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Necrotic Wound (1 Ideal Result of Treatment)
Debride/Remove Eschar
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Necrotic Flat Wound (4 Appropriate Dressing Choices)
- Hydrocolloid (not on diabetic foot)
- Medical Honey
- Sharp Debridement
- Surgical Debridement
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Necrotic Cavity Wound (3 Appropriate Dressing Choices)
- Medical Honey
- Sharp Debridement
- Surgical Debridement
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Sloughy Wound (2 Ideal Results of Treatment)
- Remove slough
- Encourage and facilitate clean wound bed for granulation tissue formation
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Sloughy Flat Wound (3 Appropriate Dressing Choices)
- Hydrofiber
- Alginate
- Medical Honey
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Sloughy Cavity Wound (4 Appropriate Dressing Choices)
- Hydrofiber Ribbon
- Alginate Packing
- Alginate Ribbon
- Medical Honey
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Infected / Malodorous Wound (Ideal Result of Treatment)
Manage infection and odour
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Infected / Malodorous Wound Flat Wound (5 Appropriate Dressing Choices)
- Topical Antimicrobial
- Charcoal
- Hydrofiber
- Alginate
- VAC (refer to TVN)
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Infected / Malodorous Wound Cavity Wound (6 Appropriate Dressing Choice)
- Topical Antimicrobial
- Charcoal
- Hydrofiber
- Alginate Packing
- Alginate Ribbon
- VAC (refer to TVN)
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Fungating Wound (Ideal Result of Treatment)
Manage complex wound (e.g. wound bleeding, exudate, malodour)
-
Fungating Flat Wound (3 Appropriate Dressing Choices)
- Charcoal
- Medical Honey
- Alginate
-
Fungating Cavity Wound (4 Appropriate Dressing Choices)
- Charcoal
- Medical Honey
- Alginate Packing
- Alginate Ribbon
-
Granulating Wound (2 Ideal Results of Treatment)
- Promote granulation
- Encourage healthy wound bed epithelialisation
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Granulating Flat Wound (3 Appropriate Dressing Choices)
- Hydrofiber
- Foam
- Hydrocolloid
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Granulating Cavity Wound (4 Appropriate Dressing Choices)
- Hydrofiber Ribbon
- VAC (refer to TVN)
- Alginate Packing
- Alginate Ribbon
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Epithelialising Wound (Ideal Result of Treatment)
Protect and promote epithelialisation
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Epithelialising Flat Wound (2 Appropriate Dressing Choices)
- Semi-Permeable Film
- Hydrocolloid
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Film Dressing (Product Name)
Tegaderm Film
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Hydrocolloid Dressing (2 Product Names)
- Duoderm Extra Thin
- Duoderm Signal
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Hydrofiber Dressing (2 Product Names)
- Aquacel Extra Plus
- Aquacel Ribbon
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Alginate Dressing (3 Product Names)
- Sorbsan Packing
- Sorbsan Flat
- Kaltostat Flat
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Antimicrobial Dressing (7 Product Names)
- Activon Tulle
- Activon Honey Gel
- Algivon Plus Ribbon
- Algivon
- Actilite
- Inadine
- Prontosan Gel X
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Super Absorbent Dressing (4 Product Names)
- KerraMax Non-Adhesive
- KerraMax Adhesive
- Eclypse Adherent (Liver Dept)
- Eclypse Boots (Diabetic Foot Use)
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Foam Dressing (2 Product Names)
- Tegaderm Foam (Non Adhesive)
- Tegaderm Foam (Adhesive)
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Absorbent Pads Dressing (1 Product Name)
Zetuvit E
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Nonadherent Dressing (3 Product Names)
- Adaptic Touch
- Adaptic Digit
- Jelonet
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Hydrogel Dressing (2 Product Names)
- Kerralite Cool
- Kerralite Cool Border
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Adhesive Remover (2 Product Names)
- Apeel Sachet
- Wipe and Foam Applicator
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Skin Barrier (2 Product Names)
- Cavilon no string barrier film
- Cavilon durable barrier cream
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Wound Cleaning Solutions (2 Product Names)
- Normasol
- Prontosan Irrigation (For high risk and infected wounds only)
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Antimicrobial Specialist Dressing (4 Product Names)
- Aquacel Ag+ Extra
- Sorbsan Silver Flat (Diabetic Foot Use)
- Silvercel Non-Adherent (PRUH Site)
- Cutimed Sorbact (Gauze, Ribbon)
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NPWT Specialist Dressing (4 Product Names)
- VAC black granufoam (S/M/L)
- VAC white granufoam
- VAC gauze
- Prevena System
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Odour Control Specialist Dressing (2 Product Names)
- Carboflex
- Actisorb Silber 220 (Antimicrobial)
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Alginogel Specialist Dressing (2 Product Names)
- Flaminal Hydro
- Flaminal Forte
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Silicone Foam Specialist Dressing (1 Product Name)
Mepilex Border
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Compression Specialist Dressing (4 Product Names)
- K-Two kit
- K-Two reduced
- Elset
- Coban 2 System (PRUH) Steripaste
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Tracheostomy Specialist Dressing (2 Product Names)
- Lyofoam Tracheostomy
- Metalline Tracheo
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Film Specialist Dressing (1 Product Name)
Mepitel Film
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Foam Specialist Dressing (2 Product Names)
- Lyofoam Max (Dermatology) Aquacel Foam
- Aquacel Surgical
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Wound Healing Continuum 0
Pink
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Wound Healing Continuum 1
Red/Pink
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Wound Healing Continuum 2
Red
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Wound Healing Continuum 3
Yellow/Red
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Wound Healing Continuum 4
Yellow
-
Wound Healing Continuum 5
Black/Yellow
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Wound Healing Continuum 6
Black
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What is a Pressure Ulcer?
- Localised injury to skin and/or underlying tissue
- Usually over bony prominence
- Resulting from sustained pressure (Including pressure associated with shear)
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4 Types of Pressure Ulcers
- Non-Blanchable Redness of Intact Skin
- Partial Thickness Skin Loss or Blister
- Full-Thickness Skin Loss (Fat Visible)
- Full-Thickness Tissue Loss (Muscle/Bone Visible)
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Non-blanchable redness of intact skin
Category/Stage 1
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Intact skin with non-blanchable erythema of a localised area usually over a bony prominence
Category/Stage 1
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Discoloration of the skin, warmth, oedema, hardness or pain may be present
Category/Stage 1
-
Dakly pigmented skin may not have visible blanching
Category/Stage 1
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Partial thickness skin loss or blister
Category/Stage 2
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Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough
Category/Stage 2
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May present as an intact or open/ruptured serum-filled or sero-sanguinous filled blister
Category/Stage 2
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Full thickness skin loss (fat visible)
Category/Stage 3
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Full thickness tissue loss (fat visible)
Category/Stage 3
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Subcutaneous fat may be visible but bone, tendon or muscle are not exposed
Category/Stage 3
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Some slough may be present
Category/Stage 3
-
May include undermining and tunneling
Category/Stage 3
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Full thickness tissue loss (muscle/bone visible)
Category/Stage 4
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Full thickness tissue loss with exposed bone, tendon or muscle
Category/Stage 4
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Slough or eschar may be present
Category/Stage 4
-
Often include undermining and tunneling
Category/Stage 4
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