CD Dressing

S.S.
AGRAWAL COLLEGE OF NURSING

TRAINING COLLEGE AND RESEARCH
CENTER,NAVSARI.
SUB - MEDICAL SURGICAL NURSING

TOPIC – Clinical demonstration on Dressing
SUBMITTED TO, SUBMITTED BY,

MRS.NIKITA PATEL MS AVNI PATEL
ASSISTANT PROFESSOR 1st YEAR M.SC (N)
SSAGCON,NAVSARI SSAGCON,NAVSARI
DATE OF SUBMISSION
14-6-21
HISTORY COLLECTION
INFORMATION DATA
Name –Mrs Kusumben KanuBhai Nayka

Age – 50 year
Sex - FeMale
Address –Shakti nagar,Navsari
Date of birth -04/09/1969
Education-10th pass
Religion- Hindu
Bed number- 03
Ward- FeMale medical ward
Medical diagnosis- Diabetes mallitus
Surgery- not performed
Occupation- labour work
Date and time of admission-
CHIEF COMPLAINT
Mrs.Kusumben is complaining of
fever
fatigue
weakness
itching
HISTORY OF PRESENT MEDICAL ILLNESS
Mr.Anilbhai having present complaints are:

 weakness
 weight loss
 slow healing process
 dry mouth
 tired feeling
 frequent infection
HISTORY OF PRESENT SURGICAL ILLNESS

No any significant data about present surgical illness.
HISTORY OF PAST MEDICAL ILLNESS
Patient having history of diabetes since 3 years.& no any other history like,Anemia , seizures,
arthritis,heart disorders.
Trauma , injury- no any significant data about trauma or injury .
Hospitalization- 2 -3 times patient admitted in the hospital for the treatment of the diabetes
due to gangrene
Childhood diseases and immunization- No any significant data about childhood
disease,patient taken all the vaccine like,tetanus,hepatitis,mumps,rubella,pertusis.
OUTLINE
 INTRODUCTION
 DEFINITION
 PURPOSE
 INDICATION
 ARTICLE
 PRE-PREPARATION
 PROCEDURE
 AFTER CARE
 COMPLICATION
 NURSING RESPONSIBILITIES
WOUND AND DRESSING CARE
A dressing is a sterile pad or compress applied to a wound to promote healing and protect
the wound from further harm. A dressing is designed to be in direct contact with the wound,
as distinguished from a bandage, which is most often used to hold a dressing in place. Many
modern dressings are self-adhesive.
A dressing can have a number of purposes, depending on the type, severity and position of
the wound, although all purposes are focused on promoting recovery and protecting from
further harm. Key purposes of a dressing are:
 Stem bleeding – to help to seal the wound to expedite the clotting process;
 Protection from infection – to defend the wound against germs and mechanical damage;
 Absorb exudate – to soak up blood, plasma, and other fluids exuded from the wound,
containing it/them in one place and preventing maceration;
 Ease pain – either by a medicated analgesic effect, compression or simply preventing
pain from further trauma;
 Debride the wound – to remove slough and foreign objects from the wound to expedite
healing;
 Reduce psychological stress – to obscure a healing wound from the view of the patient
and others.
Ultimately, the aim of a dressing is to promote healing of the wound by providing a sterile,
breathable and moist environment that facilitates granulation and epithelialization. This will
then reduce the risk of infection, help the wound heal more quickly, and reduce scarring
ARTICLES
Choosing the proper wound dressing assists with wound healing
Whenever you have a wound, whether it’s a minor cut or a major incision, it’s crucial to care
for it properly. Part of the process includes wound care dressings. There are a variety of
options when it comes to dressings, and to determine which is the best and most effective
depends on what sort of wound you have.
A doctor or other medical professional will examine the wound and determine what is
necessary to keep it free from complications and to assist with healing. The dressing options
will also depend on where the wound is, how large it is and other related factors.
What is a wound care dressing?
A dressing is used by a doctor, caregiver and/or patient to help a wound heal and prevent
further issues like infection or complications. Dressings are designed to be in direct contact
with the wound, which is different from a bandage that holds the dressing in place.
Dressings serve a variety of purposes depending on the type, severity and position of the
wound. Aside from the major function of reducing the risk of infection, dressings are also
important to help:
Stop bleeding and start clotting so the wound can heal
Absorb any excess blood, plasma or other fluids
Wound debridement
Begin the healing process
What type of wound care dressing is right for my wound?
Hydrocolloid:
Hydrocolloid dressings are used on burns, light to moderately draining wounds, necrotic
wounds, under compression wraps, pressure ulcers and venous ulcers.
Hydrogel:
This type of dressing is for wounds with little to no excess fluid, painful wounds, necrotic
wounds, pressure ulcers, donor sites, second degree or higher burns and infected wounds.
Alginate:
Alginate dressings are used for moderate to high amounts of wound drainage, venous ulcers,
packing wounds and pressure ulcers in stage III or IV.
Collagen:
A collagen dressing can be used for chronic or stalled wounds, ulcers, bed sores, transplant
sites, surgical wounds, second degree or higher burns and wounds with large surface areas.
In addition to the wound product categories listed above, there are other wound dressings
available, such as foams and compression in addition to secondary and cover dressings like
wraps, gauze and tape.
Skin maceration is a condition that’s fairly common. If you’ve ever spent a long period of
time swimming or soaking in a tub, you’ve probably noticed the skin’s soft, whitish, wrinkled
appearance that results. In simplest terms, it’s oversaturated skin caused by prolonged
exposure to water or moisture. In ordinary circumstances like bathing, it’s rather harmless
and not a problem. When macerated skin occurs around wounds, however, you need to take
steps to avoid further complications.
maceration is oversaturated skin caused by exposure to moisture, which can lead to
complications if left untreated.
How does maceration happen?
In addition to swimming and bathing situations, maceration can also occur as a result of:
 Excessive sweating.
 Urinary incontinence.
 Wading or working in water without protective gear.
 Not changing wound dressings often enough.
 Extended bed rest, especially while recovering from surgery.
 Occlusive therapy using films or other nonbreathable, nonporous materials like latex
that keep a wound dressing watertight and protected from exposure to air so as to
prevent infection.
Signs of trouble to watch out for
When skin maceration occurs in connection with slow-healing wounds, bed sores, ulcers,
third degree burns or other health concerns, here are some symptoms to be aware of:
 A moist, spongy wound.

 Visibly wrinkled, pale white skin.
 Rash or red patches.
 Itching, burning or pain.
 Unusual swelling around the edge of a wound.
 Thick, foul smelling discharge.
If you notice any of these happening, talk to your doctor or health care professional as soon
as possible, describing your symptoms so that your provider can make adjustments to your
treatment plan.
How to treat maceration
In general, it is always important to contact your doctor if you have any questions or
concerns, but here are a few at-home solutions for treating skin macerations.
 Using sterile gauze pads, clean excess fluid from the wound.
 Rinse the wound using a clean syringe filled with sterile water to remove any
accumulated pus or oozing matter.
 Apply just a small amount of Bacitracin, Neosporin or a similar antiseptic/anesthetic
cream or spray, covering but not smothering the wound.
 Re-cover the wound with a breathable bandage.
 Every four hours, recheck the wound, replacing the bandage and cleaning up any
additional pus or ooze.
 If the condition of the wound worsens and infection develops, get medical assistance
immediately.
Preventing maceration
Many instances of skin maceration don’t require anything more than a little fresh air to dry
the skin. When the skin is broken, it’s better to have air circulating around the wound rather
than keeping it bandaged once a scab has formed. One precaution you’ll want to take,
however, is to recover the wound to keep it germ-free if you plan to be at work or do any
manual labor.
If you need wound care supplies, talk to your doctor about smartPAC by Advanced Tissue to
get your prescribed products delivered straight to your front door.
How to prevent infection?
Wash your hands
Hand washing in general is the easiest defense against any kind of infection. It’s especially
important to have freshly cleaned hands before changing surgical site dressings, even if you
choose to wear gloves.
Keep your body temperature in check
Fairview highlighted controlled body temperature as one of the top ways to prevent infection
after surgery. If your body is too cold, oxygen struggles to reach the wound and help fight
infection. That’s why your doctors may warm IV fluids or increase the temperature in the
operating room when you’re in the hospital. Make sure you maintain a healthy and warm
body temperature when you’re back home to facilitate recovery and further prevent infection
Watch for the symptoms
In the event that you develop an infection after surgery, your body will send you some telltale
signs. VeryWell Health noted the following signs of infection:
 Fever.
 Chills.
 Sweats.
 Redness around the surgical incision.
 Persistent drainage from the wound.
If you begin to experience any of these symptoms, contact your doctor as soon as possible.
Fairview further suggested seeking medical assistance if you experience enhanced pain or
tenderness in the affected area, fatigue or dissolved stitches before the wound heals.

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S.S.

AGRAWAL COLLEGE OF NURSING

SUB - MEDICAL SURGICAL NURSING

SUBMITTED TO, SUBMITTED BY,

Name –Mrs Kusumben KanuBhai Nayka

HISTORY OF PRESENT MEDICAL ILLNESS

Mr.Anilbhai having present complaints are:

HISTORY OF PRESENT SURGICAL ILLNESS

Choosing the proper wound dressing assists with wound healing

What is a wound care dressing?

What type of wound care dressing is right for my wound?

How does maceration happen?

Signs of trouble to watch out for

 A moist, spongy wound.

How to treat maceration

How to prevent infection?

Wash your hands

Watch for the symptoms

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