Wound field concept ad

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Wound Field Wound Field Concept Concept Dr Clare Fenwick Dr Clare Fenwick Fatima College Health Sciences Fatima College Health Sciences Griffith University Griffith University 2010 2010

Transcript of Wound field concept ad

Wound Field Wound Field ConceptConcept

Dr Clare FenwickDr Clare Fenwick

Fatima College Health SciencesFatima College Health Sciences

Griffith UniversityGriffith University

20102010

Dr Clare Fenwick 2010

TerminologyTerminology

Wound ColonisationWound Colonisation Wound ContaminationWound Contamination Wound InfectionWound Infection

Dr Clare Fenwick 2010

Existence of bacteria with no obvious host reaction Existence of bacteria with no obvious host reaction All wounds are colonisedAll wounds are colonised

WOUND COLONISATIONWOUND COLONISATION

Dr Clare Fenwick 2010

Introduction of micro-organisms into the wound or the presence of Introduction of micro-organisms into the wound or the presence of non-replicating micro-organisms on the wound surfacenon-replicating micro-organisms on the wound surface

Re-introduction of the patient’s own microbes back into the wound Re-introduction of the patient’s own microbes back into the wound is NOT contaminationis NOT contamination

WOUND CONTAMINATIONWOUND CONTAMINATION

Dr Clare Fenwick 2010

Invasion and multiplication of micro-organisms Invasion and multiplication of micro-organisms causing local and systemic effectscausing local and systemic effects

WOUND INFECTIONWOUND INFECTION

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ContaminationContamination Host resistanceHost resistance

Patients immune system, limited controlPatients immune system, limited control Environmental virulenceEnvironmental virulence

What we carry on our bodies, innate objects, limited What we carry on our bodies, innate objects, limited controlcontrol

EndogenousEndogenous Patient’s own flora and bacteriaPatient’s own flora and bacteria

Exogenous Exogenous (most common cause)(most common cause) Foreign matter – hair, wool fibres Foreign matter – hair, wool fibres Nurses hands are the worst offenderNurses hands are the worst offender

If it is wet and not yours, protect yourselfIf it is wet and not yours, protect yourself Watch what you discard and whereWatch what you discard and where

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Things to considerThings to consider

Acknowledge colonisation as Acknowledge colonisation as normalnormal

Prevent/minimise contaminationPrevent/minimise contamination Identify and treat infectionIdentify and treat infection

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Wound Bed PreparationWound Bed Preparation

Cleansing techniquesCleansing techniques DebridementDebridement

Sharp Sharp

AutolyticAutolytic

EnzymaticEnzymatic

MechanicalMechanical

SurgicalSurgical

Biodebridement (maggots)Biodebridement (maggots)

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Cleansing TechniqueCleansing Technique

Clean versus sterile techniqueClean versus sterile technique Normal saline and tap water (safe Normal saline and tap water (safe

enough to drink)enough to drink) Hand washing is essential to Hand washing is essential to

reduce infection reduce infection Dirty hand & clean handDirty hand & clean hand Wound field conceptWound field concept

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Clean and dirty handClean and dirty hand

Dressing Equipment

cleandirty

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Dr Clare Fenwick 2010

Wound Field conceptWound Field concept

Dressing Equipment

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QUESTIONS???QUESTIONS???

Dr Clare Fenwick 2010

Reading SourcesReading Sources Ellis, T.,Beckmann, A. (1997) Wound Field Concept Primary

Intention 5, (2)

Ellis, T. (2004). CPD: Understanding the act of contamination in wound dressing procedure. Collegian, 11(3), 39-42.

Fenwick, C. (2006) Wound fields and the undergraduate nurse. Australian Nursing Journal 13, (11) pp 41

Gillespie, B. & Fenwick, C. (2009) Comparison of the two leading approaches to attending wound care dressings. Wound Practice and Research 17 (2) pp 62-67