RNAO BPG Pressure Ulcers Stage I to IV - Faculty of Health ...
RNAO BPG Pressure Ulcers Stage I to IV - Faculty of Health ...
RNAO BPG Pressure Ulcers Stage I to IV - Faculty of Health ...
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Assessment & Management <strong>of</strong> <strong>Stage</strong> I <strong>to</strong> <strong>IV</strong> <strong>Pressure</strong> <strong>Ulcers</strong>Appendix Q: Wound Care DressingsSource: Sibbald, Orsted et al. (2006). Reprinted with permission.Modern Classes <strong>of</strong> DressingGeneric CategoriesLocal Wound CareTissueMoistureClass Description Debridement Infection Balance1. Films/MembranesSemi-permeable adhesive sheet. Impermeable <strong>to</strong>H 2 O molecules and bacteria+––2. Non-adherentSheets <strong>of</strong> low adherence <strong>to</strong> tissue. Non-medicated tulles.–––3. HydrogelsPolymers with high H 2 O content. Available in gels,solid sheets or impregnated gauze.++–+4. HydrocolloidsMay contain gelatin, sodium cabozymethylcellulose,polysaccharides and/or pectin. Sheet dressings areocclusive with polyurethane film outer layer+++–/+++5. Calcium alginatesSheets or fibrous ropes <strong>of</strong> calcium sodium alginate(seaweed derivative). Have hemostatic capabilities.++++++6. Composite dressingsMultilayered, combination dressings <strong>to</strong> increaseabsorbency and au<strong>to</strong>lysis.+–+++7. FoamsNon-adhesive or adhesive polyurethane foam. May haveocclusive backing. Sheets or cavity packing. Some havefluid lock.––+++8. CharcoalContains odour-adsorbent charcoal within product.––+9. Hyper<strong>to</strong>nicSheet, ribbon or gel impregnated with sodium concentrate.++++10. Hydrophilic fibresSheet or packing strip <strong>of</strong> sodium carboxymethylcellulose.Converts <strong>to</strong> a solid gel when activated by moisture(fluid lock).+–+++11. AntimicrobialsSilver or cadexomer iodine with vehicle for delivery:sheets, gels, alginates, foams or paste.+++++12. Other devicesNegative pressure wound therapy (NPWT) applieslocalized negative pressure <strong>to</strong> the surface and margins<strong>of</strong> the wound. Dressings consist <strong>of</strong> polyurethane orpolyvinyl alcohol materials.–++++13. BiologicsLiving human fibroblasts provided in sheets at ambien<strong>to</strong>r frozen temperatures. Extracellular matrix.Collagen-containing preparations. Hyaluronic acid.Platelet derived growth fac<strong>to</strong>r.–––Where “+” indicates the appropriateness <strong>of</strong> the dressing <strong>to</strong> address tissue debridement, infection and/or moisture balance.Where the local wound care situation is identified by “-“, the dressing is not considered beneficial.* Use with caution if critical colonization is suspected.102
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