Wound Care (Wet dressing)

 

Content:

1.    Definition of wound care.

2.    Purpose.

3.    Step of wound care.

4.    Wet dressing.

5.    Articles for wet dressing.

6.    Procedure of wet dressing.

 

Definition:

 

Wound care refers to specific treatment for pressure sore, skin ulcer and other  wound  that  break. The skin ulcer also called “bed sore” and refers to medically as  decubitus ulcers are wound that commonly develop at pressure point’s on the body when the weight of an immobilized individuals rest continuously on a hard  surface such as mattress or wheel  chair.

 

Purposes of Wounds Care:

 

1.    To protect the wounds from contamination with microorganism.

2.    To promote wounds granulation and healing.

3.    To support or splint the wound and healing

4.    To provide for maintenance of high humidity between the wound and dressing.

5.    To promote physical, psychological and aesthetic comfort.

6.    Keep the wound moist and therefore enhance epithelialization.

7.    Clean the wound and keep the clean.

8.    Control the bleeding by putting direct pressure on the wound.

 

The Basic Steps of Wound Care:

 

1.    Wash hand. This help avoid infection.

2.    Stop the bleeding minor cuts and scrapes usually stop bleeding on their own.

3.    Clean the wound, rinse the wound with water.

4.    Apply antibiotic or pettrolium jelly.

5.    Cover the wound.

6.    Changes the dressing.

7.    Get a tetanus shut

8.    Watch for signs of infection.

 

Dressing:

 

A dressing is a sterile pad or compress applied to a wound to promote healing and protect the wound from further harm. There are two types of dressing:

1.    Dry dressing.

2.    Wet dressing.

 

Dry Dressing:

 

Dry dressings are gauze pads that lie under rolled gauze and tape – and the category also includes standard bandages. People may have this type of dressing, which is intuitive and simple for most people to take care of and change, for wounds that are relatively dry themselves. If the dressing sticks to wound bed, pour a little saline solution over the area to help it come off without pain. Used primarily for wounds closing by primary intention. Do not use on partial or full thickness of wound.

 

 

Wet Dressing:

 

Wet dressing also known as wet wrapping or wet bandages. Are most often used on children who simply cannot scratching after a bath and the application of medication or moisturizer We can dip bandage or gauzes into luke warm water and wrap the affected area. On the top of the wet layer apply a layer of dry bandages, remove both when the wet layer is dry. It works via 2diffrent ways-

 

1.    Culling: As water gradually evaporates from the bandage this cools the skin and health relief inflammation.

2.    Moisturizing: Emollients covered over with wet bandage are deeply absorbed into the skin to provide a longer lasting moisturizing effect.

3.    Wet to dry dressing is used to remove drainage and tissue from wound. This type of dressing is to be changed every 4-6hours.

4.    In this type of dressing health care provider has covered the patient wound with a wet to dry dressing. A wet gauze is put on patient hand and allow to dry. Wound drainage and dead tissue can be remove when take the old dressing.

5.    It usually used in children aczima and so we follow the roles for these disease treatment.

 

Procedure of Applying a Wet to Damp Dressing:

 

Articles:

1.    Dressing trolley with- Dressing pack.

2.    Sterile bandages in a bin.

3.    Sterile dressing pad in a bin.

4.    Sterile Vaseline gauze.

5.    Silver sulpha diazene 1% sterile normal saline.

6.    Cheatle forceps.

7.    Adhesive tape and scissors.

8.    Sterile scissors.

9.    Receptacle for waste.

 

Procedure:

1.    Explain procedure to patient. Instruct patient to have a shower bath

2.    Administer analgesics about 20 minutes before procedure as per physician’s

3.    instructions

4.    Provide privacy and give psychological support to patient.

5.    Regular temperature of the room at 25 degree centigrade.

6.    Put on mask and cap. Scrub hand and don sterile gown, gloves and goggles

7.    if available.

8.    Clean and debride the wound using sterile scissors and forceps.

9.    Apply topical medications over the wound. If closed method is used for dressing cover the wound with Vaseline gauze and place sterile dressing pad.

10.Apply bandage over the dressing pad.

11.Discard gloves and gown and wash hands.

12.Record procedure and note the order, color, size, amount of exudates.