1 year ago

Wound Care Catalogue

Independence Australia's recommendations for wound products to assist with care and management.


Wounds Overview Absorbent Dressings Alginate Dressings Antimicrobial Dressings Film Dressings Foam Dressings Properties Advantages Disadvantages Product forms • Either low absorbent or super absorbent pads. • Made from a variety of materials. • Super absorbent pads contain an inner absorbent core capable of absorbing moderate to high amounts of exudate. • Made from seaweed • Biodegradable. • Absorbs up to 20 times weight in wound fluid. • Used in moderate to high exuding wounds. • Delivers a sustained release of antimicrobial agents to wound bed. • Reduces likelihood of resistant bacteria developing in wound bed. • Typically gets its antimicrobial activity from silver, iodine or polyhexamethylene biguanide (PHMB). • Transparent, flexible, breathable adherent and non-absorbent wound dressings. • Have no intrinsic absorbency. • Made from thin sheets of polyurethane coated with layer of adhesive. • Hydrophilic (attracts fluid which aids in absorption). • Made from foamed polymer solutions (most commonly polyurethane) with small, open cells capable of holding fluids. • Use as a secondary dressing to absorb exudate. • Provides a moist wound-healing environment. • Suitable for bleeding wounds. • Keeps nerve ending moist. • Can reduce pain. • Antimicrobial agents are progressively released into wound bed. • Absorbs exudate and bacteria. • Aids autolytic debridement. • Promotes a moist wound healing environment. • Protects wound surface and maintains a moist wound healing environment. • Provides a barrier against microbes, chemicals, friction and fluid. • Allows moisture vapour and gases to escape but is water-resistant. • Can act as blister roof and second skin. • Can be used to reduce friction over bony prominences. • Maintains thermal temperature in wound. • Facilitates a moist wound environment. • Highly absorbent • Protects intact skin from friction. • Conforms to uneven body surfaces. • Must be removed carefully as the dressing is only low adherent and may stick to the wound. • Can cause peri wound maceration. • Usually require fixation to stay in place. • Can only be used on exuding wounds. • Requires a secondary dressing. • Must be cut to size of wound. • Must be changed daily to second daily. • May require fixation to stay in place. • Should only be used for short periods. • May be contraindicated for people with sensitivities and/or pregnancy. • Excessive exudate may pool under dressing and macerate surrounding skin. • Should not be used on fragile compromised skin because they strongly adhere to dry skin and can cause trauma to good skin when removed. • May macerate peri wound skin if it becomes saturated. • Need to ensure foam is laid the right way up. • Range of pad sizes • Rolls • Adherent and non-adherent • Varying sheet sizes • Ropes • Varying delivery systems, shapes, and sizes • Sheets • Ropes • Impregnated mesh • Paste • Powders • Varying sheet sizes and shapes. • New generation films are coated with silicone adhesive. • Some include a nonstick pad known as an island dressing. • Varying cavity filling shapes and sheets. © Independence Australia Group 2020. No part of this information may be reproduced in whole or in part in any manner without permission. 6 Independence Australia your way

Honey Dressings Properties Advantages Disadvantages Product forms • Impregnated with 100% medical grade Manuka Honey (Leptospermum spp.) • Use on infected or highly contaminated wounds. • Antimicrobial, anti-fungal, antiviral actions, antiinflammatory. Hydrocolloids • A wafer type of dressing. • Contains gel forming agents in an adhesive compound. • Laminated onto a flexible, water-resistant outer layer that turns into a gel when exudate is absorbed. Hydrofibre & Gelling Dressings Hydrogel Dressings Hypertonic Salt Dressings Impregnated Mesh Dressing • Made from 100% carboxymethylcellulose. • Can absorb up to 30 times in weight and provide less risk of maceration because of vertical fluid absorption properties. • High-water content. • Contains insoluble polymers. • Water content varies between 30-90%. • Most contain a gel forming agent called carboxymethylcellulose. • Cotton and /or synthetic gauze. • Impregnated with hypertonic saline. • Cleanses wound by wicking away necrotic tissue and purulent debris. • Hypertonic properties will inhibit bacterial growth. • Made from open mesh, cotton, rayon, viscose or gauze impregnated with white or soft paraffin or medicated antiseptic. • A primary dressing applied directly to the wound bed. Silicone Mesh • An open weave product. • Designed to be ‘tacky’ but not too moist and not too dry so it can lie on good skin. Silver Dressings • A broad spectrum antimicrobial agent. • Achieves antimicrobial action by generating and releasing silver into wound. • Some donate silver into wound bed while others kill bacteria absorbed into core of dressing. • Promotes moist wound healing. • Use on malodourous wounds. • Promotes autolytic debridement on slough. • Can be easily cut, shaped or moulded to fit any wound type. • Provides a moist healing wound environment. • Absorbs exudate. • Protects newly healed wound or intact skin. • For use in non-infected wounds with minimal exudate and dry wounds. • Promotes a moist wound healing environment. • Autolytic debridement • Atraumatic removal of dressing from wound bed. • Aids in preventing peri wound skin breakdown. • Promotes a moist wound healing environment. • Rehydrates a necrotic eschar, helps in its removal without harming good cell growth. • Autolytic debridement. • Maintains a moist wound healing environment. • Autolytic debridement of loose slough or eschar. • Absorbs exudate and bacteria. • Apply directly to wound, no overlap onto healthy tissue. • Provides a moist environment that facilitates epithelial migration. • Reduces adhesion. • Allows atraumatic removal from the wound bed. • Silicone is inert and enables transfer of exudate to a secondary dressing. • Can be removed from wound without trauma. • Does not need to be cut to wound size. • Active against a variety of micro-organisms including Staphylococcus aureus, methicillin resistant Staphylococcus aureus (MRSA). • Protects clinically infected wounds or critically colonised wounds. • Provides sustained antimicrobial activity. • Could lead to peri wound skin maceration because liquefies when warm. • Not recommended for people with allergies to honey, bees, algae or seaweed. • Monitor blood sugar levels in diabetic patients. • Do not use on infected wounds. • Use with caution on feet because can cause peri wound skin maceration. • Not appropriate for heavily exuding wounds. • Can only be used on wounds producing a moderate to high level of exudate. • Requires a secondary dressing. • Not to be used in a highly exuding wound. • Do not use on ischemic foot wounds. • Not to be used on bleeding or potentially bleeding wounds. • Not to be used on dry wounds. • Not to be used on viable tendon or bone. • Does not absorb exudate. • Requires frequent changes to avoid drying out and damage to good cells when dressing is removed. • Requires a secondary dressing. • Not recommended for people with allergies to silicone products. • Requires a secondary dressing. • Must cleanse wounds with sterile water because some silvers are inactivated by normal saline. • Do not use in conjunction with other topical antimicrobials. • Cease after 2 weeks if no improvement. Independence Australia • Gel • Paste • Impregnated gauze • Varying sheet sizes and shapes • Paste • Varying sheet sizes • Packing ribbon • Can be impregnated with antimicrobial agents such as silver. • Flexible sheets • Gel • Impregnated gauze • Sheets • Packing ribbon Sources: Wounds R Us, What the best wounds are wearing, 2019. International Wound Infection Institute, Principles of Best Practice, 2016. Champions for Skin Integrity, Wound Dressing Guide, 2013. © Independence Australia Group 2020. No part of this information may be reproduced in whole or in part in any manner without permission. • Varying sheet sizes • Varying sheet sizes • Foams • Alginates • Gelling cellulose fibres • Films • Hydrogels • Sheets • Packing ribbon • Gel your way 7