Wound Dressing

Learning objectives
At the end of this skill session, students are expected to be able to; Know the purpose of the procedure Know the types of wounds Know the types of dressing Identify equipment used for basic wound dressing

The bodys ability to protect itself from the environment depends largely on the integrity of the integumentary system. The skin contributes to metabolic activities and is a key part of maintaining homeostasis.

Types of wounds
Wound Accidental Description Unintentional injury, such as knife, gunshot, burn, jagged edges, bleeding, unsterile Planned therapy, such as surgical incision, needle introduction, clean edges, controlled bleeding, control surgical asepsis

Surgical

Classification of Surgical wound

Wound Clean Description Closed surgical wound that did not enter gastrointestinal, respiratory or genitourinary systems, low infection risk Open, traumatic wound, surgical wound with break in asepsis, high infection risk Wound site with pathogens present, signs of infection

Contaminated Infected

Topical Wound Therapy

A dressing is a protective covering placed on a wound. Dressing may be used for the reasons; Absorb drainage Prevent contamination Prevent mechanical injury to the wound Help maintain pressure so excessive bleeding is avoided Provide a moist wound environment Provide comfort for the pt

Types of Dressing

Gauzes Hydrocolloid wafer dressing Hydrogels Polyurethane foam Transparent adhesive dressing

The type of dressing used depends on the type of wound, location, status, and personal preference.

Basic Dressing Trolley

E D

Basic dressing trolley with; A; Kidney dish B; Dressing/Bryan forceps C; Tooth and non-tooth dissecting forceps D; Sterile gloves E; Galipots with cotton balls & gauze

Wound dressing procedure in ward