Phototherapy Treatment Manual - Rich-Mar Corporation

Wound HealingTreatment Protocols2Remove and discard dressing.Cleanse wound bed and surrounding tissue.Debride dead tissue as required.For open areas cover wound or phototherapy device(which ever is larger) with clear protective barrier .Protective goggles are to be worn by patientif laser device is used (not required for SLD devices).Apply SLD / Laser with gentle contact for duration of treatment.(If painful, hold device as close as possible without contact.Once pain relief is achieved, use direct skin contact).Stage 1 & 2 Wounds (closed or partial thickness)Unless too painful, use SLD devices to treat theentire wound margin and wound bed directly (increasing blood flow,decreasing localized edema, reducing redness and swelling in the area).Stage 3 & 4 Wounds (full thickness)If less than 3 cm depth,treat entire wound margin and wound bed with SLD.If greater than 3 cm depth,use Laser device around wound margin.Note – If wound aperture is significantly smaller than underlyingwound bed, do not treat opening directly. Treat the peripheraltissue directly over the internal wound edge with either theSLD or Laser, depending upon the depth required.Phototherapy enhances contraction of the wound margins.Over the wound bed, use either the SLD or Laser device,depending upon the size of the wound opening.VER. 1.3 © RICH-MAR 2009Monitor amount and quality of granulation tissue formation.If over production (hypergranualtion) is noted,decrease the number of phototherapy treatments per week.If hypergranulation continues, cease the intervention.