By Nancy Morgan, MBA, BSN, RN, WOC, WCC, CWCMS, DWC
Each month, Apple Bites brings you a tool you can apply in your daily practice.
• Semipermeable polyurethane foam dressing
• Nonadherent and nonlinting
• Hydrophobic or waterproof outer layer
• Provides moist wound environment
• Permeable to water vapor but blocks entry of bacteria and contaminants
• Available in various thicknesses with or without adhesive borders
• Available in pads, sheets, and cavity dressings
• As primary or secondary dressing for partial- and full-thickness wounds with minimal to heavy drainage
• Works well for granulating and epithelializing wounds
• Provides insulation to keep wound warm
• As secondary dressing for wounds with packing
• Can be used to absorb drainage around tubes
• Helpful for hypergranulation tissue along with compression
• Provides moist wound healing
• Doesn’t adhere to the wound
• Provides cushioning
• Easy to apply and remove
• Can be used with infected wounds
• Provides bacterial barrier
• Effective with hypergranulation
• Can be used under compression
• May be able to be cut to accommodate tubes
• Could be expensive if exudate requires daily dressing change
• Wound bed may desiccate if there is no exudate from the wound
• May require secondary dressing
• Can lead to maceration of the periwound if it becomes saturated
• Contraindicated for use with third-degree burns, dry eschar, and sinus tracts
• Dressing should be 1″ to 2″ (2.5 to 5 cm) larger than the wound.
• Change the dressing every 3 to 7 days or as necessary.
• When using nonadhesive foam, add a secondary wound dressing for securement.
• You may facilitate dressing removal by stretching the adhesive border laterally.
• Mitraflex, Flexan, Hydrasorb, Lyofoam, Allevyn, PolyMem
• Healthcare Common Procedure Coding System (HCPCS) Code A6209 – A6215 n
Nancy Morgan, cofounder of Wound Care Education Institute, combines her expertise as a Certified Wound Care Nurse with an extensive background in wound care education and program development as a nurse entrepreneur. Read her blog “Wound Care Swagger.”