Phototherapy Treatment Manual - Rich-Mar Corporation

Wound HealingTreatment Guidelines4Superluminous Diode (SLD)and Laser Treatment ScheduleFirst Week and Subsequent Weeks(minimum of 3 x per first week and minimum of 2 x per week after).Stage 1 & 2 2 - 4 joules wound bed/marginStage 3 & 4 4 - 6 joules wound bedStage 3 & 4 6 - 8 joules wound marginClosed Eschar 4 - 8 joules over eschar andsurrounding tissueIf wound healing has not commenced within 1-2 weeks,evaluate other factors which may be negatively affecting healing(e.g. insufficient protein and/or fluid intake, inadequate pressure relief,bacterial burden). Consider increasing dosage (time) by 50%up to the maximum recommended dose for another 2 weeks.All wounds should be evaluated weeklyusing the standard Wound Assessment Record(including wound measurements or tracings).Treatment ReactionPeriodically a treatment reaction can occur duringor shortly after therapy (warmth, tingling, sharp prickling,needling or an increase in pain or discomfort).VER. 1.3 © RICH-MAR 2009This is most frequently experienced with chronic wounds,the result of an increase in local microcirculation.Decrease the treatment dose by 50%, and thengradually increase to the original recommended dose.