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Gelling Fiber Dressing
Stage III Pressure Ulcer （ Back ）
Stage IV Pressure Ulcer （ Sacrum ）(Case 12)
Background
Mrs. WLM is 93 years old, has been in bed for a long time, unwilling to turn over and is so thin. Wound introduction: Stage 3 PI of back and stage IV PI of sacrum.
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, while the first 4 weeks for intensive intervention, and the last 9 weeks for general nursing. LUOFUCON® Gelling Fiber Dressing, Silicone Foam Dressing，Silicon Tape 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 and dry the wound. 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 13, 2022 and lasts until April 28, 2022. Autolytic debridement is mainly used, and it is replaced dressing every 48 hours until the wound base presents 100% pink granulation.
② Disinfect the wound with iodophor, clean it with normal saline. LUOFUCON® Gelling Fiber Dressing is cut to the appropriate size to fill the cavity and sinus, leaving no gaps and the tightness is appropriate. At the epithelial stage, there is less wound exudate. At this time, it is necessary to flexibly choose whether to fill the wound with LUOFUCON® Gelling Fiber Dressing according to exudate and applica tion requirements. LUOFUCON® Silicone Foam Dressing is used for secondary dressing, and LUOFUCON® Silicon Tape is used for auxiliary fixation. This period starts from April 28, 2022 and lasts until June 13, 2022. It was mainly based on healing management and was replaced dressing every 48 hours until the back wound was completely healed and the sacral wound was significantly improved.
Figure of the healing process of the back wound
Figure of the healing process of the sacral wound
Conclusion
The 93-year-old suffered from two PI in the back and sacrum. Due to her old age and intolerance to surgery, 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® 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® Silicone Foam Dressing is a new sterile advanced wound care dressing, which absorbs a large amount of exudate. It is soft and comfortable, can protect the wound at the bony eminence sites and provide good cushioning effect.
LUOFUCON® Silicon Tape is used for auxiliary fixation, providing gentle care for the wound together with LUOFUCON® Silicone Foam Dressing. The silicone layer has a mild viscosity, and there will be no residual glue left at the sticking place when it is removed.
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．
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