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What you need to know about hydrogel dressings

hydrogel dressings

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

Each issue, Apple Bites brings you a tool you can apply in your daily practice.

Description

Hydrated polymer (hydrogel) dressings, originally developed in the 1950s, contain 90% water in a gel base, which helps regulate fluid exchange from the wound surface. Hydrogel dressing are usually clear or translucent and vary in viscosity or thickness. They’re available in three forms: (more…)

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About WoundCareAdvisor.com

GOAL

WoundCareAdvisor.com is a unique educational web destination that has been designed to be a trusted, timely and useful resource for healthcare professionals dealing with chronic wounds and ostomy management issues.  Offerings on the side currently include 

  • News
  • Peer-reviewed articles
  • Product information
  • Provider/patient education
  • Practical resources

Information on the site is continuously developed and updated to ensure that we are providing

Resources and information that is

  • Unique to the wound care field
  • Timely
  • Informative
  • Interactive

WoundCareAdvisor.com is also going to be growing!  Future information will include:

Practice Resources

  • Clinical Notes
  • Practice Points
  • How To. . .
  • Interactive Resources
  • Forums

Bookmark this site and check back often!  Contact us at tlondon@healthcommedia.com with your comments, suggestions or if you would like to be a contributor.

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Alternate universes – Einstein’s insanity

Wound Care

I remain absolutely amazed that there are so many people doing the same thing and yet doing it so completely different. Depending on where a patient’s wound care and orders originate from, the care I try to translate from that starting point is always a combination of dressing regimens worthy of computer code in their simplicity. The only thing usually missing is the diagnosis. It’s as though they come from an identical planet in an alternate universe.

The issue is that there is the complete dissociation of what is done for a given wound care problem in one practice setting versus another. Having stayed as far away from hospital-based wound care as possible, I continue to be amazed by hospital wound teams touting their expertise while using two to three times a day dressing changes and therapies that are the antithesis of any identifiable evidence. They actually expect entities receiving their cases (including home healthcare agencies, LTAC, skilled facilities, and others) to copy the identical care scenario regardless of their widely variable situations. In fact, the only constant is the patient and his or her condition. (more…)

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Understanding radiation dermatitis

According to the National Cancer Institute, an estimated 1.6 million new cases of cancer will have been diagnosed in the United States in 2015. During the course of their disease, most cancer patients receive radiation therapy.

Delivering high energy in the form of waves or particles, radiation therapy alters the DNA of cancer cells, causing their death. Radiation can be administered either externally or internally (through materials placed into the body). It’s given in fraction doses, with the total recommended dose divided into daily amounts. Treatment, including the total dose, is determined on an individual basis.

Although improvements have been made in delivery of radiation therapy, approximately 95% of patients who receive it experience a skin reaction. What’s more, radiation therapy commonly is given concurrently with chemotherapy or targeted therapy to improve survival, which increases the toxicity risk. (more…)

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Causes, prevention, and treatment of epibole

As full-thickness wounds heal, they begin to fill in from the bottom upward with granulation tissue. At the same time, wound edges contract and pull together, with movement of epithelial tissue toward the center of the wound (contraction). These epithelial cells, arising from either the wound margins or residual dermal epithelial appendages within the wound bed, begin to migrate in leapfrog or train fashion across the wound bed. Horizontal movement stops when cells meet (contact inhibition). The ideal wound edge is attached to and flush with the wound bed, moist and open with the epithelial rim thin, and pale pink to translucent. (more…)

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No more skin tears

Imagine watching your skin tear, bleed, and turn purple. Imagine, too, the pain and disfigurement you’d feel.

What if you had to live through this experience repeatedly? That’s what many elderly people go through, suffering with skin tears through no fault of their own. Some go on to develop complications.

A skin tear is a traumatic wound caused by shear, friction, or blunt-force trauma that results in a partial- or full-thickness injury. Skin tears are painful because the precipitating injury commonly involves the dermis, which is rich with nerve endings. (more…)

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Buzz Report: Latest trends, part 2

Keeping clinicians up-to-date on clinical knowledge is one of the main goals of the Wild on Wounds (WOW) conference held each September in Las Vegas. Every year, I present the opening session, called “The Buzz Report,” which focuses on the latest-breaking wound care news—what’s new, what’s now, and what’s coming up. I discuss new products, practice guidelines, resources, and tools from the last 12 months in skin, wound, and ostomy management.

In the January issue, I discussed some of the updates from my 2015 Buzz Report. Now I’d like to share a few more, along with some of my favorite resources. (more…)

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Clincal Notes: Analysis, Osteomyelitis, sickle cell, maggot

Value of systematic reviews and meta-analyses in wound care

Systematic reviews and meta-analyses—literature-based recommendations for evaluating strengths, weaknesses, and clinical value,” in Ostomy Wound Management, discusses evidence-based practice and how systematic reviews (SRs) and meta-analyses (MAs) can help improve management of wound care patients.

The authors of the article explain evidence-based practice and provide useful definitions for key terms. They then provide a list of eight questions to use when evaluating SRs and practical tips such as how to search for SR and MA studies. The article finishes with a list of eight inter­ventions supported by the most evidence: hydro­colloidal dressings, honey, biosynthetic dressings, iodine complexes, silver compounds, hydrogels, foam dressings, and negative pressure wound therapy. (more…)

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Product Dossier

biopad-box high res imageAngelini Pharma Inc.

BIOPAD: 100% equine Type-1 collagen primary wound dressing

EXSEPT PLUS: electrolytically-produced Sodium Hypochlorite wound cleanser

SILVERSTREAM: Ionic Silver wound cleanser with menthol

ANIOSGEL 85 NPC: HYDROALCOHOLIC ANTISEPTIC GEL for skin and hands BLEACH WIPES 1: 10/1:50 : ready-to-use bleach wipes for surfaces disinfection

Angelini Pharma Inc. has one of the highest quality and most comprehensive product ranges in the chronic wound, infection control and dialysis healthcare market. Our mission is to meet our customers’ day-to-day needs with effective, reliable and high-quality products that are widely available and accessible. This goal is expressed through a clear vision: to be the physician’s first choice of product for their patients’ needs and well being. As a result of our specialists’ expertise and intensive applied research activities, efficient and closely coordinated manufacturing and distribution chain and marketing experience, Angelini Pharma Inc. has achieved excellence in our core business areas including wound care.

For more information, visit Angelini-US.com for more information.

 

hytape-picHy-Tape International

Hy-Tape International produces waterproof, zinc oxide-based adhesive tape. Patches and strips. Hy-Tape delivers its unique qualities and benefits in both critical care and everyday situations, when it counts most.

For more information, call 1.800.248.0101 or visit http://hytape.com.

 

AmerX-bothAmerx Health Care, Inc.

Amerx Health Care is proud to introduce Helix3 Bioactive Collagen Matrix (CM) and Particle (CP) dressings containing 100% Type 1 native bovine collagen for effective wound management in all wound phases.

The Amerx product line also includes top rated AmeriGel Hydrogel Wound Dressing with Oakin® for sustained moist healing of dry wounds.

For more information, visit www.amerxHC.com or call 800-448-9599.

 

CP logoColoplast

Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Our business includes ostomy care, urology, continence care, and wound & skin care.

For more information, visit www.coloplast.us or call 800-788-0293

 

GlideUltra_72pxDM Systems Inc.

Combining unmatched clinical evidence with the comfort, convenience and variety that today’s healthcare marketplace demands, Heelift offloading boots prevent and treat heel pressure ulcers like no other. Joining the Heelift lineup this year is the new Heelift Glide Ultra and Heelift AFO Ultra, which have a new Ultra-Grip inner lining that provides our most comfortable boot ever while maintaining clinical superiority. Clinician Validated – Cost Performer.

Visit our Resource Center at http://www.heelift.com/heeliftresources.html for videos, sample protocols, clinical articles and more showing how Heelift Boots can lower your prevalence.

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Finding common ground: Surviving wound care communication

By Jennifer Oakley, BS, RN, WCC, DWC, OMS

The author describes how to overcome challenges to effective communication in the healthcare setting.

Accurate communication among healthcare professionals can spell the difference between patient safety and patient harm. Communication can be a challenge, especially when done electronically. With an e-mail or a text, you can’t hear the other person’s voice or see the body language, so it’s easy to misinterpret the words. (more…)

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Medical gauze 101

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

Each issue, Apple Bites brings you a tool you can apply in your daily practice.

Medical gauze, a bleached white cloth or fabric used in bandages, dressings, and surgical sponges, is the most widely used wound care dressing. Commonly known as “4×4s,” gauze is made from fibers of cotton, rayon, polyester, or a combination of these fibers. Surgical gauze must meet standards of purity, thread count, construction, and sterility according to the United States Pharmacopeia. (more…)

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