What is Wound Care?

Wound is the disruption of the structural and functional integrity of cells, tissues and organs by internal or external factors. It can be classified as acute and chronic according to the time of occurrence, and open and closed according to skin integrity. Today, the most common types of wounds that cause serious problems are pressure sores, bedsores or decubitus/pressure ulcers. Although the methods of care, diagnosis, treatment and prevention are known, pressure sores are one of the problems that always maintain their importance in health due to their high frequency in people who are bedridden for a long time or whose movement is limited for a certain period of time, their long duration of care and treatment and their high cost. A bedsore (pressure sore/decubitus ulcer/pressure ulcer) is a localized tissue injury caused by pressure, friction or tearing of the skin or deep tissue on bony prominences. Pressure ulcers, which increase the risk of death and disability, are considered as a quality indicator especially in the field of nursing. Pressure sores increase the pain of individuals, reduce their mobilization, make them dependent on care and bed and significantly reduce their quality of life. Pressure occurs with decreased mobility, activity and sensory perception. In the presence of pressure, wetness (moisture), friction, tearing on the skin, tissue tolerance decreases and pressure sores develop with poor nutrition, advancing age, poor circulation and decreased or complete absence of movement. With most chronic diseases such as diabetes, obesity, cardiovascular diseases, COPD, tissue damage increases and the risk of pressure sores increases with decreased nutrition. Preventing pressure sores is both less costly and easier than treating them. Unfortunately, patients whose wound care is not performed correctly and effectively and who do not receive professional support may deteriorate until surgical intervention when the wound progresses. In order to prevent wound formation, scientific approaches should be applied, patient-specific risk factors should be monitored and personalized planning should be made. Even if preventive measures are taken, some patients may still develop pressure sores. Once a pressure sore develops, it is now a chronic wound and requires professional treatment and care. This wound treatment/care should be planned according to the staging of the pressure sore. Pressure sores consist of a total of 4 stages, I- II- III-IV, and the condition of the wound worsens as it progresses from I to IV. It may start with conditions such as redness, bruising, bullae, warmth in the tissue, scratches and progress to necrotic tissues where tissue loss, skin, muscle and bone are affected.
Wound Care

Treatment and Care

In the treatment of some wounds, the wound should first be evaluated, if there is dead tissue, it should be cleaned with appropriate materials, if the patient has an infection, it should be controlled, appropriate moisturizing of the wound should be provided, blood supply of the tissue should be increased and the wound area should be protected. The wound should be re-evaluated during each dressing.

During dressing, it is important to clean the tissue with appropriate material to prevent tissue damage and to control infection and odor. Afterwards, the patient should receive regular tissue-appropriate dressings and, if necessary, additional tissue closure materials and treatments should be applied. The patient should be positioned at frequent intervals, supported with pillows, the tissue should be protected with barrier creams and moisturizers and the patient should be kept clean at all times. Personal care of the patient must be meticulous. In patients who cannot perform their own personal care, or in patients who are fully or partially bedridden, special attention should be paid to the cleaning of diapers, urinary catheters, etc.

Why is Wound Care Important?

Correct and effective wound care is a condition that requires professional care and treatment. Therefore, with the coordinated work of patient care staff, nurses and doctors, it is possible to achieve good results by applying prevention, control and the right treatment.

Today, the frequency of wound formation and progression is increasing with the increase in diseases. Unless intervened with appropriate treatment, it can lead to deterioration of the general health condition and death.

In Meva Nursing Home, wound healing is provided by creating an optimum environment with correct and effective wound care / treatment with our specialist institutional doctors, specialist nurses and patient care personnel. In addition, wound formation is prevented with positioning and prevention practices in people who are bedridden for 24 hours and have limited movement.

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