Wound Dressings

WoundSource Editors's picture
occlusive dressing

By the WoundSource Editors

Occlusive dressings are used for sealing particular types of wounds and their surrounding tissue off from air, fluids and harmful contaminants, such as viruses and bacteria, in a trauma or first aid situation. They are often utilized as an immediate means of controlling the cleanliness of a wound as well as the loss of blood until surgery can be used for long-term treatment. Although no wound dressing can provide complete seal, the waxy, non-absorbent nature of occlusive dressings are often enough. The quality of the provided seal often depends on factors such as the skill of the person dressing the wound, the nature of the wound and the condition of the area around the wound. Health care professionals are trained in the application of this kind of dressing, but the task is sometimes taken on by a patient's long-term caregiver.

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WoundSource Editors's picture
hydrocolloid dressing for wounds - granuflex border dressing

By the WoundSource Editors

Hydrocolloid dressings provide a moist and insulating healing environment which protects uninfected wounds while allowing the body's own enzymes to help heal wounds. These dressings are unique because they don't have to be changed as often as some other wound dressings and are easy to apply. Hydrocolloid dressings:

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    Cheryl Carver's picture
    wet-to-dry dressing changes using gauze

    By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

    The big debate continues in regards to using wet-to-dry dressings. One thing that is for certain though is that this type of dressing is frowned upon in long-term care facilities per the National Pressure Ulcer Advisory Panel (NPUAP) Guidelines for pressure ulcers. However, long-term care facilities are put at risk for citations when using wet-to-dry dressings for any wound type.

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    Laurie Swezey's picture
    aerobic proteus bacteria in a wound

    By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

    Activated charcoal has been used in various types of wound care dressings. Although activated charcoal in itself does not enhance wound healing, it can help to minimize the odors associated with wounds. This is important, as wound odor can be very distressing for the patient, and the patient's family and caregivers. Wound odor can impact the quality of life of individuals with strong, persistent wound odor to have feelings of embarrassment, depression and isolation.1

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    Samantha Kuplicki's picture
    DME products

    By Samantha Kuplicki, MSN, APRN-CNS, AGCNS-BC, CWS, CWCN, CFCN

    Ordering wound care dressing supplies can prove to be a frustrating task for many providers and clinicians. Unfortunately, I have encountered many health care providers that describe feelings of dread when working with their durable medical equipment (DME) counterparts.

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    Samantha Kuplicki's picture
    wound care supplies

    By Samantha Kuplicki, MSN, APRN-CNS, AGCNS-BC, CWS, CWCN, CFCN

    In the last installment of my blog, we discussed a brief overview of billing for wound care products and dressings (durable medical equipment or DME) in several common care settings. Let's talk about the Hospital Outpatient Department (HOPD) a little more in-depth. Again, we will use Medicare as the standard for payment policy, as many payors use them as a model for policy-making.

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    Cheryl Carver's picture
    Wound Dressing Supplies

    By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

    I feel like I am spinning my wheels on this warm sunny day in Ohio. My passion for wound care continues to grow, but I have days like these every once in a while. I always say, "We don't know what we don't know, right?" So I keep chipping away to educate and mentor other health care professionals.

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    Laurie Swezey's picture
    wound care 101 - wound debridement

    By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

    There are four main types of debridement: mechanical, autolytic, enzymatic, and surgical. Each has its own advantages and disadvantages. Let’s take a look at each method individually:

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    Aletha Tippett MD's picture
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    stopwatch

    By Aletha Tippett MD

    Wound cleansing is an interesting dilemma. What? How can that be a dilemma? Everyone knows that you cleanse a wound before dressing it. This is what has been taught for years. Wound cleansing began in the late 19th or early 20th century once the germ theory was proposed and accepted, and hygiene was successful in reducing infections and death, and improving wound outcomes.

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    Samantha Kuplicki's picture
    Compass

    By Samantha Kuplicki, MSN, APRN-CNS, AGCNS-BC, CWS, CWCN, CFCN

    It is becoming increasingly difficult to be involved in wound care at any level without having a working knowledge of the intricacies of varying policies regarding surgical dressings for wounds. Care setting, Medicare Administrative Contractor (MAC) for your geographic region and pertinent DME Local Coverage Determinations (LCD), type of dressings desired, and wound assessment are all factors that clinicians responsible for ordering supplies should be aware of. For practical purposes, we will mainly discuss Medicare as a reference for payors, as many commercial, contracted, and private payor policies are modeled after Medicare* policies.

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