Warrington Division CLASSIFICATION AND MANAGEMENT OF WOUNDS Necrotic Sloughy Malodorous/ Infected Granulating Epithelialisation AIMS OF TREATMENT Debride Remove slough Absorb Exudate Maintain moisture Maintain Moisture Remove eschar Absorb Exudate Treat infection Promote granulation and protect Protect wound Provide clean base Manage Smell Provide healthy base for granulation tissue Protect wound for Epithelialisation Protect wound Protect wound TREATMENT CHOICES Hydrogels Low Exudate Low Exudate Low Exudate Hydrogels Hydrocolloids Hydrogels Antimicrobial Creams Hydrogels Films Films Hydrocolloids Low absorbent foams Hydrocolloids Low absorbent foams Desloughing Agents* Low absorbent foams Silver impregnated Low absorbent foams Non adherent foams Enzymes Desloughing Agents dressings Non adherent foams Surgical Debridements High Exudate High Exudate High Exudate Hydrofibre Hydrofibres Hydrofibres Alginates Foams Alginates Alginates Dextranomer agents Bordered foam dressings Bordered foam dressings
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CLASSIFICATION AND MANAGEMENT OF WOUNDS Papers/Medicines... · Warrington Division WOUND CLASSIFICATION Classification is an important tool which will enhance assessment of the wound,
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Warrington Division
CLASSIFICATION AND MANAGEMENT OF WOUNDS
Necrotic Sloughy Malodorous/ Infected Granulating Epithelialisation AIMS OF TREATMENT
Debride Remove slough
Absorb Exudate Maintain moisture Maintain MoistureRemove eschar Absorb Exudate Treat infection Promote granulation and protect Protect wound Provide clean base Manage Smell Provide healthy base
for granulation tissue Protect wound for Epithelialisation
Classification is an important tool which will enhance assessment of the wound, direct the planning of the treatment and facilitate evaluation of the wound at a later stage.
Grade 1 Discolouration of intact skin, including non blanchable, erythema, blue purple and black discolouration
Grade 2 Partial thickness skin loss or damage involving the epidermis and or dermis
Full thickness skin loss involving damage or necrosis of subcutaneous tissues but not through the underlying fascia Grade 3 and not extending to the underlying bone, tendon or joint capsule
Full thickness skin loss with extensive destruction and tissue necrosis loss extending to the underlying bone, tendon Grade 4 or joint capsule
In order to enhance classification it is also possible to identify wounds in terms of their appearance: