Skin care question

MedSurgeNewbie · Mar 6, 2007

That is a good Idea!!! I can run it past my boss she is very cool and great at geting things done! Cool - Thanks I did get to see one of my long timers who was transferd to our SNF again Leg ulcers well healed!! I was over the moon she came up to see me in a skirt - it was funny we were talking about being "models" was very neat to see that.. Just helped me confirm that this is really really the best thing in nursing! - Thanks for the tips!

ayla2004, ASN, RN · Mar 24, 2007

tissue viability i'm a student nurse in the UK and wound care is an area i feel that i need to know more about. i've a question i've seen americans refer to wet to dry which i think we don;t do.

i can do a dressing change and when i know the patient can suggest an apporiate dressing however the DN whom i learned most from said in the end the dressing suits the patient and a little magic can be involved.

tissue viability · Mar 26, 2007

Hi

What year in your training are you

Wet to dry dressing were banned by 'NICE' in 1991 and again in 2003-as it involves puttiong a wet dressing onto a wound, letting it dry out then ripping it off-not only is it painful it goes against the well cited 'moist wound healing' research and causes trauma to newly developing cells.

All wound care should be evidence based but it is important to involve your patient with their treatment as it is their body their choice and helps with patient compliance.

95% of a wound is healed by the body-the other 5% is the dressing-so they only aide wound healing. As for wounds healing by magic-I'm not sure if something went wrong that it would stand up in court. We are in very litigaous times and every we do must show planning, aim, goal and evaluation.

If you live within a reasonal distance to essex feel free to join our study days-I can be contacted at [email protected]:smilecoffeeIlovecof

sequelae · Mar 26, 2007

as a general rule, stay away from scented ones because greater irritations come from them. there are products that seal in moisture, those are the ones to use for dry cracked skin

ayla2004, ASN, RN · Mar 26, 2007

Hi
What year in your training are you
Wet to dry dressing were banned by 'NICE' in 1991 and again in 2003-as it involves puttiong a wet dressing onto a wound, letting it dry out then ripping it off-not only is it painful it goes against the well cited 'moist wound healing' research and causes trauma to newly developing cells.
All wound care should be evidence based but it is important to involve your patient with their treatment as it is their body their choice and helps with patient compliance.
95% of a wound is healed by the body-the other 5% is the dressing-so they only aide wound healing. As for wounds healing by magic-I'm not sure if something went wrong that it would stand up in court. We are in very litigaous times and every we do must show planning, aim, goal and evaluation.
If you live within a reasonal distance to essex feel free to join our study days-I can be contacted at [email protected]:smilecoffeeIlovecof

I'm a 2nd year and in manchester. What i think the DN meant by magic is the combination of the patient and the wound being adided by the dressing and the care, evidence can suggest a dressing but it has to suit the patient and their lifestlyle. with surgical wounds or tramua wounds often the drssing works and you can see improvement to discharge the patients. the DN often has chronic wound that would almost heal but would regress, maybe they thought that the patient pychologial mindframe wasn't there for healing, espically in anxious or in lonely isolated older patients whose dressing didn't stay in place perhaps due to tampering.

i also have seen grade 3-4 ulcers while as a care assistant in a nursing home that never quite healed, once they set in in frail elderly senile residents, and worse in a hospital pt needing vac therapy didn't like being turned limbs in rigid postions and diet and fluids taken poorly.