wound bed preparation akbid paramata kabupaten muna
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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&
Terima Kasih
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