DIMES is a nursing principle that effectively promotes wound healing after clinical practice. It is a set of principles that do not represent the order and need to consider all clinical nursing factors. Through debridement, wound bed preparation, infection control, moisture balance, it is almost possible to diagnose and cure most of the wounds. If all this still doesn’t work, we need to consider edge effects or give other support.
Autolytic debridement is most accepted by keeping a moist wound environment to enhance the activities of phagocytic cells and endogenous enzymes on non-viable tissues.
Infection is one of the causes of stalled wounds. Besides regular bacterial infection, drug-resistant bacteria and fungus are dangerous. Infection control by using correct anti-bacterial wound dressing in accordance with wound status is essential to wound healing.
Exudate must be effectively managed if the optimal moist environment necessary for wound healing is to be created, and the surrounding skin protected from the risks of maceration. Advanced wound care dressings are ideal for moist wound healing and better cost effectiveness.
One measure of healing is the clinical observation of the edge of the wound. If the wound edge is not migrating after appropriate wound bed preparation (DIM) and healing is stalled, then advanced therapies should be considered. Several edge effect therapies support the addition of missing components: growth factors, fibroblasts or epithelial cells or matrix components.
Wound care is a comprehensive process. Additional supportive dressings and services are provided to promote wound healing and after-care: silicone wound contact layer to minimize dressing change pain; silicone gel scar sheet to prevent or reduce the formation of hypertrophic scars.
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