Conclusion and References

Conclusion:

Optimal moisture management is a necessary clinical intervention that does require ongoing attention and revision by health care providers. Patients and their circle of care input can contribute useful information that delicately considers optimal healability along with ideal moisture management and controlled bacterial levels. Dressings need to match form and function including moisture management.

Key Takeaways

  • Clinicians, patient and circle of care collectively identify appropriate wound healability classification (healable, maintenance or nonhealable) for optimal treatment planning
  • Patient adherence does influence wound healability classification
  • Wound healability classifications directs wound management (desired level of moisture, dressings and antiseptics use) strategies
  • The interprofessional team need to be aware that the wound healability classification can change, requiring subsequent treatment modifications

 

References:

Attinger CE, Janis JE, Steinberg J., et al. (2006). Clinical approach to wounds: debridement and wound bed preparation including the use of dressings and wound-healing adjuvants. Plast Reconstr Surg.117(7) Suppl, 72S–109S

Beam JW. (2008). Occlusive dressings and the healing of standardized abrasions. J Athl Train. 43(6), 600–607

Coutts P, Woo KY, Bourque S. (2008). Treating patients with painful chronic wounds. Nurs Stand. 23(10), 42–46.

Dyson M, Young S, Pendle CL., et al. (1998). Comparison of the effects of moist and dry conditions on dermal repair. J Invest Dermatol. 91(5), 434–439

Gray D, White R, Cooper P, Kingsley A. (2010) Applied wound management and using the wound healing continuum in practice. Wound Essentials. 5, 131–139.

Hackl F, Kiwanuka E, Philip J., et al. (2014). Moist dressing coverage supports proliferation and migration of transplanted skin micrografts in full-thickness porcine wounds. Burns. 40(2), 274–280.

King A, Stellar JJ, Blevins A, Shah K N. (2014) Dressings and products in pediatric wound care. Adv Wound Care (New Rochelle), 3(4), 324–334.

McDonnell G, Russell AD. (1999). Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev, 12:147-179

Ousey K, Cutting KF, Rogers AA, Rippon MG. (2016). The importance of hydration in wound healing: reinvigorating the clinical perspective. J Wound Care.  Mar;25(3)122-130.
doi: 10.12968/jowc.2016.25.3.122. PMID: 26947692.

Powers JG, Morton LM, Phillips TJ. (2013). Dressings for chronic wounds. Dermatol Ther. 26(3), 197–206

Sibbald RG, Elliott JA, Ayello EA, Somayaji R. (2015) Optimizing the Moisture Management Tightrope with Wound Bed Preparation 2015. Adv Skin Wound Care, 28(10), 466-476

Sibbald RG, Elliott, JA, Persaud-Jaimangal R, Goodman L, Armstrong DG, Harley, C, Coelho S, XI N, Evans R, mayer DO, Zhao XIU, Heil J, Kotru B, Delmore B, LeBlanc K, Ayello EA, Smart H, Tariq G, Alavi A. (2021) Wound Bed Preparation 2021. Adv Skin Wound Care,

Sibbald RG, Woo K, Ayello EA. (2006) Increased bacterial burden and infection: the story of NERDS and STONEES. Adv Skin Wound Care, 19, 447-461

Tan ST, Dosan R. (2019). Lessons from epithelialization: The reason behind moist wound environment.  The Open Dermatology Journal.  13, 34-40. DOI: 10.2174/1874372201913010034

License

Share This Book