES | DISADVANTAGES | PRACTICAL USAGE |
| According to components of the materials | Multifunction | Same as individual components listed above | Frequency of dressing change: 2 to 5 days |
| Not widely used – some may be used in specialised center e.g Collagen, matrix and regenerative dressings, cultured epidermis, growth factors , stem cells. | |||
Wound Care Training Module - National Wound Care Committee
TAKE HOME MESSAGES
Wound Care Training Module - National Wound Care Committee
REFERENCES
Wound Care Training Module - National Wound Care Committee
THANK YOU
Wound Care Training Module - National Wound Care Committee