Wound bed preparation AKBID PARAMATA KABUPATEN MUNA

WOUND BED PREPARATION

Ns. SUKURNI, S. Kep, WOC(ET)N

TUJUAN

Menghilangkan faktor yang menghambat penyembuhan luka

Mempersiapkan luka dengan secara maximal untuk dapat menggunakan advanced product

PRINCIPLES = TIME

Framework terms Application to practice

T Tissue management Removal of nonviable tissue

I Inflammation and infection control

Control of bacterial load / burden

M Moisture balance Management and control of exudates

E Epithelial advancement / edge

Promotion of a healthy wound edge

T Tissue management

Removal of nonviable tissue

TISSUE MANAGEMENT = DEBRIDEMANG

Debridement / Debridemang :Membuang jaringan nekrosis dari permukaan luka

Necrosis: Kematian sel yang disebabkan oleh penurunan proses enzymatic tubuh

PENYEBAB TERJADINYA JARINGAN NEKROTIK

ALIRAN DARAH YANG BURUK

INFEKSI

• ISKHEMIA

• TRAUMA / HEMATOMA

METODE DEBRIDEMANG

Surgical / sharp AUTOLYTIC Mechanical Chemical / Enzymatic agents Biological / Magots - larvae

SURGICAL DEBRIDEMANG

MEKANIKAL DEBRIDEMANG

DENGAN PINSET DENGAN KASA KERING

AUTOLYTIC DEBRIDEMANG

Merupakan proses alami tubuh dalam melakukan peluruhan jaringan nekrotik dan benda asing / debridemang

Proteolytic enzymes from cells

Selective / hanya jaringan nekrosis

Membutuhkan lingkungan yang lembab

ZAT KIMIA / ENZYM

• Hydrogen peroxide• EUSOL (Edinburgh University Solution of Lime)• Salicylic acid• Malic acid• Benzoic acid• Hypochlorites

BIOKEMIKAL / MAGOTS

AUTOLYSIS MIX WITH SURGICAL DEBRIDMENT

I Inflammation and infection control

Control of bacterial load / burden

M Moisture balance

Management and control of exudates

E Epithelial advancement / edge

Promotion of a healthy wound edge

Etiology : Cancer = TIM

Etiology : DM = TIME

Etiology : DM = ME

Etiology :

Etiology :

Etiology :

Etiology :

Etiology :

Sekian&

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