wound care day 2 part 2

• Primary - therapeutic or protective covering applied DIRECTLY to wound or lesions
• Secondary - materials that serve therapeutic or protective function and are needed to SECURE primary dressing

• Dressing which absorb drainage
• Promote moist wound healing

They transform into moist gel consistency when come into contact with exudate

• Full or partial thickness wound with moderate to heavy exudate
• Bleeding wound (helps achieve hemostasis)

• Third degree burns
• Minimal exudate or dry wound

• These are freeze dried sheets of collagen, usually from cowhides
• Donate collagen to wound
• Encourages deposition and organization of newly formed collagen fibers and granulation tissue in wound bed
• Stimulates new tissue development

• Chronic non-healing granulated wound
• Parital/full thickness, tunneling wounds
• wounds with minimal to heavy exudate
• skin grafts/donor sites
• granulating or necrotic wounds

• Third degree burns
• Black wounds
• Sensitivity to bovine products

• Provide a wound cover by combining two physically distinct components to provide multiple functions
• So basically multi-purpose dressings
• They cover dressings
• Autolytic debridement, allows exchange of moisture vapor
• (ex: tegaderm pad)

• Primary or secondary dressing
• Partial to full thickness
• Minimal to heavy exudate 
• Granulation tissue or necrotic tissue

NONE!!

• Thin, Non adherent sheets that protect wound base from trauma during dressing change
• Allow wound fluid to pass through for absorption by overlying dressing

• Fragile wound tissue
• Pain at dressing change
• Secondary dressing adhering to wound bed
• primary dressing for partial and full thick, exudative wounds, donor sites, split thickness grafts
• May be applied prior to neg pressure wound therapy dressings, prevents foam from sticking to wound surface while allowing exudate through

Not recommended for shallow, dehydrated, or eschar covered wounds OR THICK EXUDATE

• Absorb small amounts of drainage 
• Is sponge like, capable of holding fluids and pulling away from wound bed
• Promote moist wound healing
• Provide thermal insulation
• May be used as primary or secondary

• Moderate to heavy exudative wounds
• Red, granular wounds
• softened necrotic tissue
• shallow draining wounds
• cavity foam - fill dead space for packing

• dry eschar
• third degree burn
• sinus tract

• Occlusive (nothing in - nothing out)
• provide moist healing environment
• Promote autolytic debridement
• provides insulation

• Non-infected wound with scant to mod drainage
• Necrotic or granular wound
• Dry wound
• Protect intact skin or newly healed wound
• For partial or full thickness wound

• 3rd degree burns
• infected wounds
• heavy exudate
• exposed tendon or bone
• fragile surrounding skin
• fungal lesions
• deep tunnels, tracts and undermining

• Donate moisture
• Promote autolytic debridement
• promote moist wound healing
• Pain control cause water has cooling effect
• May be used for primary or secondary drg

• dry or slightly moist wound
• is useful in softening eschar
• cooling painful wounds
• partial/full thickness
• minor burns 
• radiation skin damage

• Moderate to highly exudative wound
• 3rd degree

• (Hydrofiber dressing)
• absorbs
• Moist wound healing
• autolytic debridement
• Indicated for heavy drainage on full or partial thickness

Contraindications: Dry wounds, 3 degree burns

• Can be used as primary or secondary
• best dressing to prevent friction
• helps eschar promote debridement

• Moderate to heavy exudate
• 3 degree burns
• fragile skin
• suspected infection, fungal infection, active lesions