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UNDERSTANDING WOUND BED PREPARATION

TISSUE INFLAMATION
MANAGEMENT CONTROL
TIME
MOISTURE EPITELIAL EDGE
BALANCE
(Falanga, 2004)
Manajemen TIME
merupakan suatu pendekatan sistematis yang bertujuan
agar penyembuhan luka kronik dapat tercapai
T: Tissue management

 Hilangkan jaringan mati & benda asing

SAFE Debridemang:
 Surgical
 CSWD: tanpa nyeri & berdarah
 Enzymatic: hewan / herbal (enzim proteolitik)

Autolytic: Moisture balance


 Mechanical: kasa basah kering, hydroterapi, swab
 Chemical: Hydrogen peroxide, iodine cadexomer
 Bilogical: maggot
Autolytic Debridement
I : Inflammation &
Infection control

 Cairan pencuci
 Dressing yg tepat (topikal antimicrobial & antiseptik)
 Sistemik therapy (jika perlu)
M: Moisture Balance

 Pertahankan lembab yg seimbang (winter, 1962)


 Manajemen:
 Dressing yg tepat, luka kering vs luka basah
 Kompresi ??
Moisture Balance
E: Epithelial edge advancement
 Tepi luka yg baik?

 Manajemen:
 Pencucian adekuat
 Penipisan tepi luka
 Moisture balance dressing
Epithelial edge advancement

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