Transcription of Treating Stage III Pressure Ulcers - PolyMem
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Treating Stage III Pressure Ulcers - PolyMem
6 OSTOMY wound MANAGEMENT AUGUST 2009 most important approach in managing Stage III pressureulcers is a complete assessment of total patient needs. Assess-ment usually includes wound type, location, measurement, andduration; nutrition; mobility; mental status; social and financialsupport; medications; oxygenation needs; Pressure distribution;lab data; and comorbidities. Appropriate and effective dressingselection should take into account the amount and type ofdrainage, undermining, tunneling, type and amount of necrotictissue, edema, signs and symptoms of bacterial burden, and pain. If the wound bed is partially or completely covered withnecrotic tissue, wound gels may be utilized to soften, liquefy, andloosen the nonviable tissue. Once the wound bed is free of debrisand necrotic tissue, foam dressings and foam cavity fillers (forwounds with depth) assist with maintaining a moist environ-ment, provide thermoregulation for the wound and surroundingtissue, provide absorbency for draining wounds, minimize pain,and improve patient comfort level utilizing nonadherent prop-erties and long wear time (up to 7 days between dressing changesdepending on amount of draining).
to cleanse the wound bed during dressing changes. The wound closed in 6 months. Reference 1. Agathangelou C. Unique dressing provides nutrients for wound closure in a profoundly malnourished patient. Poster presented at National Pressure Ulcer Advisory Panel 11th Biennial Conference. Arlington, VA. February 27–29, 2009. Share your Pearls for ...
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