1. Chapter 28
Wound Care

2. Dressings (cont’d) Types of dressings:
Gauze dressings: ideal for covering fresh wounds that are likely to bleed, or wounds that exude drainage
Transparent dressings: used to cover peripheral and central IV insertion sites

3. Dressings (cont’d) Types of dressings (cont’d)
Hydrocolloid dressings: keep wounds moist; moist wounds heal more quickly; new cells grow more rapidly in a wet environment
Dressing changes: when a wound requires assessment or care

4. Wound Management
Drains
Open drains
Closed drains
Sutures and staples

5. Wound Management (cont’d)
Bandages and binders
Purpose: hold dressings in place, especially if tape cannot be used or dressing is very large
Support area around the wound or injury to reduce pain
Limit movement in wound area to promote healing

6. Wound Management (cont’d)
Roller bandage application
Binder application
– Different types of binders
Single T-binder
Double T-binder

7. Nursing Implications Potential nursing diagnoses: Acute pain
Impaired skin and tissue integrity
Ineffective tissue perfusion
Risk for infection