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Alginate Dressing
Stage II Pressure Ulcer Left Hip (Case 13)
Background
The 78 years old disabled elderly, who is unwilling to turn over due to long-term lying in bed, is thin, and has a total of 3 pressure injuries (sacrococcygeal wound, right hip wound, and left hip wound). Due to asthma, oxygen inhalation is required, and prone position cannot be taken. And because the sacrococcygeal wound and right hip wound were seriously, the left hip was still under long-term pressure, which increased the difficulty of nursing. This case only shows the nursing process of the left hip wound.
Abstract
Intervention of treatment was performed during 2022.3.13 to 2022.6.13 Conventional nursing with advanced wound care dressing were performed. The whole process was 13 weeks, of which, from March 13 to April 26 is the time for intensive intervention, and the follow-up will be transferred to general care. LUOFUCON® Gelling Fiber Dressing, LUOFUCON® Silicone Foam Dressing , LUOFUCON® Alginate Dressing were used for this patient during the care routine.
Treatment
① Disinfect the wound with iodophor, clean it with normal saline, and slightly dry it with gauze. If feasible, perform sharp debridement on the wound first and then repeat above disinfection routine. Moisturize LUOFUCON® Gelling Fiber Dressing with normal saline, cover it on the wound bed, and use LUOFUCON® Silicone Foam Dressing Border as secondary dressing to protect the wound. This period starts from March 11, 2022 and lasts until April 26, 2022. It is replaced dressing every 48 hours, the patient’s wound changes from unstageable PI to stage 2 PI, autolysis debridement effect is significant, and the base of wound bed presents 100% pink granulation.
②Disinfect the wound with iodophor, clean it with normal saline. Cover the wound bed with LUOFUCON® Alginate Dressing, and then use LUOFUCON® Silicone Foam Dressing Border as secondary dressing. On May 5, 2022 the wound began to shrink and gradually epithelialized, and the wound healed on June 8 2022.
Conclusion
The 78 years old disabled elderly suffered from three PI in the hip and sacrum. According to the evaluation, autolysis debridement combined with sharp debridement was adopted to minimize invasive operations. Use the following dressings according to the amount of wound exudate and nursing conditions to achieve a better moisture balance.
LUOFUCON® Gelling Fiber Dressing can be used as absorbent dressings to manage the excessively wet exudate environment of the wound, and can also be used as moisturizing materials/water supply materials to adjust the excessively dry wound surface environment. With the combination of LUOFUCON® Gelling Fiber Dressing and normal saline, the dressing can quickly form a semitransparent gel, soften and liquefy the scab and slough, and finally remove the scab to achieve the goal of autolysis debridement. LUOFUCON® Gelling Fiber Dressing can bring convenience to nursing staff and shorten the dressing change time required for acute debridement.
LUOFUCON® Silicone Foam Dressing Border dynamically manages the exudate, provides a moist healing environment for the wound, and protects the wound and surrounding skin from additional trauma. It plays an important role in providing a suitable environment for the wound healing.
LUOFUCON® Alginate Dressing is natural, soft, and has high absorption capacity. It forms a moist gel protective layer between the wound and the dressing, creating a moist healing environment, and also have a good conductivity and good compliance.
REFERENCES
1. European Pressure Ulcer Advisory Panel，National Pressure Injury Advisory Panel，Pan Pacific Pressure Injury Alliance．Prevention and treatment of pressure ulcers /injuries: clini cal practice guideline［S］．EPUAP /NPIAP /PPPIA: 2019．
2. Ｒeaper S，Green C，Gupta S，et al．Inter-rater reliability of the Ｒeaper Oral Mucosa Pressure Injury Scale ( ＲOMPIS) :a novel scale for the assessment of the severity of pressure injuries to the mouth and oral mucosa［J］． Aust Crit Care，2017，30( 3) : 167-171．
3. Baumgarten M，Margolis D，van Doorn C，et al． Black/White differences in pressure ulcer incidence in nursing home residents［J］． J Am Geriatr Soc，2004，52( 8) : 1293-1298．
4. Verbrugghe M，Beeckman D，van Hecke A，et al．Malnutri tion and associated factors in nursing home residents: across-sectional，multi-centre study［J］． Clin Nutr，2013，32( 3) : 438-443．
5. Wojcik A，Atkins M，Mager D Ｒ．Dietary intake in clients with chronic wounds［J］．Can J Diet Pract Ｒes，2011，72( 2) :77-82．
Venous Stasis Ulcer Right Leg (Case 14)
Abstract
Treatment
① After cleaning up the wound, using the Amorphous Hydrogel Dressing to hydrate necrotic tissue then dressed it with the LUOFUCON® Silicone Foam Dressing Border. The dressing was changed twice a week.
② After the black scab was removed, using LUOFUCON® Alginate Dressing to fill the sinus then dressed it with the LUOFUCON® Silicone Foam Dressing Border. The dressing was changed twice a week.
③ After the sinus closed, the wound was covered with the LUOFUCON® Silicone Foam Dressing Border, and changed once a week until the wound healed.
Conclusion
Amorphous Hydrogel Dressing could be used to promote autolysis debridement under the premise of controlling infection. Alginate Dressing would absorb exudate to form gel, which could also help maintain the moist environment of the wound bed and promote the growth of granulation. Foam Dressing could effectively manage the exudation, effectively promote epithelization, and accelerate wound healing.
REFERENCES
1. Collins L , Seraj S . Diagnosis and Treatment of Venous Ulcers[J]. American family physician, 2010, 81(8):989-996.
2. Yan Y , Li H , Zhi Y . Research progress on wound care of venous ulcer of lower limb[J]. Nursing Research of China, 2017.
3. Kucharzewski M , Wilemska-Kucharzewska K , MK Kózka, et al. Leg venous ulcer healing process after application of membranous dressing with silver ions[J]. Phlebologie, 2013, 42 (06):340-346.
4. Elizabeth, McElroy, Stormy, et al. A Case Review of Wound Bed Preparation in an Infected Venous Leg Ulcer Utilizing Novel Reticulated Open Cell Foam Dressing with Through Holes during Negative Pressure Wound Therapy with Instillation.[J]. Cureus, 2018.
The multi-layered construction facilitates dynamic fluid management to provide the optimal moist wound environment which leads to the promotion of faster wound closure and may help to reduce the risk of maceration. The gentle silicone layer can be lifted and repositioned without losing its adherent.
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