Wound bed preparation
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Transcript of Wound bed preparation
WOUND BED PREPARATION
Ns. SUKURNI, S. Kep, WOC(ET)N
TUJUAN
Menghilangkan faktor yang menghambat penyembuhan luka
Mempersiapkan luka dengan secara maximal untuk dapat menggunakan advanced product
PRINCIPLES = TIME
Framework terms Application to practice
T Tissue management Removal of nonviable tissue
I Inflammation and infection control
Control of bacterial load / burden
M Moisture balance Management and control of exudates
E Epithelial advancement / edge
Promotion of a healthy wound edge
T Tissue management
Removal of nonviable tissue
TISSUE MANAGEMENT = DEBRIDEMANG
Debridement / Debridemang :Membuang jaringan nekrosis dari permukaan luka
Necrosis: Kematian sel yang disebabkan oleh penurunan proses enzymatic tubuh
PENYEBAB TERJADINYA JARINGAN NEKROTIK
ALIRAN DARAH YANG BURUK
INFEKSI
• ISKHEMIA
• TRAUMA / HEMATOMA
METODE DEBRIDEMANG
Surgical / sharp AUTOLYTIC Mechanical Chemical / Enzymatic agents Biological / Magots - larvae
SURGICAL DEBRIDEMANG
MEKANIKAL DEBRIDEMANG
DENGAN PINSET DENGAN KASA KERING
AUTOLYTIC DEBRIDEMANG
Merupakan proses alami tubuh dalam melakukan peluruhan jaringan nekrotik dan benda asing / debridemang
Proteolytic enzymes from cells
Selective / hanya jaringan nekrosis
Membutuhkan lingkungan yang lembab
ZAT KIMIA / ENZYM
• Hydrogen peroxide• EUSOL (Edinburgh University Solution of Lime)• Salicylic acid• Malic acid• Benzoic acid• Hypochlorites
BIOKEMIKAL / MAGOTS
AUTOLYSIS MIX WITH SURGICAL DEBRIDMENT
I Inflammation and infection control
Control of bacterial load / burden
M Moisture balance
Management and control of exudates
E Epithelial advancement / edge
Promotion of a healthy wound edge
Etiology : Cancer = TIM
Etiology : DM = TIME
Etiology : DM = ME
Etiology :
Etiology :
Etiology :
Etiology :
Etiology :
Sekian&
Terima Kasih