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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