Date

1400H - 1500H
Via Zoom

Empowerment
objective - for
laypeople to have an
Operation
essential
Wounds – How
understanding of
to Take Care?
“OPERATION
WOUNDS – HOW TO
TAKE CARE” in their
health management.
 Date
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

Empowerment show your video picture.
objective - for
Sign in your name, FB
laypeople to have an
Operation account, or email address in
essential the Chat Box! Include names
Wounds – How of companions attending.
understanding of
to Take Care?
“OPERATION Use the Chat Box to ask
questions and make
WOUNDS – HOW TO comments while the PEP TALK
is on.
TAKE CARE” in their
health management. There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:
Empowerment
objective - for FEEDBACK TO THIS
laypeople to have an PEP TALK!
Operation
essential
Wounds – How Pls. type in your
understanding of feedback in the chat
to Take Care?
“OPERATION box during the open
WOUNDS – HOW TO forum and before we
TAKE CARE” in their adjourn!
health management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for START PEP TALK
laypeople to have an PROPER IN 2
Operation MINUTES!
essential
Wounds – How
understanding of
to Take Care? Pls. turn on your
“OPERATION video!
WOUNDS – HOW TO Show your face!
TAKE CARE” in their
health management.
 Empowerment ROJoson PEP Talk
objective - for
laypeople to have an I have a Patient
Operation Empowerment
essential
Wounds – How Program in which I
understanding of
to Take Care? like to empower the
“OPERATION lay people or
WOUNDS – HOW TO patients to take
TAKE CARE” in their control in the
health management. management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
 Empowerment
objective - for
My PEP TALK today is
laypeople to have an
Operation entitled:
essential
Wounds – How OPERATION
understanding of
to Take Care? WOUNDS – HOW
“OPERATION
WOUNDS – HOW TO TO TAKE CARE
TAKE CARE” in their
health management.
 Contents Disclaimer:
• What are operation wounds?
Operation • What are 3 types of operation wounds (to be ROJoson PEP Talk
Wounds – How contains
discussed in this PEP Talk)? ROJoson’s
to Take Care? • What are laypeople’s common questions on operation Thoughts,
wounds? Perceptions,
• What are laypeople’s common practices on operation Opinions and
Recommendation
wounds? (Philippines)
s (TPORs) culled
• How to clean operation wounds and maintain their from experiences
cleanliness (at home)? of other
• How to avoid infection and other complications on professionals and
operative wounds? ROJoson.
• How to promote faster healing on operative wounds?
 What are operation wounds?
Operation
Operation wounds will be operationally defined
Wounds – How in this PEP Talk as wounds that are created in the
to Take Care? process of an operation where the skin is cut or
incised by a surgeon.

Thus, there is wound on the skin created by a

surgeon to do a surgical procedure in the
underlying deeper tissues or organs below the
skin.
 What are 3 types of operation wounds (to be
discussed in this PEP Talk)?
Operation
Wounds – How The operation wounds may be closed completely
to Take Care? or partially after the surgical procedure in the
underlying deeper tissues or organs or
intentionally left unclosed or open by the
surgeon.
Thus, three types of operation wounds to be
discussed here:
• Closed wounds (CW)
• Partially closed wounds (PCW)
• Open wounds (OW)
 What are laypeople’s common questions on
Ideally, all the common
operation wounds?
Operation questions and concerns
Wounds – How Common questions or concerns by laypeople:
should be asked to the
to Take Care? surgeons who did the
operation wounds.
At home, how to manage the operation wounds?
They are in the best
position to answer
Specifically,
them.
• How to clean them and maintain their
cleanliness?
However, a lot of
• How to avoid infection and other
times, these questions
complications?
are not fully addressed.
• How to promote faster healing?
 What are laypeople’s common practices on operation wounds?
(Philippines)
Operation
Wounds – How • Afraid to use tap water in cleaning operation wounds.
to Take Care? • Afraid to wet wounds.
• Afraid to take a shower.
• Covering the wounds for a long time than necessary.
• Using antiseptic solutions and ointments, hydrogen peroxide, guava
leaves decoction, etc.
• Taking antibiotics on their own.
• Taking vitamins and herbal supplement allegedly to hasten wound
healing.
• Afraid to move the area of the wounds despite surgeon’s advice.
• Others
 What are laypeople’s common practices on operation wounds?
(Philippines) • These practices arise from myths or
Operation from traditional or cultural practices.
Wounds – How • Afraid to use tap water in •cleaning operation
Arise from wounds.
conflicting opinions and
to Take Care? • Afraid to wet wounds. practices of physicians and surgeons.
• Afraid to take a shower. • Some influenced by pharmaceuticals’
• Covering the wounds for a long time than necessary.
marketing.
• Using antiseptic solutions and ointments, hydrogen peroxide, guava
leaves decoction, etc.
• Taking antibiotics on their own.
• Taking vitamins and herbal supplement allegedly to hasten wound
healing.
• Afraid to move the area of the wounds despite surgeon’s advice.
• Others
 What are laypeople’s common questions on
operation wounds?
Operation Disclaimer:
Wounds – How At home, how to manage the operation wounds?
to Take Care? ROJoson PEP Talk
Specifically, contains ROJoson’s
• How to clean them and maintain their Thoughts,
cleanliness? Perceptions,
• How to avoid infection and other Opinions and
complications? Recommendations
• How to promote faster healing? (TPORs) culled from
experiences of other
ROJoson will give his TPORs on these common issues professionals and
on operation wounds using a MINIMALIST approach! ROJoson.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation
Wounds – How Three types of operation wounds to be discussed
to Take Care? in this PEP Talk:
• Closed wounds (CW)
• Partially closed wounds (PCW)
• Open wounds (OW)
[CLEAN AND NOT GROSSLY INFECTED WOUNDS]
 How to clean operation wounds and maintain
their cleanliness (at home)?
Operation
Wounds – How Unless otherwise instructed by the surgeon who
to Take Care? created the operation wounds,

ALL TYPES OF WOUNDS (CW, PCW, OW) SHOULD

BE CLEANSED STARTING 24 HOURS AFTER THE
OPERATION.

Myth: Wounds cannot and should not be wet.

Fact: Wounds can be wet as early as 24 hours
after an operation.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation (Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds)
to Take Care? Corollary to “it is safe to wet all types of wounds as
early as 24 hours after an operation,”

PATIENTS CAN TAKE A SHOWER 24 HOURS AFTER AN

OPERATION WITHOUT FEAR OF WOUNDS GETTING
WET DURING SHOWER. [SHOWER AND NOT BATH –
bath will soak wounds!]
Myth: Wounds cannot and should not be wet.
Fact: Wounds can be wet as early as 24 hours after an
operation.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds,

to Take Care?
CLEANING OF ALL TYPES OF WOUNDS (CW, PCW, OW)
SHOULD BE DONE WITH CLEAN WATER (clean tap water
or clean drinking water will be sufficiently effective or
cost-effective). [cooled boiled water; distilled / mineral
drinking water; saline solution will do]

Myth: It is unsafe to use tap water for cleaning wounds.

Fact: it is SAFE to use tap water in cleaning wounds. It
does NOT lead to higher incidence of wound infection.
 Fernandez and Griffiths conducted a systematic review
to assess the effects of water compared with other
Operation solutions for wound cleansing. Fernandez R,
Wounds – How Most of the identified studies were comparisons of Griffiths R.
to Take Care? water with normal saline, and tap water with no Water for
cleansing. wound
Interestingly, they found that tap water was more cleansing.
effective than saline in reducing the infection rate in Cochrane
adults with acute wounds Perhaps more surprising was Database Syst
that no statistically significant differences in infection Rev. 2008 Jan
rates were seen when wounds were cleansed with tap 23;
water or not cleansed at all. (1):CD003861.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds,

to Take Care?
CLEANING OF ALL TYPES OF WOUNDS (CW, PCW, OW)
CAN BE DONE WITH CLEAN COTTON BALLS OR GAUZE
SOAKED WITH CLEAN WATER.

CLEAN HANDS TO CLEAN!

 How to clean operation wounds and maintain
their cleanliness (at home)?
Operation Unless otherwise instructed by the surgeon who created the
Wounds – How operation wounds,

to Take Care?
CLEANING OF ALL TYPES OF WOUNDS (CW, PCW,
OW) SHOULD BE DONE AT LEAST ONCE A DAY
AND EVEN MORE FREQUENT AS NEEDED
ESPECIALLY FOR WOUNDS WITH SOILED
DRESSINGS, FREQUENTLY SEEN IN PCW AND OW.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds,

to Take Care?
CLEANING OF ALL TYPES OF WOUNDS (CW, PCW, OW)
CAN BE DONE USING ORDINARY MILD BATH SOAPS
WITH NO NEED FOR COMMERCIAL CLEANSING
SOLUTIONS.

Ordinary bath soaps without or with mild antiseptic or

antimicrobial may be used.
Effects of use of ordinary soaps is the same as that of
commercial cleansing solutions.
 How to clean
SHOULD operation
NOT USE: wounds
ALCOHOL,
and maintain
HYDROGEN their
cleanlinessPEROXIDE,
(at home)? POVIDONE-IODINE, GUAVE
Operation Unless otherwise instructed by the surgeon who created the operation
LEAVES DECOCTION, OTHER OINTMENTS AS
Wounds – How wounds,
THEY MAY CAUSE IRRITATION ON WOUNDS
to Take Care? AND AFFECT WOUND HEALING.
CLEANING OF ALL TYPES OF WOUNDS (CW, PCW, OW)
CAN BE DONE USING ORDINARY MILD BATH SOAPS
WITH NO NEED FOR COMMERCIAL CLEANSING Pat dry after
SOLUTIONS. cleaning with
clean cloth or
Ordinary bath soaps without or with mild antiseptic or towel or gauze
antimicrobial may be used. OR let dry by
Effects of use of ordinary soap is the same as that of itself.
commercial cleansing solutions.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds,

to Take Care?
ALL TYPES OF WOUNDS (CW, PCW, OW) ARE INITIALLY
COVERED WITH A STERILE OR CLEAN GAUZE FOR AT
LEAST 24 HOURS.

AFTER 24 HOURS, ALL DRY WOUNDS MAY NOT HAVE

TO BE COVERED WITH GAUZE BUT HAVE TO BE
MAINTAINED CLEAN ALL THE TIME WITH CLEAN
LOOSE (NOT TIGHT) CLOTHES.
 How to clean operation wounds and maintain their
cleanliness (at home)?
Operation Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds,

to Take Care?
ALL TYPES OF WOUNDS (CW, PCW, OW) ARE INITIALLY
COVERED WITH A STERILE OR CLEAN GAUZE FOR AT
LEAST 24 HOURS.

AFTER 24 HOURS, ALL WET OR WEEPING WOUNDS

STILL HAVE TO BE COVERED WITH GAUZE TO AVOID
SOILAGE OF CLOTHES.
 How to avoid infection and other complications
on operative wounds?
Operation Unless otherwise instructed by the surgeon who created
Wounds – How the operation wounds,
to Take Care?
MAIN STRATEGIES TO AVOID INFECTIONS OF THE
WOUNDS (CW, PCW, OW) ARE DAILY CLEANSING
WITH CLEAN WATER AND SHOWER AND
CLEANLINESS MAINTENANCE WITH CLEAN
CLOTHES. DRESSING MAY STILL NEED TO BE
PLACED FOR WEEPING WOUNDS.
 How to avoid infection and other complications on
operative wounds?
Operation Unless otherwise instructed by the surgeon who created the
Wounds – How operation wounds,
to Take Care?
MAIN STRATEGIES TO AVOID INFECTIONS OF THE
WOUNDS (CW, PCW, OW) ARE DAILY CLEANSING WITH
CLEAN WATER AND SHOWER AND CLEANLINESS
MAINTENANCE WITH CLEAN CLOTHES. DRESSING MAY
STILL NEED TO BE PLACED FOR WEEPING WOUNDS.

Antibiotics may be prescribed by the surgeons to avoid

infection. But not all wounds need antibiotics (oral or
topical).
 How to avoid infection and other complications on
operative wounds?
Operation Unless otherwise instructed by the surgeon who created the operation
Wounds – How wounds,
to Take Care?
MAIN STRATEGIES TO AVOID INFECTIONS OF THE WOUNDS
(CW, PCW, OW) ARE DAILY CLEANSING WITH CLEAN WATER
AND SHOWER AND CLEANLINESS MAINTENANCE WITH
CLEAN CLOTHES. DRESSING MAY STILL NEED TO BE PLACED
FOR WEEPING WOUNDS.

IF INFECTION SETS IN, IT IS BECAUSE OF THE

CONTAMINATION THAT OCCURRED DURING THE OPERATION
AND HOW THE SURGEON MANAGES THE WOUND.
 How to avoid infection and other complications
on operative wounds?
Operation Unless otherwise instructed by the surgeon who created
Wounds – How the operation wounds,
to Take Care?
TO MINIMIZE CHANCE OF DEHISCENCE, AVOID
STRENUOUS STRETCHING AND FLEXING
ACTIVITIES AROUND THE WOUND UNTIL THE
WOUND IS DECLARED TO BE COMPLETELY
HEALED and safe to be moved freely.

Usually one month.

 How to promote faster healing on operative
wounds?
Operation Unless otherwise instructed by the surgeon who created
Wounds – How the operation wounds,
to Take Care?
CLEANLINESS MAINTENANCE OF WOUNDS, REST
OF THE WOUNDS, AND HEALTHY NATURAL DIET No Smoking / Quit
ARE THE BEST STRATEGIES TO PROMOTE FAST / Smoking
FASTER HEALING (NOT FOOD SUPPLEMENTS OR
OTHER TOPICAL MEDICINES OR CONCOCTIONS Controlled
OR DECOCTION). diabetes
 Contents Summary
• What are operation wounds? Take Away
Operation • What are 3 types of operation wounds (to be
Wounds – How discussed in this PEP Talk)? Disclaimer:
to Take Care? • What are laypeople’s common questions on operation ROJoson
contains
PEP Talk

wounds? ROJoson’s
• What are laypeople’s common practices on operation Thoughts,
wounds? (Philippines) Perceptions,
• How to clean operation wounds and maintain their Opinions and
Recommendation
cleanliness (at home)?
s (TPORs) culled
• How to avoid infection and other complications on from experiences
operative wounds? of other
• How to promote faster healing on operative wounds? professionals and
ROJoson.
 Be always in touch with reliable medical Take Away in
Operation information on HOW TO TAKE CARE OF relation to
Wounds – How OPERATION WOUNDS. Patient
to Take Care? Knowledge is power; it gives power. Empowerment
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions on HOW TO TAKE
CARE OF OPERATION WOUNDS in your
health management.
 Empowerment
objective - for
laypeople to have an
Operation
essential
Wounds – How
understanding of
to Take Care?
“OPERATION
WOUNDS – HOW TO
TAKE CARE” in their
health management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:
Empowerment
objective - for FEEDBACK TO THIS
laypeople to have an PEP TALK!
Operation
essential
Wounds – How Pls. type in your
understanding of feedback in the chat
to Take Care?
“OPERATION box during the open
WOUNDS – HOW TO forum and before we
TAKE CARE” in their adjourn!
health management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for START Q&A AND
laypeople to have an INTERACTIONS!
Operation
essential
Wounds – How Pls. turn on your
understanding of
to Take Care? video!
“OPERATION Show your face!
WOUNDS – HOW TO
TAKE CARE” in their
health management.