Beauty Biz

More documents

Recommendations

Info

DERMAL NECROTIC TISSUE WHAT IS IT? WHAT CAUSES IT? HOW CAN WE HELP? WHAT IS IT? By Gay Wardle Skin tissue that has died is known as necrotic tissue or necrosis of the tissue. Necrotic tissue can be anything from acute to chronic depending on the surrounding tissue, skin health and overall wellness of the individual. The circulatory systems also have impact as well as internal and topical nutrition. Necrotic tissue varies and is affected by the consistency of the wound and the adherence wound bed. As tissue dies, the wound changes in colour. This happens as necrosis increases with severity. Initially the tissue colour will be a whitish/grey and as the consistency increases the colour will change to light brown or yellow with a final change to dark brown / black. The colour becomes darker, the longer the necrosis continues and increases in severity. In the early stages the tissue may have a high-water content and become mucoid, as it becomes more consistent and progresses it becomes dry and has a stringy, clumpy appearance. As it advances, it becomes very dry and hard with a leathery appearance and feel. The consistency is related to the wound retaining moisture in the wound bed. As the wound is exposed to air, the necrotic debris dehydrates, hence it becomes leathery, dry and hard. The level of tissue death can occur in both epidermal and dermal tissue as well as advancing to subcutaneous and muscle tissue. When there is necrosis to subcutaneous, the fat tissue dies and there is a stringy, yellow slough formed, whereas necrosis to muscle causes muscle degeneration and the tissue becomes thicker and tenacious. Fat and dermal necrosis and the formation of slough may be compounded by infection from previous contamination of normal skin bacteria. What is slough? The colour is yellow to very light brown, it is a thin mucous consistency and at times may appear stringy. Where there is full thickness destruction to tissue, eschar is formed. Eschar may be soft or hard and is a dark brown to black colour and is more adherent than slough. When debris such as eschar is embedded in the wound it is referred to as adherence. As moisture in a wound decreases and the level of damage increases, necrotic tissue becomes more adherent to the wound bed. A wound will take a long time to heal if there is necrotic tissue as it becomes a medium for bacterial growth as well add to this, the barrier function is severely impaired. With necrosis you have prolonged inflammation, therefore, you will not have granulation over the wound site therefore the wound does not heal. WHAT CAN BE DONE? Depending on the severity of the wound and amount of necrotic tissue will give way to the treatment protocols. Most of the time eschar needs to be removed daily where possible, this is done by debriding and removing the eschar. There are a number of debridement techniques, and they will depend on the severity and the amount of necrotic tissue. Debridement requires a high level of skill so to not create further damage to the wound. Mechanical debridement involves the use of force to remove the eschar. The most common types of mechanical debridement would be a wet to dry gauze dressing, whirlpool action to remove the tissue and wound irrigation. Wet and dry gauze are the most common of the three. Wound irrigation would be using a syringe filled with a solution to flush the necrotic tissue, this is also a good way to remove bacteria from the wound site. It is the same with the whirlpool action only this tends to soften the eschar more so. In conjunction with the above techniques they also use enzymes or chemicals which degrade the eschar. Enzymes will not work on dry, hardened eschar hence they work well with the irrigation technique. They seem to take a little longer to get the results. The third option is to use a sharp instrument to cut and remove the necrotic tissue from the wound site. This technique seems to work faster with wound healing. All of these techniques must be performed in a very clean environment so as to not allow further bacteria growth in the wound. The reason for removing necrotic tissue is so that the wound will eventually heal with hopefully less scar tissue. It is important that we stay in scope of practice and all removal techniques are conducted by a person that is trained and skilled to do so. One important factor to remember is the as soon as the wound bed is clean, the faster the healing process will happen. www.gaywardle.com 38 <strong>Beauty</strong> <strong>Biz</strong> Year 14 Issue 1
NEW! neck fit contour serum • Immediately tightens skin, and tones it over time • Visibly lifts skin's appearance • Smoothes and firms with Retinol-like results NEW! professional neck fit refining masque *Only available for Dermalogica stockists. • Refines for brighter, more even skin • Firms for plump, smooth skin and to soften the appearance of fine lines • Lifts with modalities and massage Become a Dermalogica stockist, visit Dermalogica.com.au
Page 1 and 2: The Essential Business Guide for Sa
Page 3 and 4: THE ABIA CATEGORIES EDUCATOR CATEGO
Page 5 and 6: • • Global leaders in education
Page 8 and 9: Beauty Biz PUBLISHER Linda Woodhead
Page 10 and 11: FEATURE 10 MINUTES WITH Rebecca Mil
Page 12 and 13: FEATURE THE HEART & SOUL OF Beauty
Page 14 and 15: FEATURE AN INSPIRATIONAL YOUNG GUN
Page 16 and 17: FEATURE 10 MINUTES WITH April Jones
Page 18 and 19: ABIA AUSTRALIAN BEAUTY INDUSTRY AWA
Page 20 and 21: INDUSTRY NEWS INDUSTR ULTRACEUTICAL
Page 22 and 23: INDUSTRY NEWS INDUSTR AUSSIE FACE H
Page 24 and 25: COVER STORY A NEW APPROACH TO MICRO
Page 26 and 27: SALON FEATURE A LIFELONG PASSION TO
Page 28 and 29: SALON FEATURE MOVING ON, UP & OUT!
Page 30 and 31: SALON FEATURE A CUT ABOVE THE REST
Page 32 and 33: DERMAL THE IMPORTANCE OF GUT MICROB
Page 34 and 35: DERMAL CHOOSING THE RIGHT EQUIPMENT
Page 36 and 37: SOLVE SKIN LETHARGY ATP infused ski
Page 42 and 43: COSMETIC COSMETIC TATTOOING AN INSI
Page 44 and 45: BEAUTY INCORPORATING BROW SERVICES
Page 46 and 47: BEAUTY BUSTING LASH LIFT MYTHS THE
Page 48 and 49: BEAUTY EMBRACING THE ‘ISOLATION
Page 50 and 51: BEAUTY OFFERING PROFITABLE NAIL SER
Page 52 and 53: Beauty SHOP GINGER & ME SKIN CHILL
Page 54: “HOME TO THE BEST PROFESSIONAL BE
Page 57 and 58: BEAUTY & SCIENCE FOR THE INDIVIDUAL
Page 59 and 60: WaxPro Digital Twin Litre Professio
Page 61 and 62: PROFESSIONAL wax cups NEW • Enric
Page 63 and 64: World Leading Nail Enhancements Bea
Page 65 and 66: Get Your “WOW SKIN” Now... OPAL
Page 67 and 68: LIGHTS, CAMERA, ACTION! You might r
Page 69 and 70: BUSINESS NO STAFF, NO WORRIES By Ka
Page 71 and 72: Without a doubt, the number one que
Page 73 and 74: Spend 30 minutes developing a self-
Page 75 and 76: Professional Eyelash and Eyebrow Ti

Beauty Biz

Create successful ePaper yourself

Delete template?

Save as template?