Microsoft powerpoint - newsletter jan feb 2013 ltc final
Skin Deep
January/February 2013
An Advanced Tissue newsletter written by Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS
Ask Carolyn:
Possible Alternative
Q: I am a new treatment nurse in Utah and have a question. Our Medical Director
for Silvadene Cream
is ordering Silvadene Cream for all chronic wounds. Would you describe this
A: Silvadene C
a burn is
SilvaSorb Gel.
treatment of wound infection in patients with second- and third-degree burns.
Before using Silvadene, obtain a medical history specifically including:
•Allergy to silver sulfadiazine or another sulfa antibiotic (such as sulfamethoxazole)
Various products may interact with Silvadene, including:
•Phenytoin (
Dilantin),skin products containing sodium sulfacetamide
•Enzymes used to remove dead tissue such as collagenase (Santyl)
Have a question for Carolyn? E-mail [email protected] .
What is the difference
Weight Loss:
between Slough
Indicator for
delayed healing
Adequate nourishment is critical to healthy skin and
isn’t it all dead tissue?
wound healing. Literature suggests that weight loss is a
Injury or lack of blood flow to the skin results in
significant predictor of pressure ulcer development and a
necrotic or dead tissue. As the tissue dies, it
strong indicator of delayed healing. The dietician should
changes color and consistency and adheres to the
be consulted regarding significant weight loss as a
wound bed. Necrotic tissue is called either slough
or eschar.
Slough is hydrated (moist) necrotic tissue. The
Variations in Normal Healing
color of slough varies, including: yellow, gray, tan
The events associated with wound healing do not always
and brown. Slough is soft and thin, fibrinous or
proceed smoothly. Two deviations in healing may occur
even with optimal care: Exuberant granulation, or proud
Eschar is dry
y (no moisture) necrotic tissue; it has a
flesh, results from the formation of excessive granulation
firm, dry, leather, black-to-brown appearance.
As
tissue that may protrude above the margins of the
eschar is moistened, it slowly turns to slough.
The presence of slough or eschar indicates full
Keloids are large, bulging, scars
thickness tissue damage and effective treatment
collagen present in the connective tissue. Consult the physician for treatment orders.
For more information about Advanced Tissue, please call 866‐217‐9900 or go to advtis.com
We recommend you copy our newsletter and post for your clinicians to read. After all clinicians have initialed--file in an education binder.
During survey, this binder will document multiple educational opportunities you have provided.
Source: http://www.advancedtissue.com/wp-content/uploads/2013/12/Newsletter-Jan-Feb-2013-LTC.pdf
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