Paste Bandages.

Slides:

Advertisements

Similar presentations

Ventricular Assist Device Exit Site Care

Advertisements

به نام خالق ماه.

Technique to Heal Venous Ulcers: Terminal Interruption of the Reflux Source (TIRS) 2012 Ronald Bush, MD, FACS Midwest Vein & Laser Center Dayton, Ohio.

ULTRAVIOLET LIGHT C IN THE TREATMENT OF DIABETIC ULCERS AND CHRONIC WOUNDS WITH MRSA The prevalence of antibiotic-resistant bacteria such as methicillin-resistant.

INDICATION FOR TOPICAL NEGATIVE PRESSURE THERAPY

AAWC Venous Ulcer Guideline

Wound Do’s Stage S tasis Ischemic Relieve pressure x xxxxx X Avoid friction x xxxxx X Inspect daily x xxxxx X 1 Hydrocolloid 2 xxx Sharp debridement.

Compression 1. Effects of External Compression Improved Venous and Lymphatic Circulation Limits the Shape and Size of Tissue 2.

RESPONSIBLE, COMMITTED AND PROUDLY AUSTRALIAN OWNED.

Wound infection. Wound infection has a significant impact on economic and Patient outcomes (IWJ 2008), However it is often misdiagnosed and mistreated.

Using compression therapy for venous insufficiency WOUND & SKIN CARE ； 2005 GALVAN, LINDA RN, APN, CWOCN, BSN 1/17.

Jeannie Randles RN Grad cert wound care PG Cert & PG Dip Primary Health.

Best Practices for Pressure Ulcers to Promote Uncomplicated Healing.

CHRONIC WOUNDS Ann Moody TVN & Leg Ulcer Specialist Nurse NHS Cumbria.

G aps, challenges and opportunities Theo Verheij University Medical Center Utrecht Lower Respiratory Tract Infections in Primary Care.

Biological and Physiological Effects of Laser Therapy Treatment

 Bed sores are the visible evidence of pathologic changes in the blood supply to dermal tissues  Main cause – pressure or force applied to susceptible.

Michael Stacey、Vincent Falanga ect.

Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.

Wound Care: Where do we go from here? Jesse M. Cantu, RN, BSN, CWS, FACCWS April 20, 2012 San Antonio, TX.

Use of Honey for Healing Pressure Ulcers: An Integrative Review Katherine Ricossa, RN, MS University of Hawaii, Manoa July 27, 2014.

Wound care Jana Hermanova. Wound classification By cause – intentional, unintentional By cleanliness – clean, contaminated, infected By depth – superficial,

VENOUS STASIS ULCERS. Venous stasis ulcer: occurs from chronic deep vein insufficiency and stasis of blood in the venous system of the legs An open, necrotic.

Lymphedema, Venous Stasis and the Importance of Compression

PERIODONTAL DRESSINGS.  Periodontal dressing is a surgical dressing used post operatively to cover and protect the surface of surgical wound created.

Multi-Layer Stocking Ulcer Compression System For accurate and controlled graduated compression for the treatment of leg ulcers.

Ingredient Key Terms Chapter 11. Antioxidants Applied topically, they neutralize free radicals and are added to cosmetics to prevent oxidation.

Introduction Chronic bacterial colonization or infection of ulcer is one of the major factors interfering proper wound healing, especially in diabetic.

1/19 The Role of Topical Silver Preparations in Wound Healing Nancy Tomaselli Wound, Ostomy and Continence Nurses Society July/August 2006.

Building an evidence base for chronic illness management: the example of chronic wounds Nicky Cullum RGN Department of Health Sciences.

Management of Venous Ulcers Ms C Martin. Definition Chronic Venous Ulcer Open lesion between the knee and the ankle joint Remains unhealed for at least.

Organogenesis Canton, MA Since 1985 First company to gain FDA approval for a “living skin” product: Apligraf® Approved for treatment of diabetic foot ulcers.

Joyce Black, PhD, RN 1.  Expresses ideas and facts clearly ◦ Legible ◦ Spelled correctly  Provides a record for later reference  Provides evidence.

Wound Care Overview Carolyn Watts MSN,RN, CWON February 16, 2007.

U NNA B OOT Used to treat a Venous Stasis Ulcer Ashley Webb.

Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized Comparative Trial Featured Article: José Luis Lázaro-Martínez,

Plymouth Health Community NICE Guidance Implementation Group Workshop Two: Debriding agents and specialist wound care clinics. Pressure ulcer risk assessment.

METHODS Efficacy was measured by comparing MDT to traditional treatment (i.e., antibiotics and surgical debridement). Levels of evidence included case-

Chapter 17 Drugs for Skin Conditions Copyright © 2011 Delmar, Cengage Learning.

Burns Degree of Burns 1 st superficial partial-thickness burn 2 nd deep partial- thickness burn 3 rd full-thickness burn.

Methods for Pressure Ulcer Prevention Jeremy Doody Biomedical Engineering /6/15.

LASERS & Lights By Beverly Nelson. Outline of Presentation Defining LASER Production of laser Classification of Laser Method of application Biological.

Technique of Sharp Wound Debridement

Use of antimicrobial dressings Fran Whitehurst Clinical Nurse Specialist in Tissue Viability Conwy and Denbighshire NHS Trust.

Initial wound assessments are completed by a registered nurse with knowledge of tissue viability and they are responsible for maintaining knowledge of.

Tailor made Wound Management in a General Practitioners Lead Wound Expert Center Maartje Hesseling, Lupine Alphen, The Netherlands Supported with a scientific.

ECZEMA Dr. Sharon Crichlow Consultant Dermatologist Luton and Dunstable NHS Foundation Trust 22/02/2011.

實證醫學嘉義基督教醫院外科部　黃國倉醫師

Case Study of an Obese Patient with a Large Sacral Pressure Ulcer Ria van Dam, RN Pressure Ulcer Specialist Verpleeghuis Boerhaave Stichting Sint Jacob.

THEME: MANAGEMENT OF NEGLECTED ORTHOPAEDIC CONDITIONS

Repair 3 and amyloidosis Dr Heyam awad FRCPath. wound healing 1. first intention 2. second intention.

TITLE OF AUDIT Author Date of presentation. Background Why did you do the audit? e.g. high risk / high cost / frequent procedure? Concern that best practice.

Peripheral Arterial Disease Admissions CLI AND PAD ADMISSIONS.

Treatment of Burns, Wounds, and Decubitus Ulcers

Considering the evidence for pressure injuries

Coflex bandaging systems

Principles of Wound Management

FIRST AID Dr Yogeesh R 28th Aug 2017 CASUALTY MEDICAL OFFICER

OBTAINING WOUND CULTURES

DEBRIDEMENT Professor Donald G. MacLellan Executive Director

Q&A – studying medicine or health-related topics at university

Type of wound: ex. Diabetic ulcer

OSLER Trial design: Patients from five phase 2 trials and seven phase 3 trials with evolocumab were invited to participate in the OSLER extension program,

Cosmetic Benefits of Astaxanthin on Human Subjects

Case Study Template Kerecis Aurora Awards

Gerry Rayman Prashanth Vas Ketan Dhatariya Vicki Driver

Presentation transcript:

Paste Bandages

Indications Management of leg ulcers. Some are also indicated for use in the management of chronic eczema / dermatitis. Seen used to protect legs from incontinence. They have mild astringent and antiseptic properties. Contraindications: Occasional sensitivity / allergy to ingredients

Types Zinc paste bandage (Viscopaste PB7, Steripaste) Zinc paste and ichthammol (Ichthopaste) Zinc paste and calamine Zinc paste and coal tar bandage Zinc paste impregnated stocking (Zipzoc)

How could they work? Array of properties that can enhance the healing of wounds. Zinc ions stay within the wound bed for an extended period of time, ensuring a constant tissue zinc level. Zinc: increases the degradation of collagen in necrotic tissues, promotes epitheliazation and increases the expression of insulin-like growth factor, essential for the production of granulation also required for collagen and protein synthesis, cellular growth and replication, reduction in free radical activity and inhibition of bacterial growth. Bandaging also promotes venous return

Application Methods Various suggested: cutting and overlap pleating applying the bandages in strips (can be layered) cutting to form stirrups applying in a series of loose folds rather than a continuous spiral No controlled trials support one best method of application A 2007 paper recommend that zinc paste bandages should be applied loosely and lightly with a pleat at each turn to accommodate for oedema and the primary bandage covered by compression bandaging or retention bandages as tolerated by the patient. Instruction leaflets for viscopaste and icthopaste both state that it can be applied in a spiral or with a pleat at the front on every turn.

Evidence Meyer et al (2002) used zinc paste bandages as a primary dressing in their study of 112 patients. They could not rule if zinc oxide paste affected the rate of healing achieved. Strömberg and Agren (1984) performed a randomized trial where patients were treated with either a gauze compress medicated with zinc oxide or with an identical compress without zinc oxide. Patients treated with a zinc oxide compress responded significantly better (83% success rate) compared with the placebo group (42% success rate). Limitations of the study included a small sample size, mixed aetiology and outcome measurement at only 8 weeks. Bradley et al (1999) reported significant increase in ulcers healed with zinc oxide impregnated bandages at 58% compared with alginate at 35%. Lack of evidence concerning best practice bandaging technique. A Cochrane review (O’Meara et al 2010) on antibiotics and topical antiseptics for venous leg ulcers makes no mention of paste bandages in this context. Paste bandages are mentioned in a review on compression for venous leg ulcers (O’Meara et al 2009) but it states that the relative effects of 4 layer compression and paste bandage systems are unclear.