Wound Care Fundamentals
Modern wound care favors moist (not wet) wound healing — cells migrate best in a moist environment, and a dry scab slows epithelialization.
Cleaning
Clean from least contaminated to most contaminated (usually center to edge) to avoid introducing bacteria into the wound. Use appropriate solution per facility policy; normal saline is gentle and effective.
Dressing selection
- Alginate: for heavily draining wounds.
- Hydrocolloid: for light-draining, partial-thickness wounds; occlusive.
- Foam: moderate drainage, cushioning.
- Hydrogel: for dry wounds, adds moisture.
- Transparent film: shallow, low-draining, secondary dressing.
Match dressing to drainage amount; under-dressing a wet wound macerates the surrounding skin, and over-dressing a dry wound desiccates it.
Infection signs
Increased pain, redness beyond the wound margin, warmth, purulent or malodorous drainage, and systemic signs (fever, leukocytosis).
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